穴位贴敷配合推拿干预对喘息性支气管肺炎患儿雾化治疗依从性及病情转归的影响

Effect of acupoint application combined with massage intervention on compliance and outcome of atomization therapy in children with asthmatic bronchopneumonia

目的观察并分析穴位贴敷配合推拿干预对喘息性支气管肺炎患儿雾化治疗依从性及病情转归的影响。方法将100例喘息性支气管肺炎患儿随机分为对照组和观察组,每组50例。对照组予以常规雾化对症治疗,观察组则在对照组的基础上应用穴位贴敷配合推拿干预。比较两组患儿治疗前后肺功能(CT视觉评分),临床症状改善情况(哮鸣音消失时间、喘息消失时间、退热时间、放射检查下病灶消退时间、住院时间),患儿依从性及不良反应发生率。结果两组治疗前CT视觉评分比较无明显差异(P>0.05);两组治疗后的CT视觉评分均低于治疗前,观察组治疗后CT视觉评分(8.54±1.93)分较对照组的(11.41±1.67)分低(P<0.05);观察组喘息消失时间(3.33±0.35)d、哮鸣音消失时间(3.47±0.51)d、退热时间(3.36±0.61)d、放射检查下病灶消退时间(3.49±0.38)d、住院时间(6.84±0.86)d均较对照组的(3.67±0.84)、(3.84±0.98)、(3.68±0.89)、(3.83±0.76)、(7.38±1.29)d明显更短(P<0.05);两组患儿依从率比较无明显差异(P>0.05);观察组不良反应总发生率6.00%较对照组的20.00%低(P<0.05)。结论喘息性支气管肺炎患儿在常规治疗基础上联合穴位贴敷配合推拿干预能较好地改善肺功能,缩短症状改善所需时间,减少患儿不良反应发生,临床应用更安全,建议推广使用。

Objective To observe and analyze the effect of acupoint application combined with massage intervention on compliance and outcome of atomization therapy in children with asthmatic bronchopneumonia.Methods 100 children with asthmatic bronchopneumonia were randomly divided into a control group and an observation group,with 50 cases in each group.The control group was treated with conventional atomization,and the observation group was treated with acupoint application and massage intervention on the basis of the control group.Patients in both groups were compared in terms of lung function(CT visual score)before and after treatment,improvement of clinical symptoms(time of disappearance of wheezing rale,time of disappearance of wheeze,duration of fever,time of regression of lesions under radiological examination,length of hospital stay),child compliance and incidence of adverse reactions.Results Before treatment,there was no significant difference in CT visual scores between the two groups(P>0.05).After treatment,the CT visual scores of the two groups were lower than those before treatment;the CT visual score of the observation group was(8.54±1.93)points,which was lower than(11.41±1.67)points of the control group(P<0.05).In the observation group,the time of disappearance of wheeze was(3.33±0.35)d,the time of disappearance of wheezing rale was(3.47±0.51)d,the duration of fever was(3.36±0.61)d,the time of regression of lesions under radiological examination was(3.49±0.38)d,and the length of hospital stay was(6.84±0.86),which were significantly shorter than(3.67±0.84),(3.84±0.98),(3.68±0.89),(3.83±0.76),and(7.38±1.29)d in the control group(P<0.05).There was no significant difference in child compliance between the two groups(P>0.05).The total incidence of adverse reactions in the observation group was 6.00%,which was lower than 20.00% in the control group(P<0.05).Conclusion The combination of acupoint application and massage intervention on the basis of routine treatment in children with asthmatic bronchopneumonia can better improve lung function,shorten the time required for symptom improvement,reduce the occurrence of adverse reactions in children.It is safer,and is recommended to be promoted.