小儿推拿辅助治疗支气管肺炎的临床疗效观察

Clinical efficacy observation of pediatric massage as an adjuvant treatment for bronchopneumonia

目的探讨对支气管肺炎患儿采取小儿推拿辅助治疗对其疾病转归的有效影响。方法选取2019年11月至2020年1月本院收治的小儿推拿辅助治疗支气管肺炎患儿40例作为观察组,同期选择本院收治的未接受小儿推拿辅助治疗的支气管肺炎患儿40例作为对照组。比较两组于治疗周期内在临床疗效、主要症状体征消失时间、临床抗生素类药物使用时间以及不良反应发生率等方面的差异。结果观察组临床痊愈率和总有效率分别为80.0%(32/40)、95.0%(38/40),显著高于对照组:52.5%(21/40)、77.5%(31/40),差异有统计学意义(P<0.05)。观察组患儿体温恢复正常、咳嗽消失、气喘消失、肺部啰音消失时间均短于对照组,差异有统计学意义(P<0.05)。观察组患儿临床抗生素类药物使用5 d例数显著高于对照组,使用7 d及以上例数显著低于对照组,差异有统计学意义(P<0.05)。观察组患儿出现不良反应率为5.0%(2/40),显著低于对照组20.0%(8/40),差异有统计学意义(P<0.05)。结论对支气管肺炎患儿采取小儿推拿辅助治疗可有效提高临床治疗疗效,缩短临床抗生素类药物使用时间,降低不良反应发生率。

Objective To explore the effect of pediatric massage as an adjuvant treatment on the prognosis of children withbronchopneumonia.Methods Select 40 children with bronchopneumonia who received pediatric massage in our hospital between November 2019 and January 2020 as the observation group.Another 40 children with pronchopneumonia who did not receive pediatric massage as adjuvant treatment in the same period were selected as the control group.Compare the differences between the two groups in terms of clinical efficacy,relief time of main symptoms and signs,length of clinical antibiotic use,and incidence of adverse reactions during the treatment cycle.Results The clinical cure rate and total effective rate of the observation group were 80.0%(32/40)and 95.0%(38/40)respectively,significantly higher than those of the control group[52.5%(21/40)、77.5%(31/40)],and the difference was statistically significant(P<0.05).The observation group had shorter than the control group in terms of body temperature returning to normal,cough relief,asthma relief and disappearance of lung rales,the difference being statistically significant(P<0.05).The number of children in the observation group who used clinical antibiotics for 5 days was significantly higher than that in the control group,and the number of cases who used for 7 days and above was significantly lower than that of the control group,the difference being statistically significant(P<0.05).The adverse reaction rate of children in the observation group was 5.0%(2/40),significantly lower than that of the control group(20.0%,8/40),the difference being statistically significant(P<0.05).Conclusion Adjuvant massage for children with bronchial pneumonia can effectively improve the clinical therapeutic effect,shorten the use time of clinical antibiotics and reduce the incidence of adverse reactions.