毫针点刺治疗急性支气管炎患儿疗效及对唾液SIgA含量的影响  

Curative effect of quick acupuncture with filiform needle in children with acute bronchitis and its influence on the content of SIgA in saliva

作　　者：田利军 柳庆明 唐乐 孟庆华 魏敏 刘英才 TIAN Lijun;LIU Qingming;TANG Le;MENG Qinghua;WEI Min;LIU Yingcai(Jinan People’s Hospital,Jinan 271199,Shandong,China)

机构地区：[1]济南市人民医院,山东济南271199

出　　处：《现代中西医结合杂志》2021年第35期3905-3908,3915,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：济南市卫生健康委员会科技发展计划项目(2020-3-52)。

摘　　要：目的观察毫针点刺治疗急性支气管炎患儿临床疗效及对唾液分泌型免疫球蛋白A(SIgA)含量的影响。方法选择济南市人民医院2020年4月—2021年2月收治的急性支气管炎患儿60例,随机分为2组各30例,对照组予解热、平喘、吸氧、营养支持等综合治疗,同时根据咳痰情况给予对症治疗(无痰患儿采用肺力咳合剂,咳痰患儿采用氨溴特罗口服液治疗),观察组在此基础上联合毫针点刺治疗,2组均连续治疗6 d,比较2组患儿治疗前及治疗6 d后咳嗽症状积分、唾液SIgA含量,评估2组临床疗效。结果治疗6 d后2组咳嗽症状积分均显著降低(P均<0.05),且观察组显著低于对照组(P<0.05);治疗6 d后2组唾液SIgA含量均显著增高(P均<0.05),且观察组显著高于对照组(P<0.05);观察组和对照组的治疗总有效率分别为93.3%(28/30)、76.7%(23/30),观察组显著高于对照组(P<0.05)。结论毫针点刺治疗有助于进一步控制急性支气管炎患儿咳嗽症状,并可增加唾液SIgA含量而增强局部黏膜的免疫功能,有利于提高治疗效果。Objective It is to observe the clinical efficacy of quick acupuncture with filiform needle in children with acute bronchitis and its influence on the content of salivary secretory immunoglobulin A(SIgA).Methods A total of 60 children with acute bronchitis admitted to Jinan People’s Hospital from April 2020 to February 2021 were selected and randomly divided into 2 groups with 30 cases in each group.The control group was given comprehensive therapy such as antipyretic,antiasthmatic,oxygen,and nutritional support.At the same time,symptomatic treatment was given according to the sputum condition(the children with no sputum were treated with Feilike mixture,and the children with sputum were treated with ambroxol oral liquid).The observation group was treated with quick acupuncture with filiform needle on the basis of treatment in the control group.Both groups were continuously treated for 6 days.The scores of cough symptom and saliva SIgA content of the two groups were compared before treatment and after treatment for 6 days,and the clinical efficacy of the two groups was evaluated.Results After 6 days of treatment,the scores of cough symptoms in the two groups were significantly reduced(P<0.05),and the observation group was significantly lower than the control group(P<0.05);after 6 days of treatment,the salivary SIgA content of the two groups was significantly increased(P<0.05),and the observation group was significantly higher than the control group(P<0.05);the total effective rates of treatment in the observation group and the control group were 93.3%(28/30)and 76.7%(23/30),respectively,and the observation group was significant higher than the control group(P<0.05).Conclusion Quick acupuncture with filiform needle is helpful to further control the cough symptoms of children with acute bronchitis,and can increase the saliva SIgA content to enhance the immune function of the local mucosa,which is beneficial to improve the therapeutic effect.

关 键 词：毫针点刺 急性支气管炎 唾液分泌型免疫球蛋白A 

分 类 号：R562.21[医药卫生—呼吸系统]