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自拟止咳贴中药穴位贴敷对于小儿肺炎的疗效观察
({{custom_author.role_cn}}), {{javascript:window.custom_author_cn_index++;}}Effect observation of self-designed cough relieving plaster for traditional Chinese medicine acupoint application on pediatric pneumonia
({{custom_author.role_en}}), {{javascript:window.custom_author_en_index++;}}目的：探讨自拟止咳贴中药穴位贴敷对小儿肺炎的治疗效果。方法：纳入2020年1月—2022年11月江西省新余市妇幼保健院收治的小儿支气管肺炎患儿72例，采取随机数字表法分成两组各36例。对照组接受抗感染、止咳、化痰、退热、雾化吸入等常规西医治疗，观察组在此基础上接受自拟止咳贴中药穴位贴敷治疗，1次/d，2~4 h/次，5~7 d为1疗程。两组均治疗1个疗程。比较两组患儿的治疗效果、症状改善时间、治疗前后中医证候积分变化情况以及不良反应（局部皮肤充血发红、瘙痒、皮疹等）发生情况。结果：观察组治疗总有效率为100.00%，高于对照组的88.89%（P<0.05）。观察组发热消失时间、咳嗽消失时间、气喘消失时间、肺部啰音消失时间均短于对照组（P<0.05）。观察组治疗后中医证候积分低于对照组（P<0.05）。两组治疗后发热积分、咳嗽积分、喘促积分、面赤口渴积分、烦闷急躁积分、喉间痰鸣积分、气急鼻煽积分均低于同组治疗前（P<0.05），且观察组低于对照组（P<0.05）。两组不良反应发生率比较，差异无统计学意义（P>0.05）。结论：自拟止咳贴中药穴位贴敷能够提升小儿支气管肺炎的治疗效果，促进患儿康复，值得临床推荐。
Objective: To explore the effect of self-designed cough relieving patch for traditional Chinese medicine acupoint application on children’s pneumonia. Methods: A total of 72 children with bronchopneumonia admitted to Xinyu Maternal and Child Health Care Hospital from January 2020 to November 2022 were included, and divided into two groups with 36 cases with random number table method. The control group was treated with conventional western medicine such as anti-infection, cough relieving, expectorant, antipyretic, nebulized inhalation, etc. And on these bases the observation group was treated with self-designed cough relieving plaster for traditional Chinese medicine acupoint application treatment once a day, 2-4 hours per time, 5-7 days as a course of treatment. Both groups were treated for one course. The treatment effect, symptom improvement time, change of TCM syndrome score before and after treatment, and occurrence of adverse reactions(local skin congestion, redness, itching, rash, etc.) were compared between the two groups. Results: The total effective rate of treatment was 100.00% in the observation group, which was higher than that 88.89% in the control group(P<0.05). The disappearance times of fever, cough, asthma and lung rale in the observation group were shorter than those in the control group(P<0.05). After treatment, the TCM syndrome score in the observation group was lower than that in the control group(P<0.05). After treatment, the integrals of fever, cough, dyspnea, face redness and thirst, boredom and impatience, interlaryngeal phlegm and stridor, and dyspnea and nasal fan in the two groups were lower than those in the same groups before treatment(P<0.05) and the treatment group was lower than the control group(P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion: The self-designed cough relieving plaster for traditional Chinese medicine acupoint application can improve the therapeutic effect of children with bronchopneumonia and promote the rehabilitation of children, which is worthy of clinical recommendation.
小儿肺炎 / 穴位贴敷 / 治疗效果 / 中医证候积分 / 不良反应 {{custom_keyword}} /
pediatric pneumonia / acupoint application / treatment effect / traditional Chinese medicine syndrome score / adverse reaction {{custom_keyword}} /
表1 两组治疗效果比较 [n（%）] |
| 分组 | 治愈 | 好转 | 无效 | 总有效 |
|---|---|---|---|---|
| 观察组（n=36） | 26（72.22） | 10（27.78） | 0（0.00） | 36（100.00） |
| 对照组（n=36） | 21（58.33） | 11（30.56） | 4（11.11） | 32（88.89） |
| χ2值 | 4.235 | |||
| P值 | <0.05 |
表2 两组症状改善时间的比较 （ |
| 分组 | 发热消失时间 | 咳嗽消失时间 | 气喘消失时间 | 肺部啰音消失时间 |
|---|---|---|---|---|
| 观察组 （n=36） | 2.31±0.64 | 4.85±0.98 | 4.64±1.13 | 4.04±1.02 |
| 对照组 （n=36） | 2.97±0.77 | 6.12±1.40 | 5.82±1.38 | 5.58±1.24 |
| t值 | 6.188 | 7.776 | 6.265 | 9.059 |
| P值 | <0.05 | <0.05 | <0.05 | <0.05 |
表3 两组治疗前后中医证候积分比较 （ |
| 分组 | 发热 | 咳嗽 | 喘促 | 面赤口渴 | 烦闷急躁 | 喉间痰鸣 | 气急鼻煽 |
|---|---|---|---|---|---|---|---|
| 观察组（n=36） | |||||||
| 治疗前 | 4.97±0.72 | 4.88±0.65 | 4.54±0.66 | 2.18±0.43 | 2.31±0.45 | 2.34±0.37 | 2.29±0.32 |
| 治疗后 | 1.21±0.31 | 1.04±0.27 | 0.97±0.26 | 0.78±0.15 | 0.81±0.20 | 0.77±0.17 | 0.79±0.14 |
| t值 | 31.333 | 35.446 | 32.455 | 19.535 | 20.000 | 25.459 | 28.125 |
| P值 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 |
| 对照组（n=36） | |||||||
| 治疗前 | 4.96±0.68 | 4.49±0.70 | 4.51±0.71 | 2.12±0.37 | 2.29±0.42 | 2.28±0.38 | 2.30±0.34 |
| 治疗后 | 2.02±0.37 | 1.95±0.32 | 1.97±0.28 | 1.27±0.33 | 1.31±0.28 | 1.16±0.22 | 1.07±0.23 |
| t值 | 25.941 | 21.771 | 21.465 | 13.784 | 14.000 | 17.684 | 21.706 |
| P值 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 |
| t值组间 | 15.677 | 20.222 | 23.077 | 19.600 | 15.000 | 13.765 | 12.000 |
| P值组间 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 |
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