离子导入三伏贴防治反复呼吸道感染临床观察  

Clinical Observation of Prevention and Treatment for Children's RRTI with Herbal Ion Penetration Therapy in Dog Days

作　　者：霍莉莉[1] 虞坚尔[1] 夏以琳[1] 陈莹[1] 李华[2] 卢伯良 宣小平[1] 

机构地区：[1]上海中医药大学附属市中医医院,上海200071 [2]上海市嘉定区中医医院,上海201800 [3]上海市松江区方塔中医医院,上海201699

出　　处：《云南中医学院学报》2013年第5期40-43,共4页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：上海市卫生局中医药科研基金课题(NO:2009s011)

摘　　要：目的观察夏季三伏离子仪导入中药穴位敷贴防治小儿反复呼吸道感染的临床疗效。方法采用前瞻性研究、敷贴前后自身对照及重复测量法,多中心临床收集120例反复呼吸道感染患儿,借助离子导入仪,进行中药穴位敷贴,敷贴后随访1年,观察敷贴前、后呼吸道感染的疾病计分、全年发病次数、发作期平均病程、发作期给药途径、中医症状及体征,并检测患儿敷贴前后唾液sIgA。结果①该法总有效率65.3%;②与敷贴前相比,敷贴后疾病计分明显下降(P<0.01);③敷贴后上呼吸道感染、支气管炎和肺炎的全年发病次数减少(P<0.01);发作期平均病程明显缩短(P<0.01);发作期给药途径由静滴向口服转变(P<0.01);④多汗症状明显改善(P<0.01);⑤该法对升高唾液sIgA作用维持半年左右。结论夏季三伏穴位敷贴防治小儿反复呼吸道感染是有效的临床手段,对升高唾液sIgA作用可持续半年左右。Objective To observe the clinical effect of treating children’s recurrent respiratory tract infections （RRTI）by acupoint application with herbal ion penetration therapy in dog days. Methods This intervention was designed as a self control trial. It polycentricly selected 120 cases of child patients who met the inclusion criteria and treated them with the external treatment. Followed up for 1 year. Before and after the treatment,it was to observe the disease score,the frequency of respiratory tract infection,the acute course,ways of drug delivery,signs and symptoms of TCM,and to detect the salivary sIgA. Results ① The total effective rate was 65. 3%;② The disease score significantly decreased after treatment （P〈0.001）;③ After treatment,the disease score,the frequency,and the acute course declined（P〈0.001）;in the infection period,average number of days of treatment significantly reduced （P〈0.001） and ways of drug delivery changed from the intravenous administration to oral medication,the difference was particularly significant（P〈0.001）;④Sweat symptoms improved significantly（P〈0.001）;⑤It can persistently rise the salivary sIgA in about half a year. Conclusion Acupoint application therapy for children’s RRTI in dog days is an effective clinical treatment in the prevention and treatment of children’s RRTI,while it can persistently rise the salivary sIgA in just about half a year.

关 键 词：反复呼吸道感染 离子导入 穴位敷贴 分泌型免疫球蛋白A 

分 类 号：R246.4[医药卫生—针灸推拿学]