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Clinical Observation On Treatment Of Relieving Bronchial Asthma Effects By Fu's Acupuncture Method

Posted on:2010-12-31Degree:DoctorType:Dissertation
Country:ChinaCandidate:D M RuanFull Text:PDF
GTID:1114360278475956Subject:Acupuncture and Massage
Abstract/Summary:PDF Full Text Request
This study includes two main parts, literature review and clinic study of bronchial asthma therapy during acute episode (treat by) with Fu's acupuncture.一,Literature reviewBased on current research of acupuncture treatment for bronchial asthma, this study summarizes, analyzes and researches this method.Systematic review and analysis of Feishu point is realized on variables such as definition, operation position, mechanism, clinic observation research and research of Feishu point from the Western and Eastern point of view.Systematic review of the appearance and development of Fu's acupuncture, summary of clinical researches and Fu's acupuncture theory.二,Clinic studyObjective of study: By Fu's acupuncture treatment at Feishu point, clinic observations on mild to moderate degrees of bronchial asthma during acute episode. This study integrates and evaluates the effects of Feishu acupoint therapy for asthma and researches its safety to human body as well as clinical treatment development.Methodology:①The Patients are randomly divided into two groups, one is Fu's acupuncture group (treatment group) and another is western medicine group (control group). One week before beginning the treatment, the patients should stop taking any medicine except the experimental ones. Patients, who have already taken hormone as usual, can maintain the original dosage during the treatment course.②Fu's acupuncture group includes 30 cases. Acupoint: Feishu (on both sides). Feishu point is chosen according to national standards《Acupoint location》. Acupuncture tool: Fu's subcutaneous needling (FSN), (medium type, Nanjing FSN Medical Appliances Co.ltd). Manipulative method: take a prone position, locate the insertion point, routine disinfection, needle insertion direction at Feishu point is aligned with Fengmen point, penetrates quickly the needle through the skin till the needle casing is stable under skin where the loose connective tissue goes through, shouldn't be pushed or twirled. After inserting subcutaneous needle completed, remove after 30 minutes swaying in subcutaneous layer. Treatment time is 5 times, with one time every day. Control group has 30 cases: take Theo-Dur tablet, dose 200mg.po.bid. Five days make up one treatment course, no rest during course. Observed indicators: the variations of main symptoms of asthma and physical signs (gasp, short breathe, have cough, expectoration, wheezing tone). Pulmonary function tests: Peak expiratory flow (PEF), Forced expiratory volume in the first second (FEV1), Forced expiratory rate in the first second (FEV1%).Results:①The Fu's acupuncture and control group, PEF comparison: Fu's acupuncture group's treatment has significant difference between pre- and post-treatment (P<0.01), control group's treatment has significant difference between pre- and post-treatment (P<0.01). It proves that effects of Fu's acupuncture at Feishu point and taking Theo-Dur medicine on asthma patients' PEF level both has been much improved. Before treatment, Fu's acupuncture and control group's therapy have no remarkable difference (P>0.05), it's clearly that before treatment, both patient groups' PEF level has not much difference; and after treatment also has not much difference (P>0.05), it's obviously that the improved effect of Fu's acupuncture at Feishu point and taking Theo-Dur medicine on asthma patients' PEF level has not noticeable difference.②The Fu's acupuncture and control group, FEV1 comparison: Fu's acupuncture group's treatment has significant difference between pre- and post -treatment (P<0.001). Control group's treatment has highly significant difference between pre- and post-treatment (P<0.001). It proves that effect of Fu's acupuncture at Feishu point and taking Theo-Dur medicine on asthma patients' FEV1 level both has good improvement. Before treatment, Fu's acupuncture and control group's therapy have no remarkable difference (P>0.05), it's clearly that before treatment, both groups' FEV1 level has comparability; and after treatment also has not much difference (P>0.05), it's obviously that the improved effect of Fu's acupuncture at Feishu point and taking Theo-Dur medicine on asthma patients' FEV1 level has not noticeable difference.③The Fu's acupuncture and control group, FEV1% comparison: Fu's acupuncture group's treatment has significant difference between pre-and posttreatment (P<0.01). Control group's treatment has clear difference between pre- and post-treatment (P<0.01). It proves that effect of Fu's acupuncture at Feishu point and taking Theo-Dur medicine on asthma patients' FEV1% level both has been much improved. Before treatment, Fu's acupuncture and control group's therapy have no remarkable difference (P>0.05), it's clearly that before treatment, both groups' FEV1% level has comparability; and after treatment also has not much difference (P>0.05), it's obviously that the improved effect of Fu's acupuncture at Feishu point and taking Theo-Dur medicine on asthma patients' FEV1% level has not noticeable difference.④Symptom grade comparison of two groups: Fu's acupuncture group's treatment has significant difference between pre- and post-treatment (P<0.01). Control group's treatment has significant difference between pre- and post-treatment (P<0.01). It proves that effect of Fu's acupuncture at Feishu point and taking Theo-Dur medicine on asthma patients' symptom grade both has good improvement. Before treatment, Fu's acupuncture and control group's symptoms grade have no remarkable difference (P>0.05), it's clearly that before treatment, both groups' symptom grade has comparability; and after treatment also has not much difference (P>0.05), it's obviously that the improved effect of Fu's acupuncture at Feishu point and taking Theo-Dur medicine on asthma patients' symptom grade has not noticeable difference.⑤Curative effect comparison of two groups: therapeutic effect of Fu's acupuncture and control group has not much difference (P>0.05). It proves that curative effect of Fu's acupuncture at Feishu point and taking Theo-Dur medicine on asthma patients has not obvious difference.⑥Safe evaluation can proof therapy's safety and reliabilityConclusion: In this study, effects of Fu's acupuncture at Feishu point on bronchial asthma patients' peak expiratory flow (PEF), forced expiratory volume in the first second (FEV1), forced expiratory rate in the first second (FEV1%), symptom grade both exactly has improvement, safety is also high, and has not obvious difference. Curative effect of Fu's acupuncture at Feishu point therapy and taking Theo-Dur medicine treatment on bronchial asthma patients is equivalent, not clearly different.
Keywords/Search Tags:Fu's acupuncture, Feishu point, bronchial asthma, curative observation
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