【作者】 韩健；

【导师】 高树中；

【作者基本信息】 山东中医药大学 ， 针灸推拿学， 2009， 硕士

【摘要】 目的：本研究主要证明针刺鱼际穴对支气管哮喘急性发作患者具有平喘功效,并探讨留针过程中不同时间点疗效的差异。方法：将60例支气管哮喘急性发作患者随机分为两组,其中针刺组30例,针刺鱼际穴；对照组30例,喷吸沙丁胺醇气雾剂。观察急性发作时以及针刺组针刺后即刻、留针30分钟、留针60分钟,对照组喷吸后5分钟肺功能FEV1、PEF、FEV1%与血气分析PaO2,PaCO2指标及症状的组间变化,并比较针刺组与对照组之间的差异。结果：针刺组针刺后即刻与对照组治疗后肺功能及血气分析各项指标以及症状评分均明显改善,对照组优于针刺组；针刺组留针30分钟比针刺即刻评分明显改善,与对照组无明显差异；针刺组留针60分钟与留针30分钟无明显差异。说明针刺鱼际穴对支气管哮喘急性发作具有平喘功效,即刻起效,留针30分钟达到最佳疗效。更多还原

【Abstract】 Objective:This study was made to confirm that needling thenar acupoint has relieving asthma effect on bronchial asthma acute episode patients, and the impact of the length of retaining needle time on curative effect was also explored. Methods:A total of 60 cases of bronchial asthma acute episode patients were randomly divided into two groups; in test group,30 cases were treated with needling thenar acupoint, while another 30 cases in control group were treated with albuterol aerosol by spray and suction method. During the period of acute episode, the pulmonary function index FEV1, PEF, FEV1% and blood gas analysis index PaO2, PaCO2 of the patients in test group and control group were observed; in test group, after needling, these indexes at Omin,30min,60min were observed; in control group, these indexes were observed 5min after spray and suction, moreover, the symptomatic difference between groups was observed and the difference between the test group and control group was analyzed. Results:The indexes of pulmonary function and blood gas analysis and the symptom score in test group after needling at Omin and such indexes in control group were improved significantly, and the effect of control group was better than the effect of test group; the score of test group with needling for 30min was better than needling for Omin, and there was no significant difference with control group; in test group, there was no significant difference between needling for 60min and needling for 30min. The above results indicated that needling thenar acupoint had relieving asthma effect on bronchial asthma acute episode, which had immediate effect on the patients, and retaining the needle for 30min had the best curative effect.更多还原