中药内服加捏积外治法联合吸入疗法治疗毛细支气管炎疗效观察
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摘要
目的观察中药内服加捏积外治法联合吸入疗法治疗毛细支气管炎的疗效。方法 2015年8月至2016年10月邯郸市妇幼保健院、永年光明医院儿科门诊收治的毛细支气管炎患儿150例,随机分为观察组和对照组各75例。两组均予吸氧、抗病毒、吸痰等综合治疗基础上给予复方异丙托溴铵溶液和吸入性布地奈德溶液,合并细菌感染者加用抗生素。对照组采用西医治疗,缓解后不予干预;观察组采用中西医结合治疗,中药应用自拟方剂脱敏调体方(防风5g,乌梅、蝉蜕、灵芝各2g),急性症状缓解后配合冯氏捏积治疗。观察两组本次发病喘息缓解时间、患儿喘息复发率及临床疗效。结果观察组哮鸣音消失时间和咳嗽消失时间显著少于对照组,差异有统计学意义(P<0.01)。观察组1年内未复发率为69.3%(52/75),高于对照组38.6%(29/75),差异有统计学意义(P<0.01)。观察组治疗后总有效率为97.3%(73/75),高于对照组74.7%(56/75),差异有统计学意义(P<0.01)。结论运用中药内服加捏积外治方法联合吸入疗法治疗毛细支气管炎,对预防该病反复喘息,取得满意的疗效。
Objective To observe the effect of taking Chinese medicine orally combined with external treatment of pinching spine and inhalation therapy in the treatment of bronchiolitis.Methods A total of 150 children with bronchiolitis treated in our hospital from Aug.2015 to Oct.2016 were included in the study,and they were randomly divided into two groups:observation group(75 cases)and control group(75 cases).Both groups were given comprehensive treatment of oxygen inhalation,anti-virus and sputum suction;in addition,compound ipratropium bromide solution and inhaled budesonide solution were given,and antibiotics were used for those with infection.The control group was treated with western medicine and was not intervened after relief;the observation group was treated with integrated Chinese and western medicine:for Chinese medicine,a self-mode prescription was used(5 g of radix sileris,2 g of dark plum,2 g of cicada,and 2 g of Ganodorma lucidum),and when the acute symptoms were relieved,Feng's spine-pinching was performed.Observe the relief time of wheezing,the recurrence rate and the clinical effect of the two groups.Results The disappearance time of wheezing rales and cough in the observation group was significantly shorter than in the control group,and the difference was statistical(P <0.01).The non-recurrence rate within one year in observation group was 69.3%(52/75),higher than the control group(38.6%,29/75),and there was statistical difference(P<0.01).After treatment,the total effective rate in observation group was 97.3%(73/75),higher than that in control group(74.7%,56/75),the difference being statistical(P<0.01).Conclusion Taking Chinese medicine orally combined with external treatment of pinching spine and inhalation therapy has satisfactory effect in the treatment of bronchiolitis,and can prevent recurrent wheezing of this disease.
Objective To observe the effect of taking Chinese medicine orally combined with external treatment of pinching spine and inhalation therapy in the treatment of bronchiolitis.Methods A total of 150 children with bronchiolitis treated in our hospital from Aug.2015 to Oct.2016 were included in the study,and they were randomly divided into two groups:observation group(75 cases)and control group(75 cases).Both groups were given comprehensive treatment of oxygen inhalation,anti-virus and sputum suction;in addition,compound ipratropium bromide solution and inhaled budesonide solution were given,and antibiotics were used for those with infection.The control group was treated with western medicine and was not intervened after relief;the observation group was treated with integrated Chinese and western medicine:for Chinese medicine,a self-mode prescription was used(5 g of radix sileris,2 g of dark plum,2 g of cicada,and 2 g of Ganodorma lucidum),and when the acute symptoms were relieved,Feng's spine-pinching was performed.Observe the relief time of wheezing,the recurrence rate and the clinical effect of the two groups.Results The disappearance time of wheezing rales and cough in the observation group was significantly shorter than in the control group,and the difference was statistical(P <0.01).The non-recurrence rate within one year in observation group was 69.3%(52/75),higher than the control group(38.6%,29/75),and there was statistical difference(P<0.01).After treatment,the total effective rate in observation group was 97.3%(73/75),higher than that in control group(74.7%,56/75),the difference being statistical(P<0.01).Conclusion Taking Chinese medicine orally combined with external treatment of pinching spine and inhalation therapy has satisfactory effect in the treatment of bronchiolitis,and can prevent recurrent wheezing of this disease.
引文
[1]《中华儿科杂志》编辑委员会,中华医学会儿科学分会呼吸学组.毛细支气管炎诊断、治疗与预防专家共识(2014年版)[J].中华儿科杂志,2015,53(3):168-171.
[2]郭胜红,柳林伟.中西医结合治疗慢性喘息性支气管炎临床研究[J].中医学报,2016,31(10):1468-1471.
[3]李建保,田金娜,刘小凡.中西医结合治疗婴幼儿毛细支气管炎30例临床观察[J].江苏中医药,2008,40(5):41-42.
[4]魏兰.1,6-二磷酸果糖联合血管活性药物治疗小儿毛细支气管炎115例疗效观察[J].河北中医,2011,33(2):317-318.
[5]衡恩来.自拟儿喘宁汤治疗毛细支气管炎64例疗效观察[J].内蒙古中医药,2010,29(20):28.
[6]刘宏斌,侯少宏.自拟平喘汤治疗小儿哮喘性支气管炎120例[J].山西中医学院学报,2008,9(1):29-30.
[7]胡亚美,江载芳.诸福棠实用儿科学[M].7版.北京:人民卫生出版社,2002.
[8]张奇文,朱锦善.实用中医儿科学[M].北京:中国中医药出版社,2016.
[9]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,2004.
[10]俞善昌,盛锦云,陈育智.复方异丙托溴铵雾化吸入在儿童急性喘息性疾病中的应用[J].临床儿科杂志,2008,26(3):258-261.
[11]陈育智,赵京.儿童支气管哮喘的诊断及治疗[M].北京:人民卫生出版社,2004:142-152.
[12]杨义琼,李晓阳,马利维.复方异丙托溴铵溶液联合布地奈德雾化吸入治疗婴幼儿喘息性疾病的疗效[J].儿科药学杂志,2011,17(3):34-36.
[13]艾美莲,花响岭,胡新和.氧驱动雾化吸入与空气压缩泵雾化吸入治疗小儿哮喘的比较[J].当代医学,2009,15(33):11-13.
[14]王琦,骆庆峰.过敏体质的概念、形成与调控原理[J].北京中医药大学学报,2004,27(2):6-8.
[15]郑燕飞,李玲孺,王济,等.从伏邪致病用调体药对治疗过敏性疾病[J].中华中医药杂志,2013,28(5):1198-1201.
[16]孙红霞,王爱华,赵修勇.甲壳质的性质及临床应用研究[J].北华大学学报(自然科学版),2004,5(5):425-429.
[17]张飞,李劲松.乌梅的研究进展[J].海峡药学,2006,18(4):21-24.
[18]梁渊,丁克祥,徐顺清,等.灵芝胶囊对免疫系统的影响[J].中国老年学杂志,2003,23(1):61-62.
[19]张巨明.冯氏捏积疗法治疗小儿厌食320例临床观察[J].辽宁中医杂志,2009,36(11):1967-1968.
[20]郑军,马迎基,白冬英,等.冯氏捏积疗法治疗小儿厌食症257例临床观察[J].北京中医药,2012,31(9):704-707.
[21]王丽英.推拿在防止小儿哮喘复发中的应用[J].实用中医内科杂志,2005,19(4):384.
[22]吴锐,陈蕴珍,汪维红.隔药灸加捏脊法防治小儿哮喘的临床研究[J].中医儿科杂志,2011,7(1):37-39.
[23]杨丽美,梁岩.捏脊法在治疗成人疾患中的应用[J].时珍国医国药,2006,17(2):254-255.
[24]武明云,侯江红.小儿毛细支气管炎中医外治法的研究进展[J].中国中西医结合儿科学,2016,8(2):151-153.
[2]郭胜红,柳林伟.中西医结合治疗慢性喘息性支气管炎临床研究[J].中医学报,2016,31(10):1468-1471.
[3]李建保,田金娜,刘小凡.中西医结合治疗婴幼儿毛细支气管炎30例临床观察[J].江苏中医药,2008,40(5):41-42.
[4]魏兰.1,6-二磷酸果糖联合血管活性药物治疗小儿毛细支气管炎115例疗效观察[J].河北中医,2011,33(2):317-318.
[5]衡恩来.自拟儿喘宁汤治疗毛细支气管炎64例疗效观察[J].内蒙古中医药,2010,29(20):28.
[6]刘宏斌,侯少宏.自拟平喘汤治疗小儿哮喘性支气管炎120例[J].山西中医学院学报,2008,9(1):29-30.
[7]胡亚美,江载芳.诸福棠实用儿科学[M].7版.北京:人民卫生出版社,2002.
[8]张奇文,朱锦善.实用中医儿科学[M].北京:中国中医药出版社,2016.
[9]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,2004.
[10]俞善昌,盛锦云,陈育智.复方异丙托溴铵雾化吸入在儿童急性喘息性疾病中的应用[J].临床儿科杂志,2008,26(3):258-261.
[11]陈育智,赵京.儿童支气管哮喘的诊断及治疗[M].北京:人民卫生出版社,2004:142-152.
[12]杨义琼,李晓阳,马利维.复方异丙托溴铵溶液联合布地奈德雾化吸入治疗婴幼儿喘息性疾病的疗效[J].儿科药学杂志,2011,17(3):34-36.
[13]艾美莲,花响岭,胡新和.氧驱动雾化吸入与空气压缩泵雾化吸入治疗小儿哮喘的比较[J].当代医学,2009,15(33):11-13.
[14]王琦,骆庆峰.过敏体质的概念、形成与调控原理[J].北京中医药大学学报,2004,27(2):6-8.
[15]郑燕飞,李玲孺,王济,等.从伏邪致病用调体药对治疗过敏性疾病[J].中华中医药杂志,2013,28(5):1198-1201.
[16]孙红霞,王爱华,赵修勇.甲壳质的性质及临床应用研究[J].北华大学学报(自然科学版),2004,5(5):425-429.
[17]张飞,李劲松.乌梅的研究进展[J].海峡药学,2006,18(4):21-24.
[18]梁渊,丁克祥,徐顺清,等.灵芝胶囊对免疫系统的影响[J].中国老年学杂志,2003,23(1):61-62.
[19]张巨明.冯氏捏积疗法治疗小儿厌食320例临床观察[J].辽宁中医杂志,2009,36(11):1967-1968.
[20]郑军,马迎基,白冬英,等.冯氏捏积疗法治疗小儿厌食症257例临床观察[J].北京中医药,2012,31(9):704-707.
[21]王丽英.推拿在防止小儿哮喘复发中的应用[J].实用中医内科杂志,2005,19(4):384.
[22]吴锐,陈蕴珍,汪维红.隔药灸加捏脊法防治小儿哮喘的临床研究[J].中医儿科杂志,2011,7(1):37-39.
[23]杨丽美,梁岩.捏脊法在治疗成人疾患中的应用[J].时珍国医国药,2006,17(2):254-255.
[24]武明云,侯江红.小儿毛细支气管炎中医外治法的研究进展[J].中国中西医结合儿科学,2016,8(2):151-153.