穴位贴敷时间和接触性皮炎对哮喘防治效果的影响

目的 观察贴敷时间和接触性皮炎对哮喘防治效果的影响。方法 将91例穴位贴敷治疗的缓解期哮喘患者，依照4 h、8 h穴位贴敷后是否诱发接触性皮炎，分为A组（4 h有接触性皮炎）24例、B组（4 h无接触性皮炎）25例、C组（8 h有接触性皮炎）22例、D组（8 h无接触性皮炎）20例，观察各组患者治疗前后哮喘发作次数改变、哮喘控制测试（asthma control test，ACT）评分和成人哮喘生活质量问卷（asthma quality of life questionnaire，AQLQ）评分的差异性。结果 与同组治疗前比较，治疗后A、C、D组哮喘发作次数均显著减少，ACT评分、AQLQ评分均显著提高，差异均有统计学意义（P<0.05）；其中A组治疗前后哮喘发作次数差值、ACT评分差值、AQLQ评分差值较B组差异均有统计学意义（P<0.05）。结论 穴位贴敷时间和接触性皮炎均影响哮喘的防治效果，穴位贴敷4 h出现接触性皮炎者疗效相对较好。

Effect of Acupoint Application Time and Contact Dermatitis in Prevention and Treatment of Asthma

Objective To investigate the effect of acupoint application time and contact dermatitis in the prevention and treatment of asthma. Methods A total of 91 patients with asthma in the remission stage who were treated with acupoint application were enrolled, and according to the presence or absence of contact dermatitis after 4 and 8 hours of acupoint application, these patients were divided into group A with 24 patients (with contact dermatitis after 4 hours of acupoint application), group B with 25 patients (without contact dermatitis after 4 hours of acupoint application), group C with 22 patients (with contact dermatitis after 8 hours of acupoint application), and group D with 20 patients (without contact dermatitis after 8 hours of acupoint application). The three groups were compared in terms of the changes in the number of asthma attacks, asthma control test (ACT) score, and Asthma Quality of Life Questionnaire (AQLQ) score after treatment. Results Groups A, C, and D had a significant reduction in the number of asthma attacks and significant increases in ACT and AQLQ scores after treatment (all P<0.05). Compared with group B, group A had significantly greater changes in the number of asthma attacks and ACT and AQLQ scores after treatment (P<0.05). Conclusion Both acupoint application time and contact dermatitis can influence the outcome of asthma, and patients who have contact dermatitis after 4 hours of acupoint application tend to have a better clinical outcome.