平喘贴穴位贴敷联合居家中医护理指导干预小儿咳嗽变异性哮喘效果分析

Analysis of Effect of Point Application with Pingchuan Plaster Combined with Familial Nursing Guidance of Chinese Medicine Intervening Cough Variant Asthma in Children

目的:观察在常规西药治疗与护理的基础上加用平喘贴穴位贴敷联合居家中医护理指导干预小儿咳嗽变异性哮喘(CVA)的效果。方法:将120例处于CVA缓解期、稳定期的患儿随机分为观察组和对照组各60例。2组均予孟鲁司特钠咀嚼片治疗,并给予护理和管理措施。观察组加用平喘贴穴位贴敷治疗12周,并予居家中医护理指导。2组均治疗、观察24周。分别于治疗前与治疗8周、16周、24周评价症状积分,采用莱塞斯特咳嗽生活质量问卷(LCQ)评价生活质量,记录24周内患儿的CVA发作情况,包括发作次数和每次发作天数。结果:治疗8周、16周、24周,2组症状积分均较前一个时间点下降(P<0.01);观察组治疗8周、16周、24周的症状积分均低于对照组(P<0.01)。治疗后,2组LCQ生理、心理、社会评分和总分均较治疗前升高(P<0.01);观察组3个维度的评分和总分均高于对照组(P<0.01)。2组随访时间比较,差异无统计学意义(P>0.05)。观察组在24周的观察随访期间,发作次数少于对照组(P<0.01),且每次发作天数少于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在常规用药和护理基础上加用平喘贴贴敷穴位及居家中医护理指导干预小儿CVA,可减少发作天数、发作次数,有效控制症状,提高患儿的生活质量,使病情稳定。

Objective:Based on routine western medicine treatment and nursing,to observe the effect of point application with Pingchuan plaster combined with familial nursing guidance of Chinese medicineintervening cough variant asthma(CVA)in children.Methods:A total of 120 cases of children in the remission stage or stable stage of CVA were randomly divided into the observation group and the control group,60 cases in each group.Both groups were given montelukast sodium chewable tablets as well as nursing and management measures.The observation group was additionally treated with point application with Pingchuan plaster for 12 weeks,and was givenfamilial nursing guidance of Chinese medicine.Both groups were treated and observed for 24 weeks.Before treatment as well as on the 8th,16th and 24th week of treatment,the symptom scores were evaluated,and the quality of life was evaluated by Leicester Cough Quality of Life Questionnaire(LCQ);the CVA attacks in the 24 weeks were recorded,including the times of attack and the days of each attack.Results:On the 8th,16th and 24th week of treatment,the symptom scores in the two groups were decreased when compared with those at the previous time point(P<0.01),and the scores in the observation group were all lower than those in the control group(P<0.01).After treatment,the scores of physiology,psychology and society in LCQ as well as the total scores in the two groups were increased when compared with those before treatment(P<0.01),and the scores of three dimensions and the total score in the observation group were all higher than those in the control group(P<0.01).There was no significant difference being found in the comparison of follow-up time between the two groups(P>0.05).During the 24-week follow-up,the times of attack in the observation group were less than those in the control group(P<0.01),and the days of each attack were less than those in the control group(P<0.01).The nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion:Based on routine administration and nursing,the point application with Pingchuan plaster combined with familial nursing guidance of Chinese medicine for CVA in children,can reduce the days and times of attack,control symptoms,improve their quality of life and stabilize the condition of disease.