穴位贴敷联合布地奈德吸入与孟鲁司特钠治疗小儿哮喘的临床疗效分析

Clinical Efficacy Analysis of Acupoint Plastering Combined with Budesonide Inhalation and Montelukast Sodium in the Treatment of Pediatric Asthma

目的分析穴位贴敷联合布地奈德吸入与孟鲁司特钠治疗小儿哮喘的效果。方法随机选取2020年2月—2023年2月郯城县妇幼保健院收治的120例小儿哮喘患者为研究对象,随机数表法分成两组,各60例,其中对照组采取布地奈德吸入与孟鲁司特钠治疗,研究组在对照组的基础上增加穴位贴敷治疗,对比两组治疗效果及临床症状改善、肺功能、炎性因子改善情况。结果研究组治疗有效率为96.67%,高于对照组的85.00%,差异有统计学意义(χ^(2)=4.904,P<0.05);研究组喘息、咳嗽、肺部哮鸣音等症状消失时间及住院时间均短于对照组,差异有统计学意义(P均<0.05);治疗前,两组肺功能指标比较,差异无统计学意义(P>0.05);治疗后,研究组肺功能指标水平高于对照组,差异有统计学意义(P<0.05);治疗前,两组炎性因子水平比较,差异无统计学意义(P>0.05);治疗后,两组炎症因子水平均降低,且研究组低于对照组,差异有统计学意义(P<0.05)。结论小儿哮喘患者通过布地奈德吸入与孟鲁司特钠治疗后可取得一定的疗效,且加入穴位贴敷治疗的效果更加突出,不仅可以改善患者临床症状,还能改善其肺功能和炎性指标水平,缩短住院时间,促进患者早日康复。

Objective To analyze the effect of acupoint plastering combined with budesonide inhalation and montelukast sodium in the treatment of pediatric asthma.Methods A total of 120 children with asthma admitted to Tancheng County Maternal and Child Health Hospital from February 2020 to February 2023 were divided as the research objects into two groups with 60 cases in each group by random number table method.The control group was treated with budesonide inhalation and montelukast sodium,and the research group was based on the control group Acupoint application treatment was added,and the therapeutic effect,improvement of clinical symptoms,lung function and inflammatory factors were compared between the two groups.Results The effective rate of the study group was 96.67%,higher than that of the control group 85.00%,and the difference was statistically significant(χ^(2)=4.904,P<0.05).The disappearance time of wheezing,cough and pulmonary wheezing in the study group was shorter than that in the control group,and the differences were statistically significant(all P<0.05).Before treatment,there was no significant difference in lung function indexes between the two groups(P>0.05).After treatment,the level of lung function indexes in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the levels of inflammatory factors between the two groups(P>0.05).After treatment,the levels of inflammatory factors in both groups were decreased,and the study group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion Pediatric asthma patients can achieve certain efficacy after treatment by budesonide inhalation with montelukast sodium.Moreover,the effect of adding acupoint plastering therapy is more prominent,which can not only improve the clinical symptoms of the patients,but also improve their lung function and inflammatory indexes,shorten hospitalization time,and promote the early recovery of the patients.