三伏天三九天穴位贴敷防治小儿哮喘临床观察

摘要

目的：观察不同时间、不同频次施行穴位贴敷对脾肺气虚型小儿哮喘的防治效果。方法将60例小儿哮喘患者按照完全随机的方法分为三伏组、三伏加强组、三九组、三九加强组,进行穴位贴敷治疗,于治疗前和治疗后3个月进行疗效观察,以中医症状评分为观察指标,确定4组疗效。结果4组在治疗3个月后的随访中,中医症状积分明显降低(P＜0.05),且治疗时间的主效应显著(F=17.04,P＜0.05),治疗频次的主效应显著(F=8.17,P＜0.05)。结论不同治疗时间、不同治疗频次的穴位贴敷对小儿哮喘患者的中医症状评分均有改善,且三伏天时的疗效要优于三九天,治疗频次的增加对疗效有明显的影响,三伏加强组的疗效最优。%Objective To investigate the efficacies of different times and frequencies of acupoint application in preventing and treating child asthma of spleen-lung qi deficiency type. Method Sixty children with asthma of spleen-lung qi deficiency type were randomly allocated to dog days, dog days reinforcement, coldest days and coldest days reinforcement groups for treatment by acupoint application. The therapeutic effects were evaluated using the TCM symptom score as the observation indicator in the four groups after three months of treatment. Result The TCM symptom score decreased significantly in the four groups at the follow-up after three months of treatment (P<0.05). The main effect of treatment time was marked (F=17.04, P<0.05). The main effect of treatment frequency was marked (F=8.17, P<0.05). Conclusion Different times and frequencies of acupoint application both decrease the TCM symptom score in children with asthma. The therapeutic effect is better in dog days than in three nine-day period after the winter solstice. An increase in treatment frequency influences the therapeutic effect obviously. The therapeutic effect is best in the dog days reinforcement group.