中药联合刮痧疗法治疗小儿肺胃热盛型乳蛾的临床研究  

Clinical Study on the Combination of Traditional Chinese Medicine and Scraping Therapy in the Treatment of Infantile Lung and Stomach Heat Type Milk Moth

作　　者：詹海珠 王蒙冬 韦艳萍 ZHAN Haizhu;WANG Mengdong;WEI Yanping(Ningde Hospital of Traditional Chinese Medicine,Ningde 352100,China;不详)

机构地区：[1]宁德市中医院,福建宁德352100

出　　处：《中外医学研究》2024年第30期147-150,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建中医药大学2023年度校管课题临床项目(XB2023137)。

摘　　要：目的:探讨中药联合刮痧疗法治疗小儿肺胃热盛型乳蛾的临床疗效。方法:选取2022年10月—2023年10月宁德市中医院收治的120例肺胃热盛型乳蛾患儿作为研究对象,根据随机数表法将其分为3组,中药组(n=40)采用黄连解毒汤治疗,刮痧组(n=40)采用刮痧疗法进行治疗,联合组(n=40)采用中药联合刮痧疗法进行治疗。对3组治疗后的总有效率、症状消失时间进行观察,同时分析3组炎症因子水平变化及半年内复发情况。结果:3组治疗总有效率比较,差异有统计学意义(P<0.05);与中药组、刮痧组比较,联合组治疗总有效率明显更高,差异有统计学意义(P<0.05)。3组症状缓解时间比较,差异有统计学意义(P<0.05);与中药组、刮痧组比较,联合组治疗后退热时间、脓性分泌物消失时间、咽痛消失时间以及充血消失时间均更短,差异有统计学意义(P<0.05)。3组治疗后炎症因子水平比较,差异有统计学意义(P<0.05);与中药组、刮痧组比较,联合组治疗后白细胞介素-6(IL-6)、肿瘤坏死因子-ɑ(TNF-ɑ)以及C反应蛋白(CRP)水平均更低,差异有统计学意义(P<0.05)。结论:中药联合刮痧疗法在治疗小儿肺胃热盛型乳蛾方面呈现显著的临床疗效,有助于迅速减轻患儿症状,缩短疾病持续时间,同时降低炎性反应水平。Objective:To explore the clinical efficacy of traditional Chinese medicine combined with scraping therapy in the treatment of infantile lung stomach heat type milk moth.Method:120 children with pneumonogastric heat filled type of breast moth treated in Ningde Hospital of Traditional Chinese Medicine from October 2022 to October 2023 were selected as the study objects and divided into 3 groups by random number table method.The Traditional Chinese Medicine group(n=40)was treated with Huanglian Jiadu Decoction,and the scraping group(n=40)was treated with scraping therapy.Combined group(n=40)was treated with Traditional Chinese Medicine combined with scraping therapy.The total effective rate and symptom disappearance time of the three group after treatment were observed,and the changes in the levels of inflammatory factors and the recurrence within six months were analyzed.Result:The total effective rate of 3 groups was compared,the difference was statistically significant(P<0.05).Compared with Traditional Chinese Medicine group and scraping group,the total effective rate of combined group was significantly higher,and the difference was statistically significant(P<0.05).There was statistical significance in symptom remission time among the three groups(P<0.05).Compared with Traditional Chinese Medicine group and scraping group,the time of fever reduction,purulent secretion disappearance,throat pain disappearance and congestion disappearance after treatment in combined group were shorter,and the differences were statistically significant(P<0.05).There was statistical significance in the levels of inflammatory factors among the three groups after treatment(P<0.05).Compared with TCM group and scraping group,the combined group showed lower levels of interleukin-6(IL-6),tumor necrosis factor-alpha(TNF-alpha)and C-reactive protein(CRP)after treatment,and the difference was statistically significant(P<0.05).Conclusion:The combination of Traditional Chinese Medicine and scraping therapy has shown significant clinical efficac

关 键 词：中药 刮痧疗法 小儿 肺胃热盛型乳蛾 临床效果 

分 类 号：R276.1[医药卫生—中医五官科学]