中药热奄包联合针刺治疗小儿腹型紫癜疗效观察
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摘要
目的:观察中药热奄包联合针刺治疗小儿腹型紫癜的临床效果。方法:选取河南中医药大学第一附属医院儿科2017年1—6月收治的腹型紫癜患儿60例,按随机数字表法分为观察组和对照组,每组30例。对照组给予常规治疗,观察组在常规治疗的基础上加用中药热奄包联合针刺治疗。结果:治疗组有效率100%,对照组有效率93%,治疗组优于对照组,差异有统计学意义(P <0. 05);观察组治疗后患儿腹痛、呕血、便血缓解情况、紫癜消退时间及住院时间明显优于对照组(P <0. 05),差异有统计学意义。结论:中药热奄包联合针刺治疗小儿腹型紫癜疗效显著,可以降低腹型紫癜患儿腹痛,改善便血情况,缩短紫癜消退时间、住院时间。
Objective: To observe the clinical curative effect of TCM hot bag combined with acupuncture therapy on abdominal purpura in children. Methods: Sixty children with abdominal purpura admitted to the Department of Pediatrics of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2017 to June 2017 were randomly divided into the observation group and the control group,with 30 cases in each group. The ones in the control group were given routine treatment,while the ones in the observation group were given TCM hot bag combined with acupuncture on the basis of routine treatment. Results: The effective rate was 100% in the treatment group and 93% in the control group. The difference was statistically significant(P < 0. 05). The remission of abdominal pain,hematemesis and hematochezia,the disappearance time of purpura and hospitalization time in the observation group were significantly better than those in the control group(P < 0. 05). And all the differences between them had significance(P < 0. 05). Conclusion: TCM hot bag combined with acupuncture therapy has a remarkable clinical effect on abdominal purpura in children,can reduce abdominal pain in children with abdominal purpura,improve stool blood,shorten the time of purpura disappearance and hospitalization.
Objective: To observe the clinical curative effect of TCM hot bag combined with acupuncture therapy on abdominal purpura in children. Methods: Sixty children with abdominal purpura admitted to the Department of Pediatrics of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2017 to June 2017 were randomly divided into the observation group and the control group,with 30 cases in each group. The ones in the control group were given routine treatment,while the ones in the observation group were given TCM hot bag combined with acupuncture on the basis of routine treatment. Results: The effective rate was 100% in the treatment group and 93% in the control group. The difference was statistically significant(P < 0. 05). The remission of abdominal pain,hematemesis and hematochezia,the disappearance time of purpura and hospitalization time in the observation group were significantly better than those in the control group(P < 0. 05). And all the differences between them had significance(P < 0. 05). Conclusion: TCM hot bag combined with acupuncture therapy has a remarkable clinical effect on abdominal purpura in children,can reduce abdominal pain in children with abdominal purpura,improve stool blood,shorten the time of purpura disappearance and hospitalization.
引文
[1]汪受传,虞坚尔.中医儿科学[M].北京:中国中医药出版社,2012:281
[2] WEISS P F,FEINSTEIN J A,LUAN X,et al. Effects of corticosteroid on Henoch-Schonleinpurpura:asystematicreview[J]. Pediatrics,2007,120(5):1079.
[3] CHARTAPISAK W,OPASTIRAKUL S,HODSEN E M,et ai. Interventions for preven-ting and treating kidney disease in HenochSchonlein purpura(HSP)[J]. Cochrane Datbase Syst REv,2009,5(3):CD005128.
[4]马融.中医儿科学[M].北京:中国中医药出版社,2016:238.
[5]罗莎,陈春华.中药热奄包治疗功能性胃肠病疗效观察[J].长春中医药大学学报,2012,28(2):121-122.
[6]雷亚星,王妍炜.中药热奄包和激素治疗小儿过敏性紫癜腹痛144例疗效分析[J].时珍国医国药,2015,26(3):657-658.
[7]张慧,南虎松,苑思羽.儿童过敏性紫癜的治疗进展[J].吉林医学,2017,38(6):1137-1139.
[8]张喜娜.小儿过敏性紫癜的辨证分型及中医治疗进展[J].甘肃中医学院学报,2014,31(1):60-63.
[9]陈平,沈群.过敏性紫癜的中医研究进展[J].江苏中医药,2015,47(3):83-85.
[10]罗文,许楷斯,陈晓晴.许华教授治疗小儿过敏性紫癜经验[J].广州中医药大学学报,2013,30(1):101-103.
[11]张志明.中医辨证治疗过敏性紫癜105例[J].河南中医,2007,27(11):52.
[12]周宝宽,周探.过敏性紫癜外治验案[J].河南中医,2013,33(7):1164-1165.
[13]石艳红,肖达民,张春红,等.联用中药紫癜方治疗儿童过敏性紫癜的效果及对患儿可溶性细胞间黏附因子-1的影响[J].广东医学,2016,37(8):1231-1233.
[14]宋师光.银翘散加减治疗儿童过敏性紫癜的临床疗效观察[J].中国实用医药,2015,10(22):158-160.
[15]范建国,王丹,王晨.中西药联合治疗过敏性紫癜的疗效观察[J].中国中西医结合皮肤性病学杂志,2012,11(4):232-233.
[2] WEISS P F,FEINSTEIN J A,LUAN X,et al. Effects of corticosteroid on Henoch-Schonleinpurpura:asystematicreview[J]. Pediatrics,2007,120(5):1079.
[3] CHARTAPISAK W,OPASTIRAKUL S,HODSEN E M,et ai. Interventions for preven-ting and treating kidney disease in HenochSchonlein purpura(HSP)[J]. Cochrane Datbase Syst REv,2009,5(3):CD005128.
[4]马融.中医儿科学[M].北京:中国中医药出版社,2016:238.
[5]罗莎,陈春华.中药热奄包治疗功能性胃肠病疗效观察[J].长春中医药大学学报,2012,28(2):121-122.
[6]雷亚星,王妍炜.中药热奄包和激素治疗小儿过敏性紫癜腹痛144例疗效分析[J].时珍国医国药,2015,26(3):657-658.
[7]张慧,南虎松,苑思羽.儿童过敏性紫癜的治疗进展[J].吉林医学,2017,38(6):1137-1139.
[8]张喜娜.小儿过敏性紫癜的辨证分型及中医治疗进展[J].甘肃中医学院学报,2014,31(1):60-63.
[9]陈平,沈群.过敏性紫癜的中医研究进展[J].江苏中医药,2015,47(3):83-85.
[10]罗文,许楷斯,陈晓晴.许华教授治疗小儿过敏性紫癜经验[J].广州中医药大学学报,2013,30(1):101-103.
[11]张志明.中医辨证治疗过敏性紫癜105例[J].河南中医,2007,27(11):52.
[12]周宝宽,周探.过敏性紫癜外治验案[J].河南中医,2013,33(7):1164-1165.
[13]石艳红,肖达民,张春红,等.联用中药紫癜方治疗儿童过敏性紫癜的效果及对患儿可溶性细胞间黏附因子-1的影响[J].广东医学,2016,37(8):1231-1233.
[14]宋师光.银翘散加减治疗儿童过敏性紫癜的临床疗效观察[J].中国实用医药,2015,10(22):158-160.
[15]范建国,王丹,王晨.中西药联合治疗过敏性紫癜的疗效观察[J].中国中西医结合皮肤性病学杂志,2012,11(4):232-233.