【摘要】 目的:验证艾灸仪治疗肺结核的疗效,探寻肺结核的辅助治疗手段。方法:将100例肺结核患者随机分为艾灸组和常规组,每组50例。两组均采用常规抗结核治疗(2HRZE/4HRE),艾灸组在此基础上采用艾灸仪灸百劳、肺俞、膏肓、气海、中府、膻中、关元、足三里等穴,观察两组患者治疗前后胸部X线片病灶范围变化、痰菌降级率、T淋巴细胞亚群及自然杀伤(NK)细胞的变化。结果:治疗3个月后复查胸片病灶吸收达45%以上者艾灸组45例,占90.0%,明显高于常规组的72.0%(36/50,P<0.01);痰菌降级率艾灸组高于常规组[82.0%(41/50)vs 60.0%(30/50),P<0.01];治疗后艾灸组T淋巴细胞亚群CD3+、CD4+/CD8+比值、NK细胞数均显著高于常规组(P<0.05,P<0.01)。结论:在常规抗结核方案治疗基础上运用艾灸仪灸治,可显著提高临床效果,加快病灶吸收,提高患者免疫力,可作为辅助治疗肺结核的一种手段。更多还原

【Abstract】 Objective To verify efficacy of moxibustion apparatus on pulmonary tuberculosis(PT) and explore adjuvant treatment method for PT.Methods One hundred cases of PT were randomly divided into a moxibustion group and a routine treatment group,50 cases in each one.The regular antituberculous therapy(2HRZE /4HRE) was applied in both groups.In addition,the moxibustion apparatus was used at Bailao(EX-HN 15),Feishu(BL 13),Gaohuang(BL 43),Qihai(CV 6),Zhongfu(LU 1),Danzhong(CV 17),Guanyuan(CV 4),Zusanli(ST 36) and so on in the moxibustion group.The change of lesion area in chest radiography,degradation rate of bacterium in the sputum,T-lymphocyte subsets and natural kill(NK) cells were observed before and after treatment in two groups.Results After the treatment for 3 months,there were 45 cases(90.0%) in the moxibustion group with more than 45% of focal absorption in chest radiography,which was obviously higher than 72.0%(36/50) in the routine treatment group(P<0.01).The degradation rate of bacterium in the sputum in the moxibustion group was higher than that in the routine treatment group [82.0%(41/50) vs 60.0%(30/50),P<0.01].The CD3+ 、CD4+/CD8+ ratio of T-lymphocyte subsets and NK cells in the moxibustion group were significantly higher than those in the routine treatment group(P<0.05,P<0.01).Conclusion On the basis of regular antituberculous therapy,moxibustion apparatus could significantly improve clinical effect,promote focal absorption and boost immunity,which is considered as an adjuvant treatment for PT.更多还原