中医食补、穴位贴敷配合家庭环境干预对支气管哮喘患儿症状恢复及自我管理能力的影响

The effect of traditional chinese medicine dietary supplement,acupoint application,and family environmental intervention on symptom recovery and self management ability of children with bronchial asthma

目的:观察对支气管哮喘患儿应用中医食补、穴位贴敷配合家庭环境干预的临床效果,评估其对患儿症状恢复及自我管理能力的影响。方法:选取2019年11月至2021年11月本院收治的83例支气管哮喘患儿作为研究对象,将患儿按照入院顺序随机分为对照组(n=41,采用家庭环境干预)和观察组(n=42,中医食补、穴位贴敷联合家庭环境干预)。观察两组患儿临床症状消退时间,评估干预前后肺功能指标及自我管理能力评分。结果:(1)干预后,观察组患儿气喘、咳嗽及哮鸣音等临床症状消退时间较对照组短,组间对比差异有统计学意义(P<0.05)。(2)干预前,两组患儿FEV_(1)、FEV_(1)/FVC及PEF评分对比差异无统计学意义(P>0.05);而干预后,患儿的肺功能各项指标中FEV_(1)、FEV_(1)/FVC及PEF评分均有一定程度的提高;同时,观察组评分提高程度较为显著,组间对比差异有统计学意义(P<0.05)。(3)干预前,两组患儿自我管理水平评分对比差异无统计学意义(P>0.05);干预后,两组患儿自我管理能力评分均升高;同时,观察组改善趋势较对照组明显,组间对比差异有统计学意义(P<0.05)。结论:中医食补、穴位贴敷配合家庭环境干预治疗支气管哮喘患儿疗效显著,能够有效缩短临床症状恢复时间,改善患儿肺功能并提高患儿自我管理能力。

Objective:To observe the clinical effect of traditional Chinese medicine food tonic and acupoint application combined with family environment intervention in children with bronchial asthma,to evaluate its impact on their symptom recovery and self-management ability,and to provide a reference for the clinical treatment of the disease.Methods:83 children with bronchial asthma admitted to the author hospital from November 2019 to November 2021 were selected as the study subjects.The children were randomly divided into control group(n=41,using family environment intervention)and observation group(n=42,using traditional Chinese medicine food tonic and acupuncture point application combined with family environment intervention).The regression time of clinical symptoms in both groups was observed,and the lung function indicators and self-management ability scores were evaluated before and after the intervention.Results:(1)After the intervention,the regression time of clinical symptoms such as fever,cough and wet rales in the observation group was shorter than that in the control group,and the between-group comparison was statistically different,with(P<0.05).(2)Before the intervention,FEV_(1),FEV_(1)/FVC and PEF scores(P>0.05),FEV_(1),FEV_(1)/FVC and PEF scores of the children,the scores of the observation group(P<0.05).(3)Before the intervention,there was no statistical difference in the two groups(P>0.05);after the intervention,the two groups showed more improvement trend than the control group(P<0.05).Conclusion:Traditional Chinese medicine food tonic and acupuncture point application in treating children with bronchial asthma can effectively shorten the recovery time of clinical symptoms,improve their lung function and improve their self-management ability,which is worth clinical promotion.