穴位贴敷配合中药治疗支气管肺炎风热证疗效观察  

Efficacy observation of acupoint application combined with Chinese herbal medicines on bronchopneumonia with wind-heat pattern

作　　者：刘蓉蓉 尚莉丽[1] 王晓燕 LIU Rongrong;SHANG Lili;WANG Xiaoyan(The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院,合肥230031

出　　处：《上海针灸杂志》2023年第3期227-231,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：安徽省临床重点专科(中医儿科)项目[皖卫传(2019)91号]。

摘　　要：目的观察穴位贴敷配合中药治疗支气管肺炎风热证的临床疗效。方法将100例支气管肺炎风热证患者随机分为治疗组和对照组,每组50例。对照组采用常规药物治疗,治疗组在对照组基础上采用穴位贴敷配合中药治疗。观察两组治疗前后各项中医症状(咳嗽、咯痰、喘息、发热流涕和纳差)评分的变化情况,比较两组各项时间指标(退热时间、止咳时间、啰音消失时间、平喘时间、住院时间)、临床疗效及不良反应发生率。结果治疗组总有效率为98.0%,明显高于对照组的86.0%(P<0.05)。两组治疗后各项中医证候积分均较同组治疗前显著降低(P<0.05)。治疗组治疗后各项中医证候积分均明显低于对照组,止咳时间、啰音消失时间、平喘时间均明显短于对照组,两组比较差异均具有统计学意义(P<0.05)。两组治疗期间不良反应发生率比较,差异无统计学意义(P>0.05)。结论在常规药物治疗基础上,采用穴位贴敷配合中药治疗支气管肺炎风热证疗效确切。Objective To observe the clinical efficacy of acupoint application combined with Chinese herbal medicines in the treatment of bronchopulmonary pneumonia with wind-heat pattern.Method One hundred cases of bronchopneumonia with wind-heat pattern were randomly divided into a treatment group and a control group,with 50 cases in each group.The control group was treated with the conventional medication,and the treatment group was treated with acupoint application combined with Chinese herbal medicines in addition to the treatment used in the control group.The changes in the scores of traditional Chinese medicine(TCM)symptoms(cough,expectoration,wheezing,fever and runny nose,and poor appetite)before and after treatment were observed in the two groups.The time indexes(antipyretic time,antitussive time,rale disappearance time,antiasthmatic time,hospitalization time),clinical efficacy and the incidence of adverse reactions were compared between the two groups after treatment.Result The total effective rate of the treatment group was 98.0%,which was significantly higher than 86.0%of the control group(P<0.05).After treatment,the TCM symptom scores of the two groups were significantly lower than those before treatment(P<0.05).After treatment,the TCM symptom scores of the treatment group were significantly lower than those of the control group,and the antitussive time,rale disappearance time,and antiasthmatic time were significantly shorter than those of the control group,and the differences between the two groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups during treatment(P>0.05).Conclusion Adding the combination of acupoint application and Chinese herbal medicines to conventional drug treatment is effective in treating bronchopneumonia with wind-heat pattern.

关 键 词：穴位贴敷法 中药 支气管肺炎 风热 中医证候积分 儿童 

分 类 号：R246.4[医药卫生—针灸推拿学]