清肺蠲饮汤联合推拿疗法治疗小儿肺炎热饮阻肺证的临床效果  

Therapeutic effect of Qingfei Juanyin decoction combined with massage therapy on pediatric pneumonia with heat and fluid retention obstructing lung syndrome

作　　者：李利阳 胡丽丽 任雪华 Li Liyang;Hu Lili;Ren Xuehua(Department of Pediatrics,the First Affiliated Hospital of Henan University of Chinese Medicine,School of Pediatrics of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院儿科、河南中医药大学儿科医学院,郑州450000

出　　处：《中国实用医刊》2024年第7期113-117,共5页Chinese Journal of Practical Medicine

基　　金：河南省中医药科学研究专项课题(20-21ZY2024)。

摘　　要：目的探讨清肺蠲饮汤联合推拿疗法治疗小儿肺炎热饮阻肺证的临床效果。方法队列研究。抽取2021年7月至2022年12月河南中医药大学第一附属医院儿科收治的120例小儿肺炎热饮阻肺证患儿,采用随机数字表法将患儿分为对照组与观察组,每组60例。对照组采取常规西医治疗,观察组在对照组治疗基础上结合清肺蠲饮汤及推拿疗法治疗。观察比较两组患儿疗效,咳嗽消失时间与喘息消失时间,退热时间及肺部啰音消失时间,治疗前后患者中医症候积分(发热、咳嗽、气促喘憋、口干不欲饮、精神烦躁等)变化,炎症因子水平变化,不良反应。结果观察组总有效率(96.67%,58/60)高于对照组(86.67%,52/60),P<0.05。治疗后,观察组咳嗽消失时间与喘息消失时间、退热时间及肺部啰音消失时间均短于对照组(P均<0.05)。治疗前,各组患儿中医症候积分(发热、咳嗽、气促喘憋、口干不欲饮、精神烦躁等)、肿瘤坏死因子α(TNF-α)及白细胞介素-10(IL-10)等炎症因子水平比较,差异未见统计学意义(P>0.05);治疗后,两组患儿中医症候积分(发热、咳嗽、气促喘憋、口干不欲饮、精神烦躁等)、TNF-α与IL-10水平均下降,而观察组中医症候积分(发热、咳嗽、气促喘憋、口干不欲饮、精神烦躁等)、TNF-α与IL-10水平均低于对照组(P均<0.05)。观察组患儿不良反应发生率(3.33%,2/60)低于对照组(5.00%,3/60),但差异未见统计学意义(P>0.05)。结论清肺蠲饮汤联合推拿疗法治疗小儿肺炎热饮阻肺证疗效较好,患儿症状缓解,恢复较好,且治疗安全。Objective To investigate the clinical effect of Qingfei Juanyin decoction combined with massage therapy in treatment of pediatric pneumonia with heat and fluid retention obstructing lung syndrome.Methods This study was a cohort trail.A total of 120 children who were treated in the Department of Pediatrics in the First Affiliated Hospital of Henan University of Chinese Medicine for pneumonia with heat and fluid retention obstructing lung syndrome from July 2021 to December 2022 were selected.And they were divided into a control group and an observation group using a random number table method,with 60 cases in each group.The control group received routine western medicine treatment,while the observation group was treated with Qingfei Juanyin decoction and massage therapy based on the treatment of the control group.The therapeutic effects,time of cough disappearance,time of wheezing disappearance,defervescence time and time of lung rale disappearance were compared between the two groups.The traditional Chinese medicine syndrome scores(fever,cough,shortness of breath and wheezing,dry mouth and reluctance to drink,mental irritability)and levels of inflammatory factors were compared between the two groups before and after treatment.The incidence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group(96.67%,58/60)was higher than that of control group(86.67%,52/60),P<0.05.After treatment,the disappearance time of cough and wheezing,defervescence time and disappearance time of lung rales in the observation group were shorter than those in the control group(all P<0.05).There was no significant difference in the levels of traditional Chinese medicine syndrome scores(fever,cough,shortness of breath,dry mouth and reluctance to drink,mental irritability),tumor necrosis factor-α(TNF-α)and interleukin-10 between the two groups before treatment(P>0.05).After treatment,the traditional Chinese medicine syndrome scores(fever,cough,shortness of breath,dry mouth and reluct

关 键 词：肺炎 小儿 热饮阻肺证 清肺蠲饮汤 推拿疗法 不良反应 

分 类 号：R272[医药卫生—中医儿科学]