激光针灸治疗儿童支气管哮喘
2013/09/12
摘要
激光针灸作为替代疗法已广泛用于慢性疾病。
目的:旨在评价低强度激光治疗埃及哮喘儿童传统中医针灸穴位的刺激效应。
方法:2009年4月到2010年3月,从艾因夏姆斯大学、儿童医院和国家门诊针灸研究所的胸科门诊患者中,随机选择50例哮喘患者(其中男性30例,女性20例,年龄7~18岁(10.6±2.8岁))。在10个疗程的激光针刺疗法之前和之后1个月,每位患者症状,药物使用,哮喘控制问卷(ACQ)和肺活量值均被记录。每位患者接受10个疗程的传统中医针灸穴位激光疗法(3个疗程/周)。
结果:治疗开始时有36例患者白天和夜间均有症状,而治疗结束时仅2例患者夜间有症状(p< 0.001),而且,48例患者有更好的运动耐量(p < 0.001)。第一秒用力呼气量、用力肺活量和最大呼气流量百分比从81.8±25.2、85.4±21.5和71.8±22.9上升至98.5±28.1、104.3±26.2和84.3±24.1(p < 0.001)。ACQ从13.9±3.8 增加至23.3±3.6 (p < 0.001),92%的患者得到了很好的控制。吸入糖皮质激素剂量从200-450 下降至0-200 μg/天,而且所有患者停止了短效β2受体激动剂(SABA)的使用(p < 0.01,0.001)。
总结:低强度激光针灸可安全、有效地治疗儿童哮喘。
(林江涛 审校)
J Complement Integr Med. 2013 Jul 9;10(1):1-5. doi: 10.1515/jcim-2012-0006.
Laser acupuncture in treatment of childhood bronchial asthma.
Elseify MY, Mohammed NH, Alsharkawy AA, Elseoudy ME.
Abstract
Abstract Laser acupuncture is widely used as an alternative treatment for chronic illnesses.
OBJECTIVE: to evaluate the effect of biostimulation by low-level power laser on the traditional Chinese acupuncture points for Egyptian asthmatic children.
METHOD: Thirty asthmatic boys and 20 asthmatic girls 7-18 years (10.6±2.8) were randomly selected from the outpatient chest clinic of Ain Shams University, Children hospitals, and National Research Center outpatient Clinic of Acupuncture, from April 2009 to March 2010. Patients' symptoms, medications, asthma control questionnaire (ACQ), and spirometric values were recorded before and 1 month after completion of 10 laser acupuncture sessions. Each patient received 10 laser sessions (3 sessions/week) on traditional Chinese acupoints.
RESULTS: Started with 36 patients suffering daytime and nocturnal symptoms, ended with two patients suffering nocturnal symptoms (p < 0.001). Also, 48 patients reported better exercise tolerance (p < 0.001). Forced expiratory volume in the first second, forced vital capacity, and peak expiratory flow % increased from 81.8±25.2, 85.4±21.5, and 71.8±22.9 to 98.5±28.1, 104.3±26.2, and 84.3±24.1, respectively (p < 0.001). ACQ improved from 13.9±3.8 to 23.3±3.6 (p < 0.001), 92% of patients became well controlled. Inhaled steroids dose decreased from 200-450 to 0-200 μg/day and all patients stopped short acting B2 agonist (SABA) rescue (p < 0.01, 0.001).
CONCLUSION: low-intensity laser acupuncture can be safe and effective treatment in asthmatic children.
J Complement Integr Med. 2013 Jul 9;10(1):1-5. doi: 10.1515/jcim-2012-0006.
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疑似严重急性哮喘的气管内炎性肌纤维母细胞瘤
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类黄酮和哮喘