中药穴位贴敷辅助治疗小儿支气管哮喘缓解期肺脾气虚证42例临床观察  

Clinical observation on 42 cases of bronchial asthma children in remission stage with deficiency of lung and spleen qi syndrome adjunctively treated by Chinese materia medica acupoint application

作　　者：柳晓兴 刘甜甜 赵海燕 史江芳 王荣蕊 LIU Xiaoxing;LIU Tiantian;ZHAO Haiyan;SHI Jiangfang;WANG Rongrui(Department of Pediatrics,Zhuanglang County Hospital of TCM,Zhuanglang,Gansu,744600,China)

机构地区：[1]庄浪县中医医院儿科,甘肃庄浪744600

出　　处：《中医儿科杂志》2022年第2期88-91,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的 观察中药穴位贴敷辅助治疗小儿支气管哮喘缓解期肺脾气虚证的临床疗效。方法 选取2020年4月至2021年3月在庄浪县中医医院儿科门诊治疗的支气管哮喘缓解期肺脾气虚证患儿84例,按照随机数字表法分为对照组和治疗组,各42例。对照组给予常规治疗与护理,治疗组在对照组治疗方法的基础上联合中药穴位贴敷,均连续治疗3个月后,比较2组的临床疗效。结果 治疗组总有效率为92.86%(39/42),显著高于对照组的66.67%(28/42),2组比较,差异有统计学意义(P<0.05)。治疗前2组的肺功能指标第1秒用力呼气容积(FEV_(1))、呼气流量峰值(PEF)及一秒率(FEV_(1)/FVC)水平比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组的FEV_(1)、PEF、FEV_(1)/FVC水平均较同组治疗前明显升高,差异均有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。治疗前2组的儿童哮喘生命质量调查量表(PAQLQ)评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组的症状维度、活动维度及情感维度评分均较同组治疗前明显升高,差异均有统计学意义(P<0.05),且治疗组升高更显著(P<0.01)。结论 中药穴位贴敷辅助治疗小儿支气管哮喘缓解期肺脾气虚证疗效确切,可显著改善患儿肺功能,明显提高其生活质量,值得临床推广应用。Objective To observe the clinical efficacy of Chinese materia medica(CMM) acupoint application in adjunctive treatment of bronchial asthma in children in remission stage with deficiency of lung and spleen qi syndrome.Methods From April 2020 to March 2021,84 cases of bronchial asthma in children in remission stage with deficiency of lung and spleen qi syndrome treated in outpatient service of pediatrics department of Zhuanglang County Hospital of TCM were divided into control group and treatment group according to random number table method,with 42 cases in each group.The control group was given routine treatment and nurse,on this basis,the treatment group was combined with CMM acupoint application.We kept statistics about the clinical efficacy after the 2 groups were continuously treated for 3 months.Results The total effective rate of the treatment group was 92.86%(39/42),which was significantly higher than 66.67%(28/42),and the difference was statistically significant between the 2 groups(P<0.05).Before treatment,the difference was not statistically significant in lung function indices levels of forced expiratory volume in one second(FEV_(1)),peak expiratory flow(PEF) and FEV_(1)/FVC ratio between the 2 groups(P>0.05),indicating comparability.After treatment,the levels of FEV_(1),PEF and FEV_(1)/FVC ratio in the 2 groups increased significantly than those in the same group before treatment,and the difference was statistically significant(P<0.05),moreover,the increase was more significant in the treatment group(P<0.05).Before treatment,the difference was not statistically significant in pediatric asthma quality of life questionnaire(PAQLQ) between the 2 groups(P>0.05),indicating comparability.After treatment,the scores of symptom dimension,activity dimension and emotion dimension in the 2 groups significantly increased than those in the same group before treatment,and the difference was statistically significant(P<0.05),moreover,the increase in the treatment group was more significant(P<0.01).Conclusion CMM acup

关 键 词：支气管哮喘 小儿 缓解期 肺脾气虚证 穴位贴敷 临床观察 

分 类 号：R246.4[医药卫生—针灸推拿学]