首页|穴位贴敷联合小儿热速清颗粒治疗儿童流行性感冒

穴位贴敷联合小儿热速清颗粒治疗儿童流行性感冒

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目的 探讨穴位贴敷联合小儿热速清颗粒治疗儿童流行性感冒的疗效及对血清巨噬细胞迁移抑制因子(MIF)、淀粉样蛋白A(SAA)、高迁移率族蛋白B1(HMGB-1)的影响.方法 选择流行性感冒患儿99例,按随机数表法分为对照组、观察1组、观察2组,各33例.对照组静脉滴注帕拉米韦氯化钠注射液,观察1组在对照组基础上口服小儿热速清颗粒,观察2组在观察1组基础上行穴位贴敷.3组均治疗1周.比较治疗1周后3组临床疗效,症状消失时间,治疗前和治疗1周后的血清MIF、SAA、HMGB-1水平及治疗期间的不良反应发生情况.结果 治疗1周后,观察2组总有效率(93.94%,31/33)高于观察 1 组(75.76%,25/33)、对照组(51.52%,17/33)(P<0.05),观察 1 组高于对照组(P<0.05).对照组、观察1组、观察2组咽痛消失、发热消失、体温恢复正常、咳嗽消失、鼻卡他/鼻塞消失及流涕消失时间呈逐渐缩短趋势(P<0.05).治疗1周后,3组血清MIF、SAA、HMGB-1水平与治疗前比较均降低,对照组、观察1组、观察2组血清MIF、SAA、HMGB-1水平呈逐渐降低趋势(P<0.05).3组治疗期间的不良反应发生率比较,差异无统计学意义(P>0.05).结论 小儿热速清颗粒可有效促进流感患儿相关症状缓解,减轻患儿机体炎症反应,提高治疗效果;小儿热速清颗粒基础上联用穴位贴敷治疗效果更佳,且安全性良好.
Therapeutic effect of acupoint application combined with Xiao'er Resuqing granules in the treatment of influenza in children
Objective To explore the therapeutic effect of acupoint application combined with Xiao'er Resuqing granules on influenza in children and its impact on serum macrophage migration inhibitory factor(MIF),serum amyloid A(SAA),and high mobility group protein B1(HMGB-1).Methods 99 patients with influenza were selected and divided into the control group,the observation group 1 and the observation group 2 according to random number table method,with 33 cases in each group.The control group received intravenous infusion of paramivir sodium chloride injection.The observation group 1 received oral administtation of Xiao'er Resuqing granules on the basis of the treatment of the control group,while the observation group 2 received acupoint application on the basis of the treatment of the observation group 1.All three groups were treated for one week.The clinical efficacy and disappearance time of symptoms after one week of treatment,levels of serum MIF,SAA and HMGB-1 before treatment and after one week of treatment among three groups,and the occurrence of adverse reactions during treatment were compared.Results After one week of treatment,the total effective rate in the observation group 2(93.94%,31/33)was higher than that in the observation group 1(75.76%,25/33)and the control group(51.52%,17/33)(P<0.05),and the observation group 1 was higher than the control group(P<0.05).The time for disappearance of sore throat,fever,normal body temperature to recover,cough,nasal obstruction,and runny nose in the control group,the observation group 1 and the observation group 2 gradually shortened(P<0.05).After one week of treatment,the serum levels of MIF,SAA,and HMGB-1 in three groups decreased compared with before treatment;And in the control group,the observation group 1 and the observation group 2,the serum levels of MIF,SAA,and HMGB-1 showed a gradually decreasing trend(P<0.05).There was no statistically significant difference in the incidence of adverse reactions among three groups during treatment(P>0.05).Conclusion Xiao'er Resuqing Granules can effectively promote the relief of symptoms related to influenza in children,reduce the inflammatory response of the body in children,and improve the treatment effect.On the basis of the treatment of Xiao'er Resuqing granules,the combination of acupoint application has the better therapeutic effect and good safety.

childreninfluenzaXiao'er Resuqing granulesacupoint applicationmacrophage migration inhibitory factor

谢琛、刘静茹

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邢台医学高等专科学校第一附属医院中医科,河北邢台 054001

邢台医学高等专科学校第一附属医院儿科,河北邢台 054001

儿童 流行性感冒 小儿热速清颗粒 穴位贴敷 巨噬细胞迁移抑制因子

河北省中医药类科研计划(2020)邢台市科技局自筹经费项目(2023)

20205652023ZC116

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(4)
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