摘要
目的:基于肺与大肠相表里的理论,从经络学角度,通过针刺肺经和大肠经经穴,观察针刺治疗对支气管哮喘患者生命质量的改善情况。方法:采用随机数字表方法,将符合纳入标准的52例支气管哮喘慢性持续期中度患者按1∶1∶1∶1的比例分入肺经穴组、大肠经穴组、肺大肠经穴组、对照组,每组13例。对照组按需吸入万托林,1喷/次,≤4次/天,疗程为12周。前3组在对照组治疗基础上加用针刺治疗,肺经穴组穴取尺泽、孔最、列缺等,大肠经穴组穴取曲池、合谷、天枢等,肺大肠经穴组穴取尺泽、孔最、列缺、曲池、合谷等,隔日针刺1次,每周3次,治疗12次为一疗程,共3个疗程(12周)。采用支气管哮喘生命质量调查问卷(AQLQ)于治疗前后评定总分及活动受限、环境刺激、情感、症状4能区,并判定疗效。结果:同组治疗前后比较,肺经穴组及肺大肠经穴组的AQLQ总分、情感能区、症状能区分值均显著升高(P<0.05,P<0.01),且肺大肠经穴组提高了环境刺激能区积分(P<0.05);大肠经穴组AQLQ总分及活动受限能区分值升高明显(均P<0.05)。组间比较:与对照组相比,肺经穴组、肺大肠经穴组AQLQ总分及症状能区有明显改善(P<0.05,P<0.01);肺大肠经穴组、大肠经穴组情感能区明显升高(均P<0.01);肺大肠经穴组的环境能区明显升高(P<0.05)。与大肠经穴组相比,肺大肠经穴组对症状能区的改善更明显(P<0.05)。结论:从肺肠论治针刺对支气管哮喘患者生命质量的改善作用更明显。
Objective To observe the improvement of the quality of life（QOL） of patients with bronchial asthma treated with acupuncture based on the interior-exterior relationship of the lung and large intestine,in terms of meridian-collateral theory and through the lung and large intestine meridians.Methods According to the random number table,52 cases of bronchial asthma at chronic persistent stage of the middle degree in accordance with the inclusive criteria were divided into a lung meridian acupoint group（group A）,a large intestine meridian acupoint group（group B）,a lung and large intestine meridian acupoint group（group C） and a control group at the ratio of 1：1：1：1,13 cases in each one.In the control group,according to the requirement,Ventolin aerosol was used,one spray/time,≤ 4 times/day.The treatment of 12 weeks was required.In the first 3 groups,on the basis of the treatment as the control group,acupuncture was supplemented.In group A,Chize（LU 5）,Kongzui（LU 6）,Lieque（LU 7）,etc.were selected.In group B,Quchi（LI 11）,Hegu（LI 4）,Tianshu（ST 25）,etc.were selected.In group C,Chize（LU 5）,Kongzui（LU 6）,Lieque（LU 7）,Quchi（LI 11）,Hegu（LI 4）,etc.were selected.Acupuncture was given once every two days,3 times a week.Totally,12 treatments made one session and 3sessions（12weeks）were required.The Asthma Quality of Life Questionnaire（AQLQ）was adopted to assessthe total score and four subscales,named activity limitation,environment stimulation,emotion and symptom,and determine the efficacy.Results In comparison before and after treatment in the same group,AQLQ total score,emotion score and symptom score were all increased significantly in group A and group C separately（P〈0.05,P〈0.01）.The environment stimulation score was increased in group C（P〈0.05）.In group B,AQLQ total score and the activity score were increased remarkably（both P〈0.05）.In comparison among groups：compared withthe control group,AQLQ total score and symptom score in group A and group C were improved obviously（P〈0.05,P〈0.01）;the emotion score was increased obviously in group B and group C（both P〈0.01）and the environment stimulation score was increased obviously in group C（P〈0.05）.Compared with group B,the symptom score was improved much obviously in group C（P〈0.05）.Conclusion Acupuncture improves the quality of life much more obviously for the patients with bronchial asthma in terms of the lung and large intestine theory.
出处
《中国针灸》
CAS
CSCD
北大核心
2012年第8期673-677,共5页
Chinese Acupuncture & Moxibustion
基金
国家重点基础研究发展计划(973计划)项目:2009CB522708
关键词
支气管哮喘
针刺
肺肠论治
哮喘生命质量调查问卷
Bronchial Asthma
Acupuncture
Simultaneous Treatment of Lung and Intestine System
AQLQ
