穴位贴敷联合机械振动排痰治疗小儿支气管肺炎的疗效观察及对炎症因子水平的影响  

Observation on the efficacy of acupoint application combined with mechanical vibration sputum expulsion in the treatment of pediatric bronchopneumonia and its effect on the level of inflammatory factors

作　　者：袁龙扣 牟雪莹 罗红梅[1] YUAN Longkou;MOU Xueying;LUO Hongmei(Taizhou Hospital of Traditional Chinese Medicine,Jiangsu,Taizhou 225300,China)

机构地区：[1]江苏省泰州市中医院,泰州225300

出　　处：《上海针灸杂志》2024年第12期1381-1385,共5页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察肺宁膏1号方穴位贴敷联合机械振动排痰治疗小儿支气管肺炎的临床疗效及对患者血清炎症因子水平的影响。方法选取120例儿童支气管肺炎患者,按非随机临床同期对照研究及患者家属自愿原则分为对照组和联合组,每组60例。两组均进行常规治疗,对照组予机械振动排痰,联合组在对照组基础上联合肺宁膏1号方穴位贴敷治疗。比较两组临床疗效和临床恢复情况,观察两组治疗前后血清炎症因子水平、T淋巴细胞亚群比例和免疫球蛋白水平的变化。结果联合组总有效率高于对照组(P<0.05),联合组咳嗽停止、高热消退和湿啰音消失的时间早于对照组(P<0.05)。治疗后,联合组成熟T淋巴细胞和辅助性T细胞比例以及免疫球蛋白A水平均高于对照组(P<0.05),白细胞计数以及C反应蛋白、降钙素原、白介素-6、免疫球蛋白M和免疫球蛋白G水平均低于对照组(P<0.05)。结论在常规治疗基础上,肺宁膏1号方穴位贴敷联合机械振动排痰治疗小儿支气管肺炎的临床疗效优于单一机械振动排痰,可更好地缓解临床症状,抑制炎症反应,提高体液和细胞免疫。Objective To observe the clinical efficacy and effect on the serum inflammatory factor level of pediatric bronchopneumonia treated by acupoint application of Fei Ning Gao No.1 combined with mechanical vibration sputum expulsion.Method A total of 120 cases of pediatric bronchopneumonia patients were selected and divided into a control group and a combination group according to the principles of non-randomized clinical contemporaneous control study and voluntary principle of patients’families,with 60 cases in each group.Both groups were treated routinely,the control group was given mechanical vibration sputum expulsion,and the combination group was treated with acupoint application of Fei Ning Gao No.1 on the basis of the control group.The clinical efficacy and clinical recovery of the two groups were compared,and the changes of serum inflammatory factor level,T-lymphocyte subpopulation ratio and immunoglobulin level were observed before and after treatment.Result The total effective rate of the combination group was higher than that of the control group(P<0.05),and the time of cessation of cough,abatement of high fever and disappearance of wet rales in the combination group was earlier than that of the control group(P<0.05).After treatment,the proportion of mature T lymphocytes and helper T cells and the level of immunoglobulin A in the combination group were higher than those in the control group(P<0.05),and the white blood cell counts and the levels of C-reactive protein,calcitoninogen,interleukin-6,immunoglobulin M and immunoglobulin G in the combination group were lower than those in the control group(P<0.05).Conclusion On the basis of conventional treatment,the clinical efficacy of acupoint application therapy combined with mechanical vibration sputum expulsion of Fei Ning Gao No.1 in the treatment of pediatric bronchopneumonia is better than that of single mechanical vibration sputum expulsion,which can better relieve clinical symptoms,inhibit inflammatory reaction,and improve humoral and cellular immunity

关 键 词：穴位疗法 穴位贴敷 肺炎 支气管 炎症因子 儿童 

分 类 号：R246.4[医药卫生—针灸推拿学]