点灸结合西药治疗小儿手足口病疗效分析  

Analysis on therapeutic effect of bird-pecking moxibustion combined with western medicine for treatment of infantile hand,foot and mouth disease

作　　者：杨骏[1] 储浩然[1] 程红亮[1] 李天发[2] 汤敬一[3] 

机构地区：[1]安徽中医学院附属针灸医院,合肥230061 [2]安徽省阜阳市中医院 [3]安徽中医学院

出　　处：《中国针灸》2009年第4期281-283,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察点灸对小儿手足口病的治疗效果,并分析其作用机制。方法:将75例患儿随机分为3组,灸药结合组22例,采用点灸结合常规西医疗法;中药组29例,口服中药结合常规西医疗法;西药组24例,采用常规西医疗法。3组治疗7天后判定疗效,比较各组患儿皮疹、口腔疱疹、便秘或便溏、消化不良和厌食等症状疗效差异。结果:灸药结合组总有效率为95.5%,中药组总有效率为86.2%,西药组总有效率为83.3%,灸药结合组总有效率优于中药组、西药组(均P<0.05)。灸药结合组皮疹及口腔疱疹消退、便秘或便溏消退、消化不良和厌食消退的时间与另两组比较,差异均有统计学意义(均P<0.05)。结论:灸药结合组治疗小儿手足口病可有效改善患儿消化道等症状,缩短病程,减少患儿痛苦。Objective To observe therapeutic effects of bird-pecking moxibustion in children of hand, foot and mouth disease, and to analyze the mechanism. Methods Seventy-five children of hand, foot and mouth disease were randomly divided into 3 groups, a combined moxibustion and medicine group （n= 22）, a Chinese medicine group （n =29）, and a western medicine group （n= 24）. The combined moxibustion and medicine group was treated with bird-pecking moxibustion combined with routine western medicine, the Chinese medicine group with oral administration of Chinese medicine and routine western medical therapy, and the western medicine group with routine western medicine. After treatment of 7 days, the therapeutic effects on skin rash, oral herpes, constipation or loose stool, dyspepsia and anorexia, etc. were comprehensively assessed, and their therapeutic effects were compared. Results The total effective rate was 95.5~ in the combined moxibustion and medicine group, 86.2% in the Chinese medicine group, and 83.3% in the western medicine group, the former being significantly better than those of the other two groups （both P〈0.05）. The combined moxibustion and medicine group was significantly better than the other two groups in the relieving time of skin rash, oral herpes, constipation or loose stool, dyspepsia and anorexia, etc. （all P%0.05） Conclusion The combined moxibustion and medication can effectively improve symptoms of the digestive tract, shorten duration of disease, reduce pain in the patient with hand, foot and mouth disease.

关 键 词：手足口病 针药并用 雀啄灸 

分 类 号：R246.4[医药卫生—针灸推拿学]