中医推拿联合消积止咳汤治疗小儿食积咳嗽的临床效果

Clinical effect of traditional Chinese medicine massage combined with Xiaoji Zhike decoction in the treatment of children with dyspepsia cough

目的分析中医推拿联合消积止咳汤治疗小儿食积咳嗽的临床效果。方法选取2022年2月至2023年2月收治的100例食积咳嗽患儿为研究对象,采取抽签法将其分为常规组和观察组,每组50例。常规组采用消积止咳汤治疗,观察组采用消积止咳汤联合中医推拿治疗。比较两组的治疗效果。结果治疗后,两组的咳嗽、咳痰、便干、腹胀及呕吐积分均降低,且观察组低于常规组,差异具有统计学意义(P<0.05)。观察组的治疗总有效率高于常规组,差异具有统计学意义(P<0.05)。治疗后,两组的白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平及嗜酸性粒细胞(EOS)比值均降低,且观察组低于常规组,差异具有统计学意义(P<0.05)。治疗后,两组的用力肺活量、第员秒用力呼气容积及第员秒用力呼气与用力肺活量的比值均升高,且观察组高于常规组,差异具有统计学意义(P<0.05)。结论中医推拿联合消积止咳汤治疗小儿食积咳嗽的疗效较好,不仅可以改善患儿咳嗽、咳痰等症状,还可以促进肺功能恢复、减轻炎性反应。

Objective To analyze the clinical effect of traditional Chinese medicine massage combined with Xiaoji Zhike decoction in the treatment of children with dyspepsia cough.Methods A total of 100 children with dyspepsia cough admitted from February 2022 to February 2023 were selected as the research objects.The children were divided into conventional group and observation group by drawing lots,with 50 cases in each group.The conventional group was treated with Xiaoji Zhike decoction,and the observation group was treated with Xiaoji Zhike decoction combined with traditional Chinese medicine massage.The therapeutic effects of the two groups were compared.Results After treatment,the scores of cough,expectoration,dry stool,abdominal distension and vomiting in the two groups decreased,and those in the observation group were lower than the conventional group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was higher than that in the conventional group,and the difference was statistically significant(P<0.05).After treatment,the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and eosinophil(EOS)ratio in the two groups decreased,and those in the observation group were lower than the conventional group,the differences were statistically significant(P<0.05).After treatment,the forced vital capacity,forced expiratory volume in the first second and the ratio of forced expiratory volume in the first second to forced vital capacity in the two groups increased,and those in the observation group were higher than the conventional group,the differences were statistically significant(P<0.05).Conclusion Traditional Chinese medicine massage combined with Xiaoji Zhike decoction is effective in the treatment of children with dyspepsia cough,it can not only improve the symptoms of cough and sputum in children,but also promote the recovery of lung function and reduce the inflammatory reaction.