“三字经流派”小儿推拿联合复方甘草片治疗成人慢性咳嗽的临床观察  

Clinical Observation on Treatment of Adult Chronic Cough by "Three-Character-Scripture School Massage" Combined with Compound Licorice Tablets

作　　者：贾蕊 张瑞娟 徐伟超[2] 邢晓静[3] 杨丽芸 JIA Rui;ZHANG Rui-Juan;XU Wei-chao;XING Xiao-jing;YANG Li-Yun(College of Acu-moxibustion and Tuina,Hebei University of Chinese medicine,Shijiazhuang,Hebei 050200;Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei 050200;Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei 050200)

机构地区：[1]河北中医学院针灸推拿学院,河北石家庄050200 [2]河北省中医院,河北石家庄050200 [3]石家庄市中医院,河北石家庄050200

出　　处：《按摩与康复医学》2021年第9期8-11,共4页Chinese Manipulation and Rehabilitation Medicine

基　　金：河北省中医药管理局项目(“三字经流派”小儿推拿治疗成人慢性咳嗽的临床研究),编号:NO.2017001。

摘　　要：目的:观察"三字经流派"小儿推拿联合复方甘草片治疗成人痰热郁肺证慢性咳嗽的临床疗效。方法:将60例符合纳入标准的慢性咳嗽患者随机分为对照组和试验组各30例,对照组给予复方甘草片口服,3片/次,3次/天;试验组在对照组的治疗基础上辨证施治,采用以掐揉小横纹为主的三字经流派小儿推拿法治疗,每天1次,两组均连续治疗7天。采用痰热郁肺证中医症状分级量化和临床有效率比较治疗效果。结果:治疗后,两组均可以降低慢性咳嗽的主要临床症状积分(P<0.05),且试验组对咳嗽频率、痰的质地、咳痰困难度和排痰量等单项指标的效果优于对照组(P<0.05);试验组总有效率86.7%高于对照组66.7%,差异有统计学意义(P<0.05)。结论:三字经流派小儿推拿联合复方甘草片对于成人慢性咳嗽的相关症状改善和临床有效率,比单纯使用复方甘草片的效果更优。Objective: To observe the clinical effect of children massage combined with compound Licorice tablets in treating chronic cough with phlegm-heat stagnation lung syndrome in adults. Methods: 60 patients with chronic cough who met the inclusion criteria were randomly divided into the control group(n=30) and the experimental group(n=30). The control group was given compound Licorice tablets orally, 3 tablets per time, 3 times per day. The experimental group was treated with differentiation of symptoms and signs based on the control group, and the children were treated with the three-character meridians massage method, which was mainly used to pinch and knead the small horizontal stripes, once a day, and both groups were treated continuously for 7 days. The quantitative classification of TCM symptoms of phlegm-heat stagnation lung syndrome and the clinical effective rate were used to compare the therapeutic effect. Results: After treatment, both groups were able to reduce the main clinical symptom score of chronic cough(P<0.05), and the experimental group was superior to the control group(P<0.05) in single indicators such as cough frequency,sputum texture, difficulty in expectorating sputum and amount of sputum excreted. The total effective rate of the experimental group was 86.7% higher than that of the control group, with statistically significant difference(P<0.05). Conclusion: The combination of children’s massage and compound glycyrrhiza tablets is more effective than compound glycyrrhiza tablets in improving the symptoms and clinical efficacy of adult chronic cough.

关 键 词：慢性咳嗽 成人 三字经流派小儿推拿 

分 类 号：R247.9[医药卫生—中医临床基础]