黄麻贴辅助治疗小儿肺炎喘嗽痰热闭肺证50例临床观察  

Clinical observation on 50 cases of pneumonia with dyspnea and cough in children with phlegm-heat blocking the lung syndrome treated by Huangma Tie(黄麻贴)as adjuvant therapy

作　　者：陶黎梅[1] 倪萍[1] TAO Limei;NI Ping(Department of Pediatrics,Changshu Municipal Hospital of TCM,Changshu,Jiangsu,215500,China)

机构地区：[1]常熟市中医院儿科,江苏常熟215500

出　　处：《中医儿科杂志》2021年第5期44-47,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察黄麻贴辅助治疗小儿肺炎喘嗽痰热闭肺证的临床疗效。方法选取2019年6月至2020年5月常熟市中医院儿科住院部肺炎喘嗽痰热闭肺证患儿100例,采用随机数字表法分为对照组和治疗组,各50例。对照组给予注射用头孢呋辛钠治疗,治疗组在对照组治疗方法的基础上联合黄麻贴贴敷治疗。2组均治疗7 d后统计临床疗效,患儿体温恢复正常时间,咳嗽、咳痰、气喘、肺部湿啰音消失时间以及治疗前后血常规、中性粒细胞占比、C-反应蛋白(CRP)水平变化和不良反应发生情况。结果治疗组总有效率为100%(50/50),显著高于对照组的94%(47/50),2组比较,差异有统计学意义(P<0.05)。治疗组体温恢复正常时间以及咳嗽、咳痰、气喘和肺部湿啰音消失时间均短于对照组,差异有统计学意义(P<0.05)。治疗前,2组白细胞计数、中性粒细胞占比、CRP水平比较,差异均无统计学意义(P>0.05),具有可比性。治疗后,2组上述指标值均较同组治疗前显著降低(P<0.05),且治疗组降幅更显著,差异均有统计学意义(P<0.05)。治疗中,2组均未发生严重不良反应。结论黄麻贴辅助治疗小儿肺炎喘嗽痰热闭肺证疗效满意,可显著改善临床症状,且无严重不良反应发生,值得临床推广应用。Objective To observe the clinical efficacy of Huangma Tie(黄麻贴)in adjuvant treatment of pneumonia with dyspnea and cough in children with phlegm-heat blocking the lung syndrome.Methods From June 2019 to May 2020,100 cases of pneumonia with dyspnea and cough in children with phlegm-heat blocking the lung syndrome in inpatient department of pediatrics in Changshu Municipal Hospital of TCM were divided into control group and treatment group according to random number table method,with 50 cases in each group.The control group was treated with cefuroxime sodium for injection,and the treatment group was treated with Huangma Tie mounting method on the basis of the therapeutic method of the control group.After 7 days of treatment for both groups,we kept statistics about the clinical efficacy,the body temperature returning to normal time,the disappearance time of cough,expectoration,asthma and pulmonary moist rales,the level changes of blood routine,neutrophil percentage,C-reactive protein(CRP)and adverse reactions before and after treatment.Results The total effective rate of the treatment group was 100%(50/50),which was significantly higher than 94%(47/50)of the control group,and the difference between the 2 groups was statistically significant(P<0.05).The body temperature returning to normal time and disappearance time of cough,expectoration,asthma and pulmonary moist rales in the treatment group were shorter than those in the control group,and the difference between the 2 groups was statistically significant(P<0.05).Before treatment,there was no significant difference in levels of white blood cell count,neutrophil percentage and CRP between the 2 groups(P>0.05),and they were comparable.After treatment,the above-mentioned index values of the 2 groups decreased significantly than those of the same group before treatment(P<0.05),moreover,the decrease of the treatment group was more significant,and the differences were statistically significant(P<0.05).During the treatment,no serious adverse reactions occurred in bot

关 键 词：肺炎喘嗽 小儿 痰热闭肺证 黄麻贴 临床观察 

分 类 号：R256.1[医药卫生—中医内科学]