刺四缝配合健脾化痰法治疗小儿慢性咳嗽临床观察  

Clinical Observation of Thorn Sifeng Combined with Spleen-Invigorating and Phlegm-Resolving Method for Chronic Cough in Children

作　　者：梁玉玲 

机构地区：[1]广州市天河区天河南街社区卫生服务中心,广东广州510620

出　　处：《新中医》2018年第1期119-122,共4页New Chinese Medicine

摘　　要：目的:观察刺四缝配合健脾化痰法治疗小儿慢性咳嗽的临床疗效。方法:将47例慢性咳嗽患儿随机分为观察组25例和对照组22例。观察组采用刺四缝配合健脾化痰法治疗,对照组给予西药治疗,治疗2周后观察治疗效果及不良反应发生情况,随访3月后观察复发情况。结果:观察组临床疗效优于对照组,差异有统计学意义(Z=2.270,P=0.023)。治疗前,2组咳嗽频度、活动后咳嗽情况、痰等中医证候积分均较治疗前降低,差异均有统计学意义(P<0.05);观察组的各项中医证候积分均低于对照组,差异均有统计学意义(P<0.05)。观察组不良反应发生率为0,对照组不良反应发生率为18.18%,2组比较,差异有统计学意义(P<0.05)。随访3月,观察组复发率为11.11%,对照组复发率为55.56%,2组比较,差异有统计学意义(P<0.05)。结论:刺四缝配合健脾化痰法治疗小儿慢性咳嗽,能有效改善患儿的症状体征,且不良反应少,复发率低。Objective： To observe the clinical effect of thorn sifeng combined with spleen-invigorating and phlegmresolving method for chronic cough in children.Methods：Selected 47 children with chronic cough,and divided them into the observation group and the control group randomly,25 cases and 22 cases in each group.The observation group was given thorn sifeng combined with spleen-invigorating and phlegm-resolving method,while the control group was given western medicine.After treatment of two weeks,observed the curative effect and incidence of adverse reaction.Observed the recurrence after follow-up of 3 months.Results： The clinical effect in the observation group was better than that in the control group,the difference being significant（Z=2.270,P=0.023）.After treatment,the scores of cough frequency,cough after activity,phlegm and other Chinese medicine syndrome were lower than those before treatment in both groups,differences being significant（P〈0.05）.The scores of each Chinese medicine syndrome in the observation group were lower than those in the control group,differences being significant（P〈0.05）.Incidence of adverse reactions was 0 in the observation group and was 18.18% in the control group,the difference being significant（P〈0.05）.After follow-up of 3 months,the recurrence rate was 11.11% in the observation group and 55.56% in the control group,the difference being significant（P〈0.05）.Conclusion： The treatment of thorn sifeng combined with spleen-invigorating and phlegm-resolving method can effectively improve the symptoms and signs of children,less adverse reactions and low recurrence rate.

关 键 词：慢性咳嗽 小儿 刺四缝 健脾化痰法 参苓白术散 复发率 

分 类 号：R256.11[医药卫生—中医内科学]