中药联合推拿与西医常规治疗在小儿反复呼吸道感染中的效果比较  

Comparison of the effect of TCM medicine plus massage and Western medicine on recurrent respiratory tract infection in children

作　　者：麦建益 陈丝洁 周念莹 Mai Jianyi

机构地区：[1]广东省江门市新会区妇幼保健院,广东江门529100

出　　处：《中医临床研究》2020年第26期24-26,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察中医健脾补肺汤配合推拿在小儿反复呼吸道感染中的应用效果。方法:随机选取2018年6月-2019年6月我院小儿反复呼吸道感染患儿200例,依据随机数字表法分为中医健脾补肺汤配合推拿治疗组(治疗组,100例)和常规治疗组(对照组,100例),对照组患儿接受常规治疗,治疗组患儿接受中医健脾补肺汤配合推拿治疗,然后统计分析两组患儿的临床疗效、临床症状缓解时间、T淋巴细胞亚群。结果:在治疗的总有效率方面,治疗组显著高于对照组,差异有统计学意义(P<0.05)。治疗组患儿的咳嗽缓解时间、咳痰缓解时间、鼻塞缓解时间显著短于对照组,差异有统计学意义(P<0.05),1年内呼吸道感染次数显著少于对照组,差异有统计学意义(P<0.05)。两组患儿治疗后的CD3、CD4/CD8均显著高于治疗前(P<0.05),但治疗前后的CD4之间差异均不显著(P>0.05);治疗前两组患儿的CD3、CD4、CD4/CD8之间的差异均不显著(P>0.05),治疗后治疗组患儿的CD3、CD4/CD8均显著高于对照组(P<0.05),但两组患儿的CD4之间的差异不显著(P>0.05)。结论:和常规抗感染、祛痰、平喘、镇咳治疗相比,中医健脾补肺汤配合推拿治疗小儿反复呼吸道感染的临床效果较好,更能有效提升总有效率,缩短咳嗽、咳痰、鼻塞缓解时间,值得在临床推广应用。Objective:To observe the effect of the Jianpi Bufei decoction(健脾补肺汤)with massage on recurrent respiratory tract infection in children.Methods:200 cases were divided into two groups.The treatment group was given the Jianpi Bufei decoction plus massage.The control group took conventional treatment.Results:Total efficiency in the treatment group was better than the control group(P<0.05).The cough relief time and the nasal congestion relief time in the treatment group were significantly shorter(P<0.05).The number of respiratory tract infections in one year was significantly lower(P<0.05).CD3 and CD4/CD8 in two groups after treatment were significantly higher than before treatment(P<0.05),but the difference of CD4 between before and after treatment was not significant(P>0.05).CD3 and CD4/CD8 in the treatment group were significantly higher than the control group(P<0.05),but the difference of CD4 between the two groups was not significant(P<0.05).Conclusion:The Jianpi Bufei decoction with massage on recurrent respiratory tract infection in children was effective.

关 键 词：常规治疗 中医健脾补肺汤 推拿 小儿反复呼吸道感染 

分 类 号：R254.9[医药卫生—中医内科学]