拔罐联合抗生素治疗儿童细菌性肺炎:随机对照研究  

Cupping treatment combined with antibiotics for bacterial pneumonia in children:a randomized controlled trial

作　　者：徐炎 崔圣涛 白丽颖 杨晶晶[2] 李杰[2] 谢天龙 张杨菱 王丹 吴司 王中天 孙丽平[2] XU Yan;CUI Sheng-tao;BAI Li-ying;YANG Jing-jing;LI Jie;XIE Tian-long;ZHANG Yang-ling;WANG Dan;WU Si;WANG Zhong-tian;SUN Li-ping(College of TCM,Changchun University of CM,Changchun 130117,Jilin Province,China;Children’s Diagnosis and Treatment Center,Affiliated Hospital of Changchun University of CM,Changchun 130021,Jilin Province)

机构地区：[1]长春中医药大学中医学院,吉林长春130117 [2]长春中医药大学附属医院儿童诊疗中心,吉林长春130021

出　　处：《中国针灸》2021年第3期283-287,共5页Chinese Acupuncture & Moxibustion

基　　金：国家重点研发计划资助项目:2017YFC1703202;中医药传承与创新“百千万”人才工程(岐黄工程)王烈国医大师传承工作室项目;吉林省中医药科技项目:2019023;吉林省卫生计生委科技项目:2018J106。

摘　　要：目的:比较拔罐联合抗生素与单纯抗生素治疗儿童细菌性肺炎的临床疗效。方法:将72例细菌性肺炎患儿随机分为观察组(36例,脱落1例)和对照组(36例)。对照组予注射液头孢地嗪钠静脉滴注,80 mg/(kg·d),共治疗7 d。观察组在对照组基础上,于滴注抗生素第1天和第4天予背部膀胱经拔罐治疗,每次留罐5~10 min,共治疗7d。观察两组完全退热天数及治疗前后中医证候积分、加拿大急性呼吸道疾病和流感量表(CARIFS)评分,并评定临床疗效。结果:观察组患儿完全退热天数短于对照组(P<0.05)。治疗后两组患儿中医证候各项积分及CARIFS各项评分均较治疗前下降(P<0.05),且观察组患儿咳嗽、咯痰、肺部听诊积分及CARIFS咳嗽、鼻塞流涕、咽痛评分低于对照组(P<0.05)。观察组痊愈率为97.1%(34/35),对照组痊愈率为91.7%(33/36),两组比较差异无统计学意义(P>0.05)。结论:拔罐联合抗生素治疗儿童细菌性肺炎与单纯抗生素疗效相当,但在缩短发热持续时间及改善肺系症状方面效果更优。Objective To compare the clinical efficacy of cupping treatment combined with antibiotics and antibiotics alone for bacterial pneumonia in children.Methods A total of 72 children with bacterial pneumonia were randomly divided into an observation group(36 cases,1 case dropped off)and a control group(36 cases).The children in the control group were treated with intravenous drip of cefodizine sodium[80 mg/(kg·d)]for 7 days.Based on the treatment of the control group,the children in the observation group were treated with cupping treatment on the bladder meridian of the back on the first day and the fourth day of antibiotic treatment;each cupping treatment was given for 5-10 min;the treatment of observation group was given for 7 days.The days for complete fever reduction,TCM syndrome scores and Canadian acute respiratory illness flu scale(CARIFS)scores before and after treatment were observed,and the clinical efficacy was evaluated.Results The days for complete fever reduction in the observation group were shorter than that in the control group(P<0.05).After treatment,the TCM syndrome scores and CARIFS scores in the two groups were reduced(P<0.05),and the cough score,expectoration score,lung auscultation score of TCM syndrome and cough score,runny nose score and sore throat score of CARIFS in the observation group were lower than those in the control group(P<0.05).The cured rate in the observation group was 97.1%(34/35),which had no significant difference with 91.7%(33/36)in the control group(P>0.05).Conclusion Cupping treatment combined with antibiotics has similar efficacy with antibiotics alone for bacterial pneumonia in children,but shows better effect in shortening the duration of fever and improving pulmonary symptoms.

关 键 词：儿童细菌性肺炎 拔罐疗法 抗生素 随机对照试验 

分 类 号：R246.4[医药卫生—针灸推拿学]