脱敏调体方联合捏积疗法治疗小儿毛细支气管炎120例临床观察  

Clinical observation of 120 cases of bronchiolitis in children treated with desensitization and chiropractic therapy

作　　者：张美芳[1] 张倩[2] 刘晓娜 邓志鹏 胡成彬 季红英[1] 陈海霞[1] 张文慧 ZHANG Meifang;ZHANG Qian;LIU Xiaona;DENG Zhipeng;HU Chengbin;JI Hongying;CHEN Haixiar;ZHANG Wenhui(Department of Pediatrics, Maternal and Child health Hospital of Handan, Handan, Hebei,056001, China;Department of Pediatrics, Handan Central Hospital, Handan, Hebei, 056001, China;Department of Pediatrics,Affiliated Hospital of Hebei University of Engineering, Handan, Hebei,056001, China;Department of Surgery, General Hospital of the Fifth Mine Corporation, Handan, Hebei ,056001, China;Disease Control and Prevention Center of Feixiang District, Handan, Hebei ,056001, China;Department of Pediatrics, Yongnian Guangming Hospital, Handan, Hebei ,057150, China)

机构地区：[1]邯郸市妇幼保健院中医儿科,河北邯郸056001 [2]邯郸市中心医院儿科,河北邯郸056001 [3]河北工程大学附属医院儿科,河北邯郸056001 [4]五矿邯邢职工总医院外科,河北邯郸056001 [5]邯郸市肥乡区疾病预防控制中心,河北邯郸056001 [6]永年光明医院儿科,河北邯郸057150

出　　处：《中医儿科杂志》2017年第6期68-71,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察脱敏调体方联合捏积疗法治疗小儿毛细支气管炎的临床疗效。方法将确诊的240例毛细支气管炎患儿随机分为2组,各120例。2组均于急性期多饮水,吸氧、抗病毒、雾化等常规治疗,对照组在急性期治疗后加用辅舒酮(配合储雾罐)吸入,疗程3月,治疗组在对照组治疗方法的基础上给予脱敏调体方联合捏积疗法。治疗结束,统计2组的临床疗效、临床症状消失时间及6月内哮喘复发例数和6~12月哮喘复发例数。结果治疗组总显效率为86.7%,对照组为61.7%,2组比较,差异有统计学意义(P<0.05);治疗组咳嗽、湿啰音、哮鸣音消失时间均明显短于对照组,差异有统计学意义(P<0.05);治疗组治愈患儿再次发病时喘息时间更短,6月内哮喘复发例数及6~12月哮喘复发例数明显减少,差异有统计学意义(P<0.05)。结论脱敏调体方联合捏脊疗法治疗毛细支气管炎疗效确切,且临床症状缓解较快,远期疗效满意,值得临床推广运用。Objective To observe bronchiolitis in children treated with desensitization and chiropractic thera- py. Methods 240 cases of children with bronchiolitis were randomly divided into two groups with 120 cases in each. They both were given conventional therapy like drinking more water in acute onset phase, oxygen inhalation, antiviral and atomization. Then, the control group was added flixotide inhalation for 3 months as 1 course, while the therapy group, based on the treatment of control group, was given chiropractic and desensitization therapy. After treatment, observed the clinical effect, disappearing time of symptoms, and number of recurrence in 6 months and that from 6 to 12 months. Results The total significant effective rate （recovery rate and significant effective rate） was 86.7% in therapy group and 61.7% in control group with significant differences （P〈0.05） ;the cough-stop- ping time, disappearing time wheezing and moist rale in therapy group were much shorter than these of control group with significant differences （P〈0.05） ;the whooping time of children in therapy group during period of bronchiolitis was much shorter, and the number of recurrence in 6 months and that from 6 to 12 months reduced obviously, differences had significance （P〈0.05）. Conclusion Chiropractic and desensitization therapy can treat bronchioli- tis in children more effectively for its accurate clinical efficacy, quick symptoms remission and long-term satisfied effect, which is worthy of clinical application arid promotion.

关 键 词：毛细支气管炎 小儿 脱敏调体方 捏积疗法 临床观察 

分 类 号：R256.11[医药卫生—中医内科学]