摘要
目的 观察针刺加闪罐联合槐杞黄颗粒治疗毛细支气管炎缓解期患儿的临床疗效。方法 将120例毛细支气管炎缓解期患儿按照随机数字表法分为2组,对照组60例予布地奈德雾化吸入,治疗组60例在对照组治疗基础上予针刺加闪罐联合槐杞黄颗粒口服治疗,2组均治疗8周。比较2组治疗前和入组治疗后4个月中医证候评分、血红蛋白(Hb)、平均红细胞血红蛋白含量(MCH)、平均红细胞体积(MCV)、红细胞平均血红蛋白浓度(MCHC)、肺功能病变情况和胸部X线片结果,并统计2组中医证候疗效。结果 治疗组总有效率96.67%(58/60),对照组总有效率78.33%(47/60),治疗组中医证候疗效优于对照组(P<0.05)。2组入组治疗后4个月中医证候各项评分及总分均较本组治疗前降低(P<0.05),且治疗组入组治疗后4个月均低于对照组同期(P<0.05)。2组入组治疗后4个月Hb、MCV、MCHC、MCH均较本组治疗前升高(P<0.05),且治疗组入组治疗后4个月均高于对照组同期(P<0.05)。2组入组治疗后4个月肺功能病变情况和胸部X线片结果均改善(P<0.05),且治疗组改善均优于对照组(P<0.05)。结论 针刺加闪罐联合槐杞黄颗粒治疗毛细支气管炎缓解期患儿临床疗效可靠。
Objective To observe the clinical efficacy of acupuncture plus flash cupping combined with Huaiqihuang granules for children with bronchiolitis in remission. Methods A total of 120 children with bronchiolitis in remission were randomly assigned into the treatment group(n=60) and the control group(n=60). All patients were managed by atomization inhalation of budesonide, and those in the treatment group were additionally treated with acupuncture, flash cupping and Huaiqihuang granules. A 8-week treatment was performed to compare traditional Chinese medicine(TCM) syndrome score, hemoglobin(Hb), mean corpuscular hemoglobin(MCH) content, mean corpuscular volume(MCV), mean corpuscular hemoglobin concentration(MCHC), pulmonary lesions, chest X-ray on day 0 and month 4 of treatmeat. The curative effect of TCM syndrome was assessed. Results The overall effective rate in the treatment group was better than that in the control group(96.67% [58/60] vs 78.33% [47/60], [P<0.05], respectively). The 4th month TCM syndrome scores in groups were decreased(P<0.05), which were decreased in the treatment group compared with the control group(P<0.05). The 4th month Hb, MCV, MCHC, MCH in groups were increased(P<0.05), the treatment group was more prevalent with respect to the control group(P<0.05);The 4th month pulmonary lesions and chest X-ray in groups were improved(P<0.05), improvement of which in the treatment group were significantly better than the control group(P<0.05). Conclusion For children with bronchiolitis in remission, the three combination has reliable clinical efficacy.
作者
刘晓娜
张倩
张美芳
任朋顺
张丽君
张文慧
尹志芳
LIU Xiaona;ZHANG Qian;ZHANG Meifang;REN Pengshun;ZHANG Lijun;ZHANG Wenhui;YIN Zhifang(Department of Pediatrics,Affiliated Hospital of Hebei Engineering University,Handan,Hebei 056000;Department of Traditional Chinese Medicine and Pediatrics,Handan Maternal and Child Health Hospital,Handan,Hebei 056000;Department of Pediatrics,Yongnian District Maternal and Child Health Hospital,Handan,Hebei 057150;Department of Traditional Chinese Medicine,Zuo'an Fengqiao Community Health Service Station,Congtai District,Handan City,Handan,Hebei 056001)
出处
《河北中医》
2022年第11期1808-1812,共5页
Hebei Journal of Traditional Chinese Medicine
基金
河北省中医药管理局2019年度中医药类科研计划课题(编号:2019380)。
关键词
毛细支气管炎
针刺疗法
闪罐疗法
中药疗法
复发
Bronchiolitis
Acupuncture therapy
Flash cupping
Traditional Chinese medicine therapy
Recurrence