调肺运脾推拿法治疗肺炎支原体感染后慢性咳嗽(肺脾气虚证)的临床研究  

Clinical study on treatment of chronic cough(syndrome of lung and spleen qi deficiency)after mycoplasma pneumoniae infection by tuina method of regulating lung and activating spleen

作　　者：张梦思 吴文华 李文[1] ZHANG Mengsi;WU Wenhua;LI Wen(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Quanzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine,Quanzhou,Fujian 362000,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032 [2]福建中医药大学附属泉州市中医院,福建泉州362000

出　　处：《上海中医药杂志》2021年第9期64-67,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81674024);上海市2015年医学和农业领域科技支撑项目(15401970600);上海市科委科研计划项目(19401933700);上海市临床重点专科建设项目(shslczdzk04102)。

摘　　要：目的观察调肺运脾推拿法治疗儿童肺炎支原体感染后慢性咳嗽(肺脾气虚证)的临床疗效。方法将72例肺炎支原体感染后慢性咳嗽(肺脾气虚证)患儿随机分为治疗组和对照组,每组36例。对照组予阿奇霉素治疗,治疗组予调肺运脾推拿法联合阿奇霉素治疗。两组疗程均为14 d,观察临床疗效,比较日间咳嗽积分、夜间咳嗽积分、咳嗽总积分及次要症状总积分的变化情况。结果(1)最终完成试验者共71例,其中治疗组35例,对照组36例。(2)治疗组主要症状总有效率、次要症状总有效率分别为100.0%、94.3%,对照组分别为83.3%、66.7%;治疗组临床疗效、主要症状疗效及次要症状疗效均优于对照组(P<0.05)。(3)治疗前后组内比较,两组日间咳嗽积分、夜间咳嗽积分、咳嗽总积分及次要症状总积分差异均有统计学意义(P<0.05);组间治疗后比较,日间咳嗽积分、夜间咳嗽积分、咳嗽总积分及次要症状总积分差异有统计学意义(P<0.05)。结论调肺运脾推拿法治疗肺炎支原体感染后慢性咳嗽(肺脾气虚证)疗效确切,值得推广。Objective To observe the clinical efficacy of tuina therapy of regulating the lung and activating the spleen in the treatment of chronic cough(syndrome of lung and spleen qi deficiency)in children with mycoplasma pneumoniae infection.Methods Totally 72 children with chronic cough(syndrome of lung and spleen qi deficiency)after mycoplasma pneumoniae infection were randomly divided into the treatment group(n=36)and the control group(n=36).The control group was treated with azithromycin,and the treatment group was treated with tuina therapy of regulating the lung and activating the spleen combined with azithromycin.The course of treatment in both groups was 14 days.The clinical efficacy was observed.The changes of daytime cough score,nocturnal cough score,the total score of the cough and secondary symptom score were compared.Results(1)A total of 71 cases completed the trial,including 35 cases in the treatment group and 36 cases in the control group.(2)The total main symptom effective rate and the total effective rate of secondary symptoms in the treatment group were 100.0%and 94.3%respectively,while those in the control group were 83.3%and 66.7%respectively.The clinical efficacy,the efficacy on the main symptoms and the efficacy on the secondary symptoms of the treatment group were better than those of the control group(P<0.05).(3)There were significant differences in the daytime cough score,nocturnal cough score,the total scores of cough and secondary symptom score within the two groups before and after treatment(P<0.05),and there were significant differences in daytime cough,nocturnal cough,the total scores of cough and secondary symptom score between the two groups after treatment(P<0.05).Conclusion The tuina therapy of regulating the lung and activating the spleen is effective in the treatment of chronic cough(syndrome of lung and spleen qi deficiency)after mycoplasma pneumoniae infection,and it is worth popularizing.

关 键 词：肺炎支原体感染后慢性咳嗽 儿童 肺脾气虚 调肺运脾推拿法 

分 类 号：R272[医药卫生—中医儿科学]