祛风蠲饮汤联合掌小横纹穴按摩治疗风痰阻肺证支气管哮喘发作期的疗效研究  被引量:1

Study on the efficacy of Qufeng Juanyin Decoction combined with palmar small horizontal grain acupoint massage on attack of bronchial asthma with wind-phlegm obstruction lung syndrome

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作  者:曲新栋[1] 胡晓静 QU Xindong;HU Xiao-jing(Department of Pediatrics,Weihai Second Hospital Affiliated to Qingdao University,Weihai 264200,China)

机构地区:[1]青岛大学附属威海市立第二医院儿科,264200

出  处:《中国现代药物应用》2023年第18期151-154,共4页Chinese Journal of Modern Drug Application

摘  要:目的探究祛风蠲饮汤联合掌小横纹穴按摩治疗风痰阻肺证支气管哮喘发作期的疗效。方法风痰阻肺证支气管哮喘发作期患儿90例,采用随机数字表法分为对照组和观察组,每组45例。两组均接受支气管哮喘常规治疗,常规组同时接受掌小横纹穴按摩治疗,观察组在对照组基础上联合饮用祛风蠲饮汤治疗。比较两组患儿临床疗效,治疗前后中医证候积分,血清学相关指标[嗜酸性粒细胞百分比(EO%)、免疫球蛋白E(IgE)],不良反应发生情况。结果治疗后,观察组治疗总有效率为97.78%,显著高于对照组的86.67%,差异有统计学意义(P<0.05)。治疗前,两组患儿咳嗽咳痰、喘息气急以及胸闷评分比较差异无统计学意义(P>0.05);治疗后,两组患儿咳嗽咳痰、喘息气急以及胸闷评分均较治疗前显著降低,观察组患儿咳嗽咳痰评分(2.85±0.51)分、喘息气急评分(2.12±0.42)分以及胸闷评分(1.87±0.35)分显著低于对照组的(3.64±0.47)、(2.64±0.59)、(2.54±0.46)分,差异有统计学意义(P<0.05)。治疗前,两组患儿EO%、IgE水平比较差异无统计学意义(P>0.05);治疗后,两组EO%、IgE水平均较治疗前显著降低,观察组患儿EO%(4.05±0.72)%、IgE(0.84±0.19)mg/L显著低于对照组的(4.87±0.89)%、(1.13±0.21)mg/L,差异有统计学意义(P<0.05)。观察组不良反应发生率为8.89%,与对照组的13.33%比较差异无统计学意义(P>0.05)。结论祛风蠲饮汤联合掌小横纹穴按摩能显著提高风痰阻肺证支气管哮喘患儿治疗有效率、缓解哮喘症状、促进免疫功能的恢复且不增加不良反应发生率,具有较高安全性。Objective To investigate the efficacy of Qufeng Juanyin Decoction combined with palmar small horizontal grain acupoint massage on attack of bronchial asthma with wind-phlegm obstruction lung syndrome.Methods A total of 90 children with attack of bronchial asthma with wind-phlegm obstruction lung syndrome were divided into conventional group and observation group according to the random numerical table,with 45 cases in each group.Both groups received routine treatment for bronchial asthma.The conventional group was treated with palmar small horizontal grain acupoint massage,and the observation group was treated with Qufeng Juanyin Decoction on the basis of the control group.The clinical efficacy,traditional Chinese medicine syndrome score,serological indicators[eosinophilic percentage(EO%),immunoglobulin E(IgE)],and adverse reactions were compared between the two groups.Results After treatment,the total effective rate of the observation group was 97.78%,which was significantly higher than that of 86.67% of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in scores of cough and sputum,wheezing and chest tightness between the two groups(P>0.05).After treatment,the scores of cough and sputum,wheezing and chest tightness in both groups were significantly lower than those before treatment in this group;the scores of cough and sputum,wheezing and chest tightness were(2.85±0.51),(2.12±0.42)and(1.87±0.35)points in the observation group,which were significantly lower than those of(3.64±0.47),(2.64±0.59)and(2.54±0.46)points in the control group;the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in EO% and IgE levels between the two groups(P>0.05).After treatment,EO% and IgE levels in both groups were significantly lower than those before treatment in this group;EO% of(4.05±0.72)% and IgE of(0.84±0.19)mg/L in the observation group were significantly lower

关 键 词:祛风蠲饮汤 掌小横纹穴按摩 风痰阻肺证 支气管哮喘 疗效 

分 类 号:R256.12[医药卫生—中医内科学]

 

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