益气补肾止喘汤结合中医推拿对哮喘患儿PET、C-ACT评分的影响  

The Influence of Qi-Tonifying and Kidney-Nourishing and Asthma-Relieving Decoction Combined with TCM Massage on PEF and C-ACT Scores in Children with Asthma

作　　者：李玉兰[1] 曹雅茜 张凯 杨竞 LI Yuan;CAO Yaqian;ZHANG Kai;YANG Jing(Taiyuan Hospital of Traditional Chinese Medicine,Taiyuan,Shanxi,China,030009;Shanxi University of Chinese Medicine,Taiyuan,Shanxi,China,030012)

机构地区：[1]太原市中医医院,山西太原030009 [2]山西中医药大学,山西太原030012

出　　处：《河南中医》2024年第4期604-608,共5页Henan Traditional Chinese Medicine

基　　金：山西省中医药管理局科研项目(ZYYGLJ20220978)。

摘　　要：目的:观察益气补肾止喘汤结合中医推拿对哮喘患儿正电子发射计算机断层显像(positron emission tomography PET)、儿童哮喘控制测试(children-asthma control test, C-ACT)评分的影响。方法:选取太原市中医医院2021年1月至2022年12月收治的哮喘患儿104例,均符合小儿哮喘临床诊断标准,随机分成对照组和研究组,每组52例。对照组给予常规西药治疗,研究组给予益气补肾止喘汤结合中医推拿治疗。观察两组患儿治疗前后肺功能相关指标[1秒用力呼气容积(forced expiratory volume in one second, FEV1)、用力肺活量(forced vital capacity, FVC)与FEV1/FVC]、正电子发射计算机断层显像(positron emission tomography, PET)、C-ACT评分及临床症状消失时间、临床疗效。结果:研究组治疗后FEV1、FVC、FEV1/FVC高于对照组,差异有统计学意义(P<0.05);对照组有效率为67.31%,研究组有效率为96.15%,两组有效率比较,差异具有统计学意义(P<0.05);研究组临床症状消失时间短于对照组,差异具有统计学意义(P<0.05);研究组治疗后PET、C-ACT评分高于对照组,差异具有统计学意义(P<0.05)。结论:益气补肾止喘汤结合中医推拿能提高哮喘患儿肺功能,改善其临床症状。Objective:To observe the influence of Qi-Tonifying and Kidney-Nourishing and Asthma-Relieving Decoction combined with TCM massage on PET and children-asthma control test(C-ACT)scores in children with asthma.Methods:A total of 104 children with asthma admitted to Taiyuan Hospital of Traditional Chinese Medicine from January 2021 to December 2022,all of whom met the clinical diagnostic criteria for pediatric asthma,were randomly divided into the control group and the group,with 52 cases in each group.The control group was given conventional Western medicine treatment,while the study group was given Qi-Tonifying and Kidney-Nourishing and Asthma-Relieving Decoction combined with TCM massage treatment.The pulmonary function related indexes[including forced ex-piratory volume in one second(FEV1),forced vital capacity(FVC)and FEV1/FVC],PET,C-ACT scores,clinical symptom disap-pearance time and clinical efficacy of the two groups were observed before and after treatment.Results:Affer treatment,FEVI,FVC and FEV1/FVC in the study group were higher than those in the control group,with statistically significant differences(P<0.05);the ef-fective rate of the control group was 67.31%,while that of the study group was 96.15%,with statistically significant differences(P<0.05);the clinical symptom disappearance time of the study group was shorter than that of the control group,with statistically significant differences(P<0.05);the PET and C-ACT scores of the study group were higher than those of the control group,with statistically sig-nificant differences(P<0.05).Conclusion:Qi-Tonifying and Kidney-Nourishing and Asthma-Relieving Decoction combined with TCM massage can improve the lung function of children with asthma and promote the disappearance of clinical symptoms.

关 键 词：小儿哮喘 益气补肾止喘汤 中医推拿 肺功能 儿童哮喘控制测试 

分 类 号：R256.12[医药卫生—中医内科学]