麻芩咳喘合剂联合针刺及罐疗治疗支气管哮喘急性发作期30例临床研究

杨爽; 李全厚; 张文瑞; 王盛隆; 王强

doi:10.13288/j.11-2166/r.2015.23.012

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麻芩咳喘合剂联合针刺及罐疗治疗支气管哮喘急性发作期30例临床研究

临床研究 | 更新时间：2021-11-17

- 麻芩咳喘合剂联合针刺及罐疗治疗支气管哮喘急性发作期30例临床研究
- Clinical Research of Maqin Kechuan Heji（麻芩咳喘合剂） with Acupuncture and Cupping in Treating 30 Cases of Bronchial Asthma Acute Attack Patients
- 中医杂志 2015年56卷第23期页码：2021-2025
- 作者机构：
  
  1. 天津中医药大学
  2. 天津中医药大学第二附属医院
- 作者简介：
- 基金信息：
  
  天津市科学技术委员会科技计划项目（13ZCZDSY02100）;天津市中医药管理局中医中西医结合科研课题（13086）;天津市教育委员会高等学校科技发展基金（20120307）;天津市教育委员会高等学校“创新团队培养计划”（TD12-5036）
- DOI：10.13288/j.11-2166/r.2015.23.012
  中图分类号： R256.12
- 纸质出版：2015
- 稿件说明：
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[1]杨爽,李全厚,张文瑞,王盛隆,王强.麻芩咳喘合剂联合针刺及罐疗治疗支气管哮喘急性发作期30例临床研究[J].中医杂志,2015,56(23):2021-2025.

YANG Shuang, LI Quanhou, ZHANG Wenrui, et al. Clinical Research of Maqin Kechuan Heji（麻芩咳喘合剂） with Acupuncture and Cupping in Treating 30 Cases of Bronchial Asthma Acute Attack Patients[J]. Journal of Traditional Chinese Medicine2015, 56(23): 2021-2025.
[1]杨爽,李全厚,张文瑞,王盛隆,王强.麻芩咳喘合剂联合针刺及罐疗治疗支气管哮喘急性发作期30例临床研究[J].中医杂志,2015,56(23):2021-2025. DOI： 10.13288/j.11-2166/r.2015.23.012.

YANG Shuang, LI Quanhou, ZHANG Wenrui, et al. Clinical Research of Maqin Kechuan Heji（麻芩咳喘合剂） with Acupuncture and Cupping in Treating 30 Cases of Bronchial Asthma Acute Attack Patients[J]. Journal of Traditional Chinese Medicine2015, 56(23): 2021-2025. DOI： 10.13288/j.11-2166/r.2015.23.012.

摘要

目的观察麻芩咳喘合剂联合针刺及罐疗治疗支气管哮喘急性发作期的临床疗效。方法将60例支气管哮喘急性发作期患者随机分为针药并用组和中药组各30例。中药组予麻芩咳喘合剂

每日1剂。针药并用组在中药组基础上联合针刺及罐疗

每周治疗2次。两组均治疗3周

并于治疗完成1周后进行随访。比较两组患者治疗前后中医症状积分、肺功能指标、哮喘控制（ACT）评分

治疗后评价疾病疗效及中医证候疗效。结果两组患者疾病疗效、中医证候疗效比较

差异均无统计学意义（P>0.05）。两组治疗第1、2、3周及随访时中医症状积分均显著减少（P<0.05）。针药并用组在治疗第1、2周中医症状积分显著低于中药组（P<0.05）。两组患者治疗后肺功能及ACT评分均较治疗前显著改善（P<0.05）

针药并用组一秒用力呼气容积与用力肺活量的比值（FEV1/FVC）、峰值流速（PEF）显著高于中药组（P<0.05）。两组治疗后喘息、哮鸣音、胸闷、咳嗽、鼻塞流涕均较治疗前显著改善（P<0.05）;与中药组比较

针药并用组胸闷、咳嗽、鼻塞流涕改善更显著（P<0.05）。结论麻芩咳喘合剂联合针刺及罐疗治疗支气管哮喘急性发作期疗效与单用麻芩咳喘合剂相比能更快缓解症状

改善肺功能效果更优。

Abstract

Objective To observe the therapeutic effect of Maqin Kechuan Heji with acupuncture and cupping in treating bronchial asthma acute attack. Methods Randomly divided 60 cases of patients with bronchial asthma attack into two groups

the acupuncture combined with Chinese herb group and the Chinese herb group

with 30 cases in each group. The Chinese herb group was given Maqin Kechuan Heji

one dose per day. The acupuncture combined with Chinese herb group was added acupuncture and cupping in addition to Chinese herb

twice a week. Both groups were treated for three weeks

and followed up one week after treatment finished. Compared TCM symptom score

lung function index and asthma control test（ ACT） of patients in both groups before and after treatment. After the treatment

evaluated the curative effect of the disease and the curative effect of Chinese medicine syndrome. Results The difference of the curative effect of this disease and its Chinese medicine syndrome in both groups had no statistical significance（ P > 0. 05）. At the first

the second and the third week and at follow-up time

TCM symptom score in both groups all remarkably decreased（ P < 0. 05）. TCM symptom score of the acupuncture combined with Chinese herb group at the first and the second week was remarkably less than the Chinese herb group（ P < 0. 05）. Lung function index and ACT score in both groups after treatment all remarkably increased than those before treatment（ P <0. 05）. The ratio of forced expiratory volume in one second and forced vital capacity（ FEV1 / FVC） and peak expiratory flow（ PEF） of the acupuncture combined with Chinese herb group were remarkably higher than those of the Chinese medicine group（ P < 0. 05）. Pant

wheeze

chest distress

cough

congestion and running nose in both groups after treatment all remarkably improved compared with those before treatment（ P < 0. 05）; chest distress

cough

congestion and running nose in the acupuncture combined with medicine group improved more remarkably than in the Chinese herb group（ P < 0. 05）. Conclusion Compared with Maqin Kechuan Heji alone

Maqin Kechuan Heji with acupuncture and cupping in treating bronchial asthma acute attack could release symptoms more quickly

and improve lung function more effectively.

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