拔罐辅助治疗小儿肺炎喘嗽临床疗效的观察
摘要
目的：观察辅助以拔罐走罐疗法对治疗小儿肺炎喘嗽后期肺部罗音吸收缓慢状况的临床疗效，并作进一步的研究和分析。
方法：依据病情、症状、体征及相关理化检查等，在我院门诊和疗区选取符合拔罐疗法纳入标准的60例肺炎喘嗽的患儿，将病例采取随机对照的原则分为两组，分别30例，治疗组给予西医对症治疗加口服中药辨证施治，在中西药常规治疗基础上，辅助以拔罐走罐疗法，每隔一日拔罐1次，7天为1疗程，观察其疗效；对照组只是采用西医对症治疗和口服中药辨证施治，将两组疗效进行比较对照，发现肺炎中后期辅助拔罐走罐治疗明显优于单纯常规中西药治疗，并将两组患者治疗前后的症状、体征、X线片及临床痊愈所需时间等等指标积分数据情况进行统计学处理分析。
结果：经统计学计算治疗组（拔罐辅助治疗小儿肺炎喘嗽）治愈率为76.7％、总有效率为96.7%，对照组治愈率为30％、总有效率为83.3％，拔罐组达标时间(6.03±2.723天)，对照组达标时间(9.80±3.809天)，拔罐走罐组治愈率和总有效率明显高于对照组，两组比较(P值小于0.05)具有显著差异，符合统计学的意义。
结论：最终显示辅助以中医传统特色之拔罐走罐疗法对治疗小儿肺炎后期罗音消失缓慢的临床疗效优于单存中西药常规治疗，拔罐改善了小儿肺炎的临床疗效，促进了病情康复，缩短了疾病疗程，提高了免疫力。拔罐走罐是一种绿色疗法，行之简便有效、安全、无痛苦，值得临床大力推广和应用。
Purpose: To observe the clinical efficacy of the secondary cutem go cans therapytreating the slow absorption of the pulmonary rales of children with pneumonia, and do afurther research and analysis.
Method: According to the history, symptoms, signs and related physical and chemicalexaminations,60cases of children pneumonia Asthma in our clinic and treatment area whomet the inclusion criteria of cupping therapy were selected, the patients were divided into twogroups by the principles of randomized controlling,30cases in each group, the treatmentgroup received symptomatic therapy with oral medicine syndrome differentiation, Chineseand Western medicine on the basis of conventional therapy, auxiliary cupping cupping go,cupping one times every other day,7days as a course of treatment to evaluate efficacy;control group, we used only Western medicine symptomatic treatment and oral medicinesyndrome differentiation. We compare the treatment efficacy, symptoms, signs, X-ray beforeand after treatment and clinical recovery time required of the two groups by statisticalanalysis.
Result: The cure rate of the treatment group (cupping adjuvant therapy in children withpneumonia Asthma) was76.7%, the total effective rate96.7%, while the cure rate of thecontrol group was30%, the total effective rate was83.3%, the standard time of cupping groupwas (6.03±2.723days), while the control group was (9.80±3.809days), the cure rate andtotal efficiency rate in the treatment group was significantly higher than the control group (P<0.05) with significant statistical differences.
Conclusion: Finally we got the conclusion that the clinical efficacy of the secondarycutem go cans therapy treating the slow absorption of the pulmonary rales of children withpneumonia was better than the, cupping could improve the clinical efficacy of pediatricpneumonia, promote the rehabilitation of the disease, shorten the treatment period andimprove immunity. The cupping walking tank is a green therapy, which is simple,effective,safe and painless and is worthy of promotion and application.
方法：依据病情、症状、体征及相关理化检查等，在我院门诊和疗区选取符合拔罐疗法纳入标准的60例肺炎喘嗽的患儿，将病例采取随机对照的原则分为两组，分别30例，治疗组给予西医对症治疗加口服中药辨证施治，在中西药常规治疗基础上，辅助以拔罐走罐疗法，每隔一日拔罐1次，7天为1疗程，观察其疗效；对照组只是采用西医对症治疗和口服中药辨证施治，将两组疗效进行比较对照，发现肺炎中后期辅助拔罐走罐治疗明显优于单纯常规中西药治疗，并将两组患者治疗前后的症状、体征、X线片及临床痊愈所需时间等等指标积分数据情况进行统计学处理分析。
结果：经统计学计算治疗组（拔罐辅助治疗小儿肺炎喘嗽）治愈率为76.7％、总有效率为96.7%，对照组治愈率为30％、总有效率为83.3％，拔罐组达标时间(6.03±2.723天)，对照组达标时间(9.80±3.809天)，拔罐走罐组治愈率和总有效率明显高于对照组，两组比较(P值小于0.05)具有显著差异，符合统计学的意义。
结论：最终显示辅助以中医传统特色之拔罐走罐疗法对治疗小儿肺炎后期罗音消失缓慢的临床疗效优于单存中西药常规治疗，拔罐改善了小儿肺炎的临床疗效，促进了病情康复，缩短了疾病疗程，提高了免疫力。拔罐走罐是一种绿色疗法，行之简便有效、安全、无痛苦，值得临床大力推广和应用。
Purpose: To observe the clinical efficacy of the secondary cutem go cans therapytreating the slow absorption of the pulmonary rales of children with pneumonia, and do afurther research and analysis.
Method: According to the history, symptoms, signs and related physical and chemicalexaminations,60cases of children pneumonia Asthma in our clinic and treatment area whomet the inclusion criteria of cupping therapy were selected, the patients were divided into twogroups by the principles of randomized controlling,30cases in each group, the treatmentgroup received symptomatic therapy with oral medicine syndrome differentiation, Chineseand Western medicine on the basis of conventional therapy, auxiliary cupping cupping go,cupping one times every other day,7days as a course of treatment to evaluate efficacy;control group, we used only Western medicine symptomatic treatment and oral medicinesyndrome differentiation. We compare the treatment efficacy, symptoms, signs, X-ray beforeand after treatment and clinical recovery time required of the two groups by statisticalanalysis.
Result: The cure rate of the treatment group (cupping adjuvant therapy in children withpneumonia Asthma) was76.7%, the total effective rate96.7%, while the cure rate of thecontrol group was30%, the total effective rate was83.3%, the standard time of cupping groupwas (6.03±2.723days), while the control group was (9.80±3.809days), the cure rate andtotal efficiency rate in the treatment group was significantly higher than the control group (P<0.05) with significant statistical differences.
Conclusion: Finally we got the conclusion that the clinical efficacy of the secondarycutem go cans therapy treating the slow absorption of the pulmonary rales of children withpneumonia was better than the, cupping could improve the clinical efficacy of pediatricpneumonia, promote the rehabilitation of the disease, shorten the treatment period andimprove immunity. The cupping walking tank is a green therapy, which is simple,effective,safe and painless and is worthy of promotion and application.
引文
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[4]杨柳柳.清肺化痰方治疗肺炎喘嗽痰热型（社区获得性肺炎）临床疗效观察[D].广州:广州中医药大学
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[7]王妍炜.中医经皮给药治小儿肺炎喘嗽85例[J].中国中医药现代远程教育,2010,8(2):25
[8]张鹏.活血化瘀药在小儿肺炎治疗中的应用研究[J].实用中医内科杂志杂志,2005,19(4):316-317
[9]胥会英,韩新民.肺炎喘嗽病因病机古今认识差异探讨[J].实用中医药杂志,2008,24(12):803-804
[10]何丽超.辨证施治小儿肺炎喘嗽152例[J].云南中医中药杂志,2009,30(5):15-16
[11]戚波.中医治疗儿童肺炎喘嗽32例[J].四川中医，2001,19(8):57
[12]罗志英,卿国忠.中西医结合治疗婴幼儿喘憋性肺炎108例[J].中国中医结合杂志2002,22(3):165-166
[13]常宗焕.中西医结合治疗小儿肺炎132例[J].现代中医药,2009,29(5):15-16
[14]聂非.小儿肺系疾病中医证治浅谈[J].浙江中西医结合杂志,2009,19(7):417-418
[15]章贵卿,王军仓.辛开苦降法治疗小儿喘息性肺炎98例[J].中国中医药咨讯,2010,2,(11):248
[16]杨光,赵颖.温宣清化法治疗小儿咳喘116例[J].河北中医,2004,26(6):425
[17]盖晓丽.王雪峰教授运用通腑法治疗小儿肺炎喘嗽摭拾[J].实用中医内科杂志2008,22(5):10
[18]谭小平.釜底抽薪为主治疗小儿麻疹并发肺炎34例[J].四川中医,2001,19(2):50-51
[19]王雪峰.王雪峰教授运用通腑法治疗小儿肺炎喘嗽摭拾[J].实用中医内科杂志,2008,22(5):10
[20]陈爱明.中药保留灌肠治疗小儿小儿疾病体会[J].中医儿科杂志,2006,2(1):43-44
[21]叶冬兰,蔡昂,张军等.中药保留灌肠辅助和治疗肺炎喘嗽153例[J].实用中医内科杂志,2007,21(6):78-79
[22]刘红玲.三伏药贴治疗小儿反复呼吸道感染159例疗效观察[J].右江医学,2009,37(6):718-719
[23]易帆.中药贴穴治疗小儿肺炎120例临床观察[J].国医论坛,2009,24(6):22
[24]张艳平.穴位贴敷治疗小儿肺炎30例临床观察[J].吉林中医药,2006,26(11):57-58
[25]李红星,刘克丽.肺腧穴外治法治疗小儿肺炎的研究近况[J].中医药导报,2008,14(2):95-96
[26]高静.中西医结合肺俞穴注射治疗小儿肺炎临床观察[J]．中国妇幼保健,2006,21(16):2250-2251
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