穴位贴敷联合雾化吸入治疗小儿喘息临床分析  

Clinical Analysis of Acupoint Application Combined with Atomization Inhalation in Treatment of Pediatric Wheezing

作　　者：乐丽君 LE Lijun(Department of Pediatrics,Tongshan County Hospital of Chinese Medicine in Hubei Province,Xianning Hubei 437600)

机构地区：[1]湖北省通山县中医院儿科,湖北咸宁437600

出　　处：《湖北理工学院学报》2021年第5期55-59,共5页Journal of Hubei Polytechnic University

摘　　要：为了观察中药穴位贴敷联合布地耐德雾化是否比布地耐德雾化吸入结合对症治疗对小儿支气管哮喘更有效,经湖北省通山县中医院伦理委员会批准,将2018年10月—2020年10月儿科收治的96例支气管哮喘患儿随机分成观察组和对照组,其中观察组采用穴位贴敷联合布地耐德雾化吸入及对症治疗,对照组采用布地耐德雾化吸入及对症治疗。比较2组患儿症状改善时间、治疗有效率、肺功能改善情况、氧分压(PaO_(2))和二氧化碳分压(PaCO_(2))变化,发现治疗14 d后观察组和对照组治疗有效率分别为83.3%和95.8%,P<0.05;观察组咳嗽、喘息和肺部干湿罗音等症状改善或消失的时间明显短于对照组;治疗后肺功能检测FEV1,PEF,FEV1/FVC等值均较治疗前升高(P<0.05),并且观察组明显高于对照组(P<0.01);治疗后2组患儿PaO_(2)均升高,PaCO_(2)则均降低(P<0.05),并且观察组PaO_(2)升高和PaCO_(2)降低均比对照组更明显,2组之间有显著的统计学差异(P<0.01)。结果表明,采用中药穴位贴敷联合布地耐德雾化吸入和常规治疗对小儿支气管哮喘疗效更好,缩短了支气管哮喘症状和体征消失的时间,改善了肺功能,提高了氧分压。中药穴位贴敷联合布地耐德治疗小儿支气管哮喘可在临床推广应用。To observe whether the application of traditional Chinese medicine combined with Budesonide aerosol inhalation is more effective than Budesonide aerosol inhalation combined with symptomatic treatment for children with bronchial asthma.Approved by the ethics committee of Tongshan County Hospital of Traditional Chinese Medicine,Hubei Province,96 children with bronchial asthma admitted to the pediatric department from October 2019 to October 2020 were randomly divided into the observation group and the control group.The observation group was treated with acupoint application combined with budesonide atomization inhalation and symptomatic treatment,and the control group was only treated with symptomatic treatment and budesonide atomization inhalation.The improvement time of symptoms,effective rate of treatment,improvement of lung function,pressure of oxygen(PaO_(2))and carbon dioxide were compared between the two groups and it was found that the effective rates of the observation group and the control group were 83.3%and 95.8%respectively after 14 days of treatment,P<0.05;the improvement or disappearance time of symptoms and signs such as cough,wheezing and lung rhonchi in the observation group was significantly shorter than that in the control group(P<0.05).After treatment,FEV1,PEF and FEV1/FVC in the observation group were significantly higher than those before treatment(P<0.05)Blood gas analysis showed that after treatment,PaO_(2) of the two groups was higher than before treatment,while PaCO_(2) was lower than before treatment(P<0.05).After treatment,PaO_(2) of the observation group was higher than that of the control group,and PaCO_(2) was lower than that of the control group,with significant statistical difference between the two groups(P<0.001).The results show that the use of traditional Chinese medicine acupoint application combined with budesonide atomization inhalation and conventional treatment has a better effect on children with bronchial asthma,shortening the time for the symptoms and signs of bronchial

关 键 词：小儿支气管哮喘 穴位贴敷 布地耐德 肺功能 

分 类 号：R272[医药卫生—中医儿科学]