耳穴贴压辅助治疗儿童细菌性肺炎:随机对照试验  

Auricular point sticking therapy as an adjunctive treatment for pediatric bacterial pneumonia:a randomized controlled trial

作　　者：曹晨明 徐炎 马淑霞[1,2] 张骁[2] CAO Chenming;XU Yan;MA Shuxia;ZHANG Xiao(College of Pediatrics,Henan University of CM,Zhengzhou 450046,China;Department of Pediatrics,First Affiliated Hospital of Henan University of CM,Zhengzhou 450046,China)

机构地区：[1]河南中医药大学儿科医学院,郑州450046 [2]河南中医药大学第一附属医院儿科,郑州450000

出　　处：《中国针灸》2024年第12期1401-1405,共5页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金青年基金项目:82205190;中国博士后科学基金第73批面上资助项目:2023M731027;中国博士后科学基金第17批特别资助项目:2024T170253;河南省中医药科学研究专项项目:2022JDZX088;河南省中医药科学研究专项项目:2023ZXZX1073。

摘　　要：目的:观察耳穴贴压联合抗生素治疗儿童细菌性肺炎的临床疗效。方法:将94例风热闭肺型细菌性肺炎患儿分为观察组(47例,脱落3例)和对照组(47例,中止4例)。对照组予拉氧头孢钠注射液静脉滴注,每日2次,治疗7 d;观察组在对照组的基础上加用耳穴贴压治疗,耳穴取肺、气管、交感、肾上腺、神门,每天1次,两耳交替,治疗7d。比较两组患儿治疗前后中医证候积分、加拿大急性呼吸道疾病和流感量表(CARIFS)评分及白细胞计数(WBC)、C-反应蛋白(CRP)、降钙素原(PCT)水平,并比较两组临床疗效。结果:与治疗前比较,治疗后两组患儿中医证候积分、CARIFS评分降低(P<0.05),WBC、CRP、PCT水平降低(P<0.05);与对照组比较,治疗后观察组患儿中医证候积分中发热、咳嗽、咯痰、肺部听诊、喷嚏、流涕、睡眠及大便症状积分低于对照组(P<0.05),CARIFS评分中发热、咳嗽、鼻塞流涕、烦躁急躁评分低于对照组(P<0.05)。观察组愈显率为70.5%(31/44),高于对照组的44.2%(19/43,P<0.05)。结论:耳穴贴压联合抗生素治疗在改善风热闭肺型细菌性肺炎患儿发热、咳嗽、流涕等症状方面更具优势。Objective To observe the clinical efficacy of auricular point sticking therapy combined with antibiotics for pediatric bacterial pneumonia of wind-heat accumulating in lung.Methods Ninety-four children with bacterial pneumonia were divided into an observation group(47 cases,3 cases dropped out)and a control group(47 cases,with 4 cases terminated).The patients in the control group were treated with intravenous drip of latamoxef sodium injection,twice daily for 7 days.The patients in the observation group were treated with auricular point sticking therapy in addition to the treatment given to the control group.Acupoints selected included Fei(CO_(14)),Qiguan(CO_(16)),Jiaogan(AH_(6a)),Shenshangxian(TG_(2P)),and Shenmen(TF_4),with treatment applied once daily,alternating ears,for 7 days.The TCM syndrome scores,Canadian acute respiratory illness and flu scale(CARIFS)scores,and levels of white blood cell count(WBC),C-reactive protein(CRP),and procalcitonin(PCT)were compared before and after treatment between the two groups,along with clinical efficacy.Results Compared before treatment,both groups showed a reduction in TCM syndrome scores,CARIFS scores,and levels of WBC,CRP,and PCT after treatment(P<0.05).Compared with the control group,the observation group had lower TCM syndrome scores in fever,cough,expectoration,lung auscultation,sneezing,runny nose,sleep,and bowel symptoms,as well as lower CARIFS scores in fever,cough,nasal congestion and runny nose,and irritability(P<0.05).The curative and remarkably effective rate was 70.5%(31/44)in the observation group,which was higher than 44.2%(19/43)in the control group(P<0.05).Conclusion Auricular point sticking therapy combined with antibiotics is more effective in improving symptoms such as fever,cough,and runny nose in children with bacterial pneumonia of wind-heat accumulating in lung.

关 键 词：儿童细菌性肺炎 耳穴贴压 抗生素 随机对照试验 

分 类 号：R725.6[医药卫生—儿科]