耳穴贴压辅助治疗小儿哮喘发作期(痰热壅肺型)的疗效观察

Observation on the clinical curative effect of auricular point sticking in adjuvant treatment of infantile asthma(phlegmy heat warm lung)at acute stage

目的探讨耳穴贴压辅助治疗小儿哮喘发作期(痰热壅肺型)的疗效,为控制小儿哮喘提供有效的治疗方案。方法 2014年1月至2015年3月成都中医药大学附属医院儿科门诊收治支气管哮喘60例,随机分为观察组和对照组各30例。对照组采用定喘汤加减辨证治疗;观察组在对照组治疗基础上结合耳穴疗法。治疗7d后观察两组患儿症状、体征积分变化及治疗效果。结果观察组总有效率为96.7%(29/30),对照组总有效率为93.3%(28/30),两组比较差异无统计学意义(P>0.05)。两组患儿在改善咳嗽、咳痰方面比较差异无统计学意义(P>0.05);观察组在改善喘息、肺部哮鸣音、活动受限方面优于对照组,差异有统计学意义(P<0.05)。治疗后各次症(舌象、脉象、咽红、口干、面赤、尿黄、便秘、黄痰)改善均优于治疗前,差异有统计学意义(P<0.05)。两组在改善次症方面疗效相当,差异无统计学意义(P>0.05)。结论哮喘发作时,应用耳穴结合中药内服的治疗方法,可明显缓解患儿的喘息、肺部哮鸣音及活动受限,达到了治疗的目的。耳穴贴压操作简单,疗效可靠,值得临床推广。

Objective To study the effect of auricular point sticking in adjuvant treatment of infantile asthma（phlegmy heat warm lung） at acute stage, and to provide effective treatment programs for clinical control of asthma. Methods There were 60 children meeting the diagnosis standard,who came from the Pediatric Outpatient Department of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from January 2014 to May 2015 ,and they were randomly divided into two groups： the treatment group and the control group,each with 30 children. The treatment group was treated by Chinese medicine（Ding- chuan decoction） and auricular point sticking therapy. The control group was treated only by Chinese medi- cine. After 7 days of treatment,the symptoms and signs scores before and after the treatments and clinical ef- ficacy were analyzed. Results The total effective rate of the treatment group was 96.7%（29/30）,and com- pared to 93.3% of the control group（28/30）,there were no significant statistical differences（P〉0.05）. In the improvement of cough and expectoration,there were no statistical differences（P〉0.05） between the two groups. However, in the improvement of wheezing, pulmonary wheezing rale and limitation of motion, the treatment group was better with statistical significance （P〈 0.05）. After treatment, the signs, including tongue,pulse, pharyngeal red, dry mouth, red face, yellow urine, constipation and yellow sputum, in two groups were improved（P〈0.05） ,and the difference was statistically significant,but there was no statistical difference（P〉0.05） between the two groups. Conclusion During an asthma attack,auricular point sticking therapy combined with traditional Chinese medicine,can relieve wheezing, pulmonary wheezing tale and the limited mobility, achieving the goal of treatment. Auricular point sticking therapy is simple and reliable, which is worthy of promoting.