硅胶刮痧对痰热闭肺型小儿支原体肺炎治疗的影响

Effect of silica gel scraping on treatment of mycoplasma pneumonia in children with phlegm-heat obstructing lung type

目的:探讨硅胶刮痧对小儿支原体肺炎(MPP)治疗效果的影响。方法:选取76例MPP患儿,采用随机数字表法将其分为对照组和干预组,每组38例。对照组接受儿科常规干预措施,干预组在对照组基础上加用硅胶刮痧干预。治疗1周后,观察并分析两组治疗效果,主要症状持续时间,中医证候积分,血清C反应蛋白(CRP)水平,发热、咳嗽复发次数。结果:干预组治疗总有效率为94.74%,高于对照组78.95%,差异有统计学意义(P<0.05);干预组发热、咳嗽、喘息、肺部啰音症状持续时间短于对照组,且发热、咳嗽复发次数少于对照组(P<0.05);干预1周后,两组中医证候积分、血清CRP水平均显著下降,且干预组低于对照组(P<0.05)。结论:硅胶刮痧可缩短MPP患儿症状持续时间,减少复发次数,增强治疗效果。

Objective:To explore the effect of silica gel scraping on the treatment of mycoplasma pneumonia(MPP)in children.Methods:76 children with MPP were divided into the control group and the intervention group by the random number table method,with 38 cases in each group.The control group received pediatric routine intervention measures,while the intervention group received scraping intervention with silicone gel on the basic of the control group.The therapeutic effect,duration of main symptoms,TCM syndrome score and serum C-reactive protein(CRP)levels,recurrence times of fever and cough were compared between patients in both groups after one week of treatment.Results:The total effective rate of intervention group was 94.74%,higher than 78.95%of control group,which was of statistical difference(P<0.05);the duration of symptoms of fever,cough,wheezing and pulmonary rales in the intervention group was shorter than that in the control group,and the recurrence of fever and cough was less than that in the control group(P<0.05);after one week of intervention,the TCM syndrome score and serum CRP level in both groups were significantly decreased,and the intervention group were decreased than the control group(P<0.05).Conclusion:Scraping with silica gel can shorten the duration of symptoms,reduce the recurrence times and increase the therapeutic effect in children with MPP.