顺运内八卦手法辅助干预小儿感染后咳嗽临床研究

Clinical Study on Manipulation of Clockwise Kneading Neibagua Points in Adjuvant Treatment for Children with Postinfectious Cough

目的:观察顺运内八卦手法辅助干预感染后咳嗽(PIC)患儿的临床疗效。方法:将120例风邪伏肺型PIC患儿随机分为对照组和观察组各60例。2组均服用苏黄止咳胶囊治疗,给予饮食指导、生活起居指导、运动指导和健康宣教的综合护理措施。观察组给予顺运内八卦手法进行干预。2组疗程均为10 d。治疗前后采用视觉模拟评分法(VAS)评价咳嗽程度,评价咳嗽症状积分,记录咳嗽缓解时间和咳嗽消失时间,于治疗结束时评价护理满意度。结果:2组治疗3 d、5 d和10 d的咳嗽程度VAS评分均逐渐下降(P<0.05)。观察组治疗3 d、5 d和10 d的VAS评分均低于对照组(P<0.01)。2组日间咳嗽症状评分、夜间咳嗽症状评分和咳嗽症状积分均较治疗前下降(P<0.01),观察组日间咳嗽症状评分、夜间咳嗽症状评分和咳嗽症状积分均低于对照组(P<0.01)。观察组咳嗽缓解时间和咳嗽消失时间均较对照组缩短(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在内服苏黄止咳胶囊和常规护理的基础上加用顺运内八卦手法干预PIC患儿,可进一步减轻咳嗽症状,缩短咳嗽病程,提高护理满意度。

Objective:To observe the clinical effect of the manipulation of clockwise kneading Neibagua points in the adjuvant treatment for children with postinfectious cough(PIC).Methods:A total of 120 cases of PIC children of wind invading lung type were randomly divided into the control group and the observation group,60 cases in each group.Both groups were given the oral administration of Suhuang Zhike capsules as well as comprehensive nursing measures including diet guidance,life guidance,exercise guidance and health propaganda and education;the observation group was additionally intervened by the manipulation of clockwise kneading Neibagua points.Both groups were treated for 10 days.Before and after treatment,the degree of cough was evaluated by Visual Analogue Scale(VAS);the symptom scores of cough was evaluated;the remission time and disappearance time of cough were recorded.After treatment,the nursing satisfaction was evaluated.Results:After treatment for three,five and ten days respectively,VAS scores of the degree of cough in the two groups were gradually decreased(P<0.05),and the above scores in the observation group were all lower than those in the control group(P<0.01).The scores of daytime cough and cough at night as well as the symptom scores of cough in the two groups were all decreased when compared with those before treatment(P<0.01),and the above scores in the observation group were all lower than those in the control group(P<0.01).Both the remission time and the disappearance time of cough in the observation group were shortened when compared with those in the control group(P<0.01).Nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion:Based on the treatment of Suhuang Zhike capsules and routine nursing,the manipulation of clockwise kneading Neibagua points for PIC children can further relieve the symptom of cough,shorten the course of cough,and improve the nursing satisfaction.