拔罐与针刺疗法治疗小儿痰湿蕴肺型咳嗽临床疗效比较  

Comparison of Clini cal Effect of Cupping and Acupuncture on Pediatric Phlegmy Wet Aggregates Type Lung Cough

作　　者：赵莉[1] 冯世军[2] 陈英芳[1] 李静洁 耿少怡[1] 林燕[1] 

机构地区：[1]河北省中医院,石家庄050011 [2]沧州市中心医院,沧州061001 [3]大城县中医医院,大城065900

出　　处：《基因组学与应用生物学》2017年第6期2332-2336,共5页Genomics and Applied Biology

基　　金：河北省科技厅科技成果重点推广计划项目(项目编号:15277712D)资助

摘　　要：本研究以小儿痰湿蕴肺型咳嗽患者为研究对象,比较分析拔罐与传统针刺疗法对小儿痰湿蕴肺型咳嗽的临床疗效。研究结果表明,拔罐治疗组(观察组)与针刺疗法组(对照组)在治疗一个疗程以后患者的咳嗽症状明显缓解(17.86%vs 10.72%),在疗效等级划分中,观察组与对照组所占的百分比分别为17.86%vs10.72%(痊愈)、57.14%vs 35.71%(显效)、21.43%vs 42.86%(有效)、3.58%vs 10.71%(3.58%vs 10.71%),总的有效率分别为96.42%与89.29%,两组间差异具有统计学意义;对于显效与痊愈患儿的组间比较结果亦具有统计学意义,初步表明对于咳嗽症状使用拔罐治疗的临床疗效更加明显。从发热、流涕、腹胀、口干、痰中血丝、气短等临床症状的评估中结果显示拔罐与针刺两种治疗方式前后均能够使患者的症状有所改善,但拔罐治疗的疗效更为显著。在治疗前后的血常规分析中,拔罐治疗能够使患者的白细胞数目显著降低(p<0.05),而针刺治疗前后则无显著性变化,血液中的其他血细胞数目亦无显著性改变。因此,我们初步得出结论:对于小儿的痰湿蕴肺型咳嗽,拔罐治疗的临床疗效优于针刺疗法。This study selected kids with pediatric phlegmy wet aggregates type lung cough as the research objects to compare the clinical effect between cupping and acupuncture on pediatric phlegmy wet aggregates type lung cough. The results showed that after one course of treatment, cough symptoms of patients in cupping group （the observation group） and acupuncture group （the control group） were both relieved （17.86% vs 10.72%）. In the classification of curative effect, the percentage of the observation group and the control group was 17.86% vs 10.72% （recovery）, 57.14% vs 35.71% （excellence）, 21.43% vs 42.86% （effective）, 3.58% vs 10.71%, and the total effective rate of both groups were 96.42% and 89.29%, respectively And the difference was statistically significant. The comparison result of the effective group and recovered group was also statistically significant, which suggested that cupping therapy was more effective to relieve the cough symptom. The evaluation results of clinical symptoms such as fever, sneezing, abdominal distention, dry mouth, blood in phlegm and shortness of breath,showed that cupping and acupuncture both could relieve the symptoms but the cupping therapy was more effective. The blood routine analysis before and after the therapy showed that cupping could significantly decrease the level of white blood cells （p〈0.05） while the acupuncture therapy could not, and also there was no significant changes of other blood cells. Therefore, we preliminary concluded that the clinical curative effect of cupping was better than acupuncture in the treatment of pediatric phlegmy wet aggregates type lung cough.

关 键 词：拔罐 针刺 小儿湿蕴肺型咳嗽 临床疗效 

分 类 号：R244.3[医药卫生—针灸推拿学]