调肺运脾小儿推拿法治疗痰湿蕴肺型儿童肺炎支原体感染后慢性咳嗽的疗效观察
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摘要
目的:观察调肺运脾小儿推拿法联合阿奇霉素序贯疗法治疗儿童肺炎支原体感染后慢性咳嗽(痰湿蕴肺型)的临床疗效。方法:将72例符合标准的患儿按随机数字表法分为治疗组和对照组各36例。对照组采用阿奇霉素序贯疗法,治疗组在对照组治疗方案基础上配合调肺运脾小儿推拿法,2组疗程均为14 d,观察临床疗效。结果:治疗组患儿临床疗效总有效率分别为94. 29%、83. 33%,治疗组优于对照组;治疗组患儿中医证候疗效总有效率分别为88. 57%、61. 11%,治疗组优于对照组。结论:调肺运脾小儿推拿法治疗痰湿蕴肺型儿童肺炎支原体感染后慢性咳嗽能明显改善患儿临床症状。
Objectives: To observe the clinical efficacy of the Infantile Tuina method of regulating the lung and spleen in the treatment of chronic cough children with Mycoplasma Pneumoniae infection and phlegm dampness and accumulation of lung. Methods: 72 patients with chronic cough children with Mycoplasma Pneumoniae infection were randomly divided into the treatment group and control group,and 36 cases in each group. The control group was treated with sequential therapy of azithromycin,and the treatment group was treated with the Infantile Tuina method of regulating the lung and spleen and sequential therapy of azithromycin. Both groups were given in 14 days treatment to observe clinical therapeutic effects. Result: the clinical total effective rates of the treatment group and the control group were 94. 29% and 83. 33% respectively,the clinical efficacy of the treatment group was better than that of the control group. The total effective rate of traditional Chinese medicine syndrome manifestations was 88. 57% in the treatment group and 61. 11% in the control group.The traditional Chinese medicine syndrome efficacy of the treatment group was better than that of the control. Conclusion:The Infantile Tuina method of regulating the lung and spleen in the treatment of chronic cough children with Mycoplasma Pneumoniae infection and phlegm dampness and accumulation of lung can improve the clinical symptoms obviously.
Objectives: To observe the clinical efficacy of the Infantile Tuina method of regulating the lung and spleen in the treatment of chronic cough children with Mycoplasma Pneumoniae infection and phlegm dampness and accumulation of lung. Methods: 72 patients with chronic cough children with Mycoplasma Pneumoniae infection were randomly divided into the treatment group and control group,and 36 cases in each group. The control group was treated with sequential therapy of azithromycin,and the treatment group was treated with the Infantile Tuina method of regulating the lung and spleen and sequential therapy of azithromycin. Both groups were given in 14 days treatment to observe clinical therapeutic effects. Result: the clinical total effective rates of the treatment group and the control group were 94. 29% and 83. 33% respectively,the clinical efficacy of the treatment group was better than that of the control group. The total effective rate of traditional Chinese medicine syndrome manifestations was 88. 57% in the treatment group and 61. 11% in the control group.The traditional Chinese medicine syndrome efficacy of the treatment group was better than that of the control. Conclusion:The Infantile Tuina method of regulating the lung and spleen in the treatment of chronic cough children with Mycoplasma Pneumoniae infection and phlegm dampness and accumulation of lung can improve the clinical symptoms obviously.
引文
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[2]周映红.儿童肺炎支原体感染致支气管肺炎或大叶性肺炎的临床分析[J].医学信息,2015,28(9):54-55.
[3]洪丽军,王丛礼,洪博识,等.中西医结合治疗难治性肺炎支原体肺炎660例的疗效观察[J].中国中西医结合儿科学,2010,2(6):517-519.
[4]中华医学会呼吸病学分会哮喘学组.咳嗽的诊断与治疗指南(2015)[J].中华结核和呼吸杂志,2016,39(5):323-354.
[5]中医病证诊断疗效标准[J].湖北中医杂志,2002,24(2):57.
[6]中药新药临床研究指导原则[J].北京:中国医药科技出版社,2002.
[7]北京中医学院中药教研组.医学三字经白话解[M].北京:人民卫生出版社,1962:15.
[8]李中梓.医宗必读[M].太原:山西科学技术出版社,2013:253-254.
[9]江育仁.脾健不在补贵在运[J].上海中医药杂志,2002,36(1):4-7.
[10]吴文华,张梦思,李文.调肺运脾小儿推拿法治疗感染后咳嗽经验介绍[J].中医药学报,2018,46(3):74-76.