运用穴位埋线从肺、脾、肾论治小儿反复呼吸道感染

Therapy of Infantile Recurrent Respiratory Tract Infections from the Treatment of Lung,Spleen,Kidney by Means of Catgut Embedding

目的:观察运用穴位埋线从肺、脾、肾论治小儿反复呼吸道感染的临床疗效。方法:将78例患儿随机分为埋线组与西药组。埋线组取穴大椎、风门、肺俞、脾俞、肾俞、足三里。纳差者加中脘、胃俞;多汗者加曲池、心俞;鸡胸龟背者加命门;便秘者加支沟;腹泻者加天枢。西药组口服匹多莫德400 mg治疗。两组均治疗3个月,分别于治疗后3个月、6个月、12个月随访,观察其疾病疗效、治疗前后呼吸道感染次数、中医证候疗效。结果:观察中埋线组脱落3例,西药组脱落2例。治疗后埋线组临床痊愈率为64.86%,西药组临床痊愈率为47.22%,两组比较,差异有统计学意义(P<0.05)。治疗后6个月、12个月随访其发生上下呼吸道感染次数埋线组均低于西药组(P<0.05)。中医证候疗效埋线组有效率为86.49%,西药组有效率为75.00%,两组比较,差异有统计学意义(P<0.05)。结论:运用穴位埋线从肺脾肾论治小儿反复呼吸道感染临床疗效确切。

Objective：To observe the clinical curative effect of catgut embedding in infantile recurrent respiratory tract infections from lung, spleen and kidney. Methods ：78 cases were randomly divided into the catgut embedding group （40 cases） and western medicine group （38 cases）. The catgut embedding group choose acupoints of Dazhui （GV14） , Fengrnen（ BL12）, Feishu（ BL13 ） , Pishu（ BL20）, Shenshu （ BL23 ） and Zusanli （ ST36 ）. For those with poor appetite adding acupoints of Zhongwan （ CV12 ） and Weishu（ BL21 ）, with hyperhidrosis adding acupoints of Quchi （Llll） and Xinshu （BL15）, with pigeon-breast and humpback adding acupoint of Mingmen （ GV 4）, with constipation adding acupoint of Zhigou （ S J6）, with diarrhoea adding acupoint of Tianshu （ ST25 ）. The western medicine group was given oral pidotimod 400 mg therapy. The two groups were treated for three months, then were respectively followed up in the following three, six and twelve months. We observed the curative effect, number of respiratory infections before and after treatment, and efficacy of TCM syndrome. Results ： During the observation, the western medicine group shed off two cases, and the other group shed off three cases. The clinical cure rate was 64.86% in the catgut embedding group, andthe rate was 47.22% in the other. The comparison of the curative effect between two groups was significantly different （P 〈 0. 05）. The number of upper and lower respiratory infections in the catgut embedding group were lower than western medicine group （P 〈0.05） in 6 months and 12 months. The total effective rate of TCM syndrome effect was 86.49% in the catgut embed- ding group, and the rate was 75.00% in the other. The comparison of the two groups was significantly different （P 〈 0.05 ）. Con- clusion ：Treatment of infantile repeated respiratory infections from lung, spleen, kidney three organs by means of acupoint catgut embedding has definite clinical effect.