新型温控环保艾灸服在阳虚体质患者中的应用价值

胡江敏 谌婷婷 郑莹 黄红星 涂燕

【摘要】 目的：分析新型溫控环保艾灸服在阳虚体质患者中的应用价值。方法：选取2019年3月-2020年11月本院符合标准的阳虚体质患者150例，按随机数字表法分为A组（n=50）、B组（n=50）、C组（n=50），A组予以新型温控环保艾灸服艾灸，B组予以传统手法艾灸，C组予以木质艾灸盒艾灸。对比三组艾灸局部皮肤温度、患者满意度、不良事件发生率、室内环境PM2.5含量及舒适度评分。结果：A组施灸10、20、30 min时艾灸局部皮肤温度均低于B、C组（P<0.05）;A组灸疗10、30 min后舒适度评分均高于B、C组（P<0.05）;A组满意度高于B、C组（P<0.05）;A组灸疗10、30 min后室内环境PM2.5含量均低于B、C组（P<0.05）;A组不良事件发生率低于B、C组（P<0.05）。结论：新型温控环保艾灸服可用于阳虚体质患者的艾灸治疗，可有效控制艾灸局部皮肤温度，使局部皮表温度维持在有效且安全的范围，防止不良事件的发生，提高患者舒适度与满意度，还可以降低室内环境PM2.5含量。

【关键词】 新型温控环保艾灸服 阳虚体质 局部皮肤温度 室内环境PM2.5含量

Application Value of New Temperature Control and Environmental Protection Moxibustion Suit in Patients with Yang Deficiency Physique/HU Jiangmin， CHEN Tingting， ZHENG Ying， HUANG Hongxing， TU Yan. //Medical Innovation of China， 2021， 18（31）： 0-028

[Abstract] Objective： To analyze the application value of new temperature control and environmental protection moxibustion suit in patients with Yang deficiency physique. Method： A total of 150 patients with Yang deficiency physique in our hospital from March 2019 to November 2020 were selected， according to the random number table method， they were divided into group A （n=50）， group B （n=50） and group C （n=50）. Group A was treated with new temperature control and environmental protection moxibustion suit， group B was treated with traditional moxibustion， and group C was treated with wooden moxibustion box. The local skin temperature， patient satisfaction， incidence of adverse events， PM2.5 content of indoor environment and comfort score were compared among the three groups. Result： The local skin temperature of group A were lower than those of group B and C at 10， 20 and 30 min of moxibustion （P<0.05）. The comfort scores of group A after 10 and 30 min of moxibustion were higher than those of group B and C （P<0.05）. The satisfaction of group A was higher than those in group B and C （P<0.05）. The contents of PM2.5 in indoor environment in group A were lower than those in group B and C after 10 and 30 min of moxibustion （P<0.05）. The incidence of adverse events in group A was lower than those in group B and C （P<0.05）. Conclusion： The new temperature control and environmental protection moxibustion suit can be used for moxibustion treatment of patients with Yang deficiency physique， which can effectively control the local skin temperature of moxibustion， keep the local skin surface temperature in an effective and safe range， prevent the occurrence of adverse events， improve patient comfort and satisfaction， but also reduce indoor environmental PM2.5 content.

[Key words] New temperature control and environmental protection moxibustion suit Yang deficiency physique Local skin temperature Indoor environment PM2.5 content

First-author’s address： Jiangxi Integrated Chinese and Western Medicine Hospital， Nanchang 330003， China

doi：10.3969/j.issn.1674-4985.2021.31.006

流行病学调查显示，在多种中医证候中，阳虚体质患者较多，艾灸可温通经络、回阳固脱、消瘀散结，在阳虚体质中具有良好应用效果[1]。艾灸是中医传统治疗方法之一，历史悠久，借助灸火温和热力与药物作用，使人体经气激发，从而防治疾病，而随着时间的增长，艾灸的器具也越来越多[2-3]。传统手法艾灸是将艾条直接悬灸于穴位，又可称明灸，虽效果佳，但此种方式耗费人力，较易使施灸皮肤发生烫伤。木质艾灸盒艾灸即将艾条置于木质艾灸盒内，但此种方法不能精准灸于穴位，且需长时间采取一种强迫体位，舒适度较低。……