调肺运脾小儿推拿法治疗痰湿蕴肺型小儿慢性咳嗽临床研究  

Clinical Study on Children Massage Method of Regulating the Lung and Transporting the Spleen for Chronic Cough of Phlegm-Damp Accumulation in the Lung Type

作　　者：李琳苹 闫丽超 赵犇微 金城钟[2] LI Linping;YAN Lichao;ZHAO Benwei;JIN Chengzhong

机构地区：[1]台州市中医院针灸推拿科,浙江台州318000 [2]台州市立医院针灸推拿科,浙江台州318000

出　　处：《新中医》2023年第10期139-142,共4页New Chinese Medicine

基　　金：台州市科学技术局项目(台科[2022]11号)。

摘　　要：目的:观察调肺运脾小儿推拿法治疗痰湿蕴肺型小儿慢性咳嗽的临床疗效。方法:选取痰湿蕴肺型小儿慢性咳嗽患儿80例,按随机数字表法分为观察组和对照组各40例。对照组采用盐酸氨溴索治疗,观察组在对照组的基础上联合调肺运脾小儿推拿法进行治疗。2组均持续治疗14 d。比较2组临床疗效及复发率,以及治疗前后中医证候评分、肺功能指标[第1秒用力呼气量(FEV1)、用力肺活量(FVC)、呼气峰值流速(PEF)]、肺通气指标[呼吸道总阻力(R_(5))、中心呼吸道阻力(R_(20))、周边呼吸道阻力(R_(5)-R_(20))]变化。结果:观察组总有效率为95.00%,对照组为77.50%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组咳嗽程度、咳嗽时间、胸闷、纳呆等中医证候评分均较治疗前明显降低(P<0.05),且观察组各项中医证候评分均低于对照组(P<0.05)。治疗后,2组FEV1、FVC、PEF水平均较治疗前升高(P<0.05),且观察组上述各项指标均高于对照组(P<0.05)。治疗后,2组肺通气指标R_(5)、R_(20)、R_(5)-R_(20)水平均较治疗前降低(P<0.05),且观察组上述各项指标均低于对照组(P<0.05)。随访1个月,观察组复发率为5.26%,对照组为22.58%,2组比较,差异有统计学意义(P<0.05)。结论:调肺运脾小儿推拿法治疗痰湿蕴肺型小儿慢性咳嗽的疗效确切,能有效改善患儿肺功能及通气功能,进一步缓解中医证候,且远期疗效良好。Objective:To observe the clinical effect of children massage method of regulating the lung and transporting the spleen on children with chronic cough of phlegm-damp accumulation in the lung type.Methods:A total of 80 children with chronic cough of phlegm-damp accumulation in the lung type were selected and divided into the observation group and the control group according to the random number table method,with 40 cases in each group.The control group was treated with Ambroxol Hydrochloride,and the observation group was additionally treated with children massage method of regulating the lung and transporting the spleen based on the treatment of the control group.Both groups were treated for 14 days.The clinical effect,recurrence rate,changes of traditional Chinese medicine(TCM)syndrome scores,lung function indexes,including forced expiratory volume in the first second(FEV_1),forced vital capacity(FVC)and peak expiratory flow(PEF),and lung ventilation indexes,including total respiratory resistance(R_(5)),central respiratory resistance(R_(20)),peripheral respiratory resistance(R_(5)-R_(20)),were compared between the two groups.Results:The total effective rate was 95.00%in the observation group and 77.50%in the control group,the difference being significant(P<0.05).After treatment,the scores of cough degree,cough time,chest oppression and poor appetite and digestion in the two groups were decreased when compared with those before treatment(P<0.05),and all scores of TCM syndrome in the observation group were lower than those in the control group(P<0.05).After treatment,the levels of FEV_1,FVC,and PEF in the two groups were increased when compared with those before treatment(P<0.05),and the above levels in the observation group were higher than those in the control group(P<0.05).After treatment,the levels of lung ventilation indexes,including R_(5),R_(20)and R_(5)-R_(20)in the two groups were decreased when compared with those before treatment(P<0.05),and the above levels in the observation group were lower than those

关 键 词：小儿慢性咳嗽 痰湿蕴肺 调肺运脾小儿推拿法 盐酸氨溴索 肺功能 

分 类 号：R725.6[医药卫生—儿科]