肺、脾、肾俞拔罐治疗对支原体肺炎患儿免疫功能影响及临床疗效观察  

Effect on Immune Function and Clinical Efficacy of Cupping on Feishu,Pishu and Shenshu in the Treatment of Children Suffering from Mycoplasma Pneumonia

作　　者：汪洪燕[1] 赵秦[1] 李鹏飞[1] 苏清伦[1] 王平[1] 

机构地区：[1]江苏省连云港市第一人民医院,江苏连云港222002

出　　处：《针灸临床杂志》2015年第7期48-51,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：江苏省中医药局第二届优秀中青年中医临床人才研修专项基金(2012)

摘　　要：目的:观察肺、脾、肾俞拔罐治疗对支原体肺炎患儿免疫功能的影响及其临床疗效。方法:将60例患儿随机分为两组,对照组采用常规西医抗感染、止咳化痰及雾化吸入治疗,治疗组在对照组的基础上佐以肺、脾、肾俞拔罐疗法,比较两组患儿在咳嗽消失时间及肺部啰音消失时间上有无差异,以及该疗法对患儿免疫功能的影响。结果:体液免疫指标Ig A、Ig G在两组患儿治疗前后变化无统计学差异;Ig M在治疗组中疗前、疗后变化有统计学意义(P<0.05)。细胞免疫指标:CD3+表达比例在两组患儿治疗前后变化无统计学差异;CD3+CD4+、CD3+CD8+、CD4+/CD8+在治疗组中疗前、疗后变化有统计学意义(P<0.05)。炎性指标hs-CRP在两组患儿治疗前后变化均有统计学差异(P<0.05)。临床评价指标:咳嗽消失时间和肺部啰音消失时间在两组患儿中存在显著差异(P<0.05)。结论:肺、脾、肾俞拔罐佐治小儿支原体肺炎能明显缩短疗程,改善患儿免疫功能,值得推广。Objective： To observe the influence of immune function and clinical efficacy of cupping on Feishu, Pishu and Shenshu （BL13,20 and 23 ） in the treatment of children suffering from mycoplasma pneumonia. Methods ：60 children patients were randomly divided into two groups. The control group received the traditional western medicine including anti -infection, relieving cough and reducing sputum and nebulizer treatment;while the treatment group added cupping on BL13,20 and 23 on the basis of the therapy in the control group. Then compare two groups according to disappearing time of coughing and lung＇ s rale, and the influence on patients＇ immune function. Results：The indexes of humoral immunity： There was no difference of the levels of IgA and IgG in two groups before and after treatment, and there was a statistically significant difference of the levels of IgM in the treatment group before and after treatment （P 〈 0. 05 ）. The indexes of cell immunity ： There was no statistical difference of the proportion of CD3 ＋ cells in two groups before and after treatment. There was a statisti- cally significant difference of the proportion of CD3＋ CD4＋ , CD3＋ CDs ＋ and CD4＋/CD8＋ cells in the treatment group before and after treatment （P 〈 0.05 ）. Inflammatory indexes ： there was a statistically significant difference of the levels of hs - CRP in two groups before and after treatmet（ P 〈 0.05 ）. The indexes of clinical evaluation： there was a statistically significant difference of disappearing time on coughing and lung＇ s rale in two groups before and after treatmet （ P 〈 0.05 ）. Conclusion： The therapy of cupping on BL13,20 and 23 for treating mycoplasma pneumonia in children can obviously shorten the time of treatment and improve children＇ s immune function. This therapy is worth promoting.

关 键 词：肺俞 脾俞 肾俞 拔罐 小儿 支原体肺炎 免疫功能 

分 类 号：R244.3[医药卫生—针灸推拿学]