The Curative Effect Observation And Cost-benefit Analysis Of Curing Bronchial Asthma Patients By Catgut Embedding In Points

Bronchial asthma is a air passage chronic inflammation ailment eosinophilegranulocyte , mastcells , T-lymphocytes and so on participating with. Traditional Chinese Medicine provided many referred experience and curative devices. In the literature of modern medicine, there is considerable exploration and discussion about definition epidemiology, etiopathogenisis, patho-, degrees of Pathogenetic condition and clinical symptoms. At present, in the stage of acute episode of bronchial asthma, modern medicine is cardinal device, Traditional Chinese Medicine is minor device. We should control symptoms and abscise inflammation by Lucocorticoid inhalation. in the stage of non—acute episode of bronchial asthma, in the tabasis, Traditional Chinese Medicine is cardinal device, it can accommodate eneral immunity function of the patients and obtain better curative effect.Objective: To treat bronchial asthma patients by two devices based on foundation curing: point buring chords (therapeutic group); acupuncture curing (control group), we shall analyze and contrast by curative effect in the near future, long-term curative effect, pulmonary function indicatrix of prior treatment of the two groups, from clinic curative effect.Method: According to diagnostic codes, staging standards and standards of Pathogenetic condition graduation that Respiratory Medicine Branch Asthma Group Institute of Medicine of China respiration introduced "Prevention and Curing Companion of bronchial asthma" , we shall select the patients consistent with standards in the out-patient clinic and hospital room of department of acupuncture and moxibustion, hospital room of respiration of The First Hospital affiliated Guangzhou University of Chinese Medicine and The second Hospital affiliated Guangzhou University of Chinese Medicine in the periods of February, 2007 and April, 2008. We shall divide these groups into two groups: therapeutic group in that there are 38 patients and control group in that there are 40 patients. Foundation curing: Slow-release Theopylline (Aminophylline Sustained-release Tablets, produced by Guangdong Mai Teyi Xinghua Drug Limited Company) direction:0.1, oral application, twice (mane and vesper), six weeks. Therapeutic method: Onthebaseof foundation uring, we select Feishu ,Zhongfu point; Pishu, Zhangmen; Shenshu Jingmen, a group per time, three groups are traded-off, per time 2 weeks, twice 1 course of treatment. Control group applies acupuncture combined foundation curing, choosing the same piont. In the stage of therapy, other any medicines besides above-mentioned foundation curing can not be permitted among the two groups. After three courses of treatment, we shall observe the curative effects and use Pulmonary function Indicatrix, sings and symptoms of prior otreatment and post-treatment to evaluate curative effects. By SPSS statistics software, we shall undertake statistical analysis, then make the results undertake group comparison and inner group comparison.Results: The two groups both have better manifestation about curative effect and pulmonary function indicatrix. About curative effect, therapeutic group surpasses control group furthermore (p < 0. 05), and to light, midrange bronchial asthma patients in the acute stage and ones intermission state , light and midrange persistence in the catabasis, curativeeffectisgood. On pulmonary function indicatrix(FEV₁),therapeutic group surpasses control group(p <0.05); The cost effect analysis means that the therapeutic group direct iatric cost is 37, 872yuan, the average cost is 996.63yuan. The control group direct iatric cost is 185670yuan, the average cost is 4641.75yuan. the average cost of therapeutic group is lower than the control group 3645.12yuan. and on economics, the therapeutic group have better effects.Conclusion: Compared the clinic curative effect of point Buring chords with acupuncture curing , the near curative effect of therapeutic group , the all efficients is 94.7%, control group is 90.0%; The therapeutic group is better than the control group about pulmonary function indicatrix. The difference is meaning by statistics analysis, which means that the curative effect of therapeutic group is better than the control group. The rate of cost-benefit of therapeutic group is lower than the control group in economics. So we know that point Buring Chords by way of treatment method is not noly economic but also practical.