首页|小青龙汤加减联合穴位贴敷对小儿咳嗽变异性哮喘的临床疗效及不良反应分析

小青龙汤加减联合穴位贴敷对小儿咳嗽变异性哮喘的临床疗效及不良反应分析

扫码查看
目的 探究小青龙汤加减联合穴位贴敷对小儿咳嗽变异性哮喘的临床效果及不良反应。方法 选择 2021 年 2月至 2023 年 2 月新乡新华医院收治的 82 例咳嗽变异性哮喘患儿,应用随机数表法将其分为对照组(常规治疗)及观察组(小青龙汤加减联合穴位贴敷)各 41 例,对比两组中医证候积分、治疗有效率、气道重塑指标、肺功能指标、炎症因子水平、不良反应发生率。结果 治疗后观察组中医证候积分(咳嗽次数、咳嗽性质、咳嗽程度、咽痒、气急、咳痰)低于对照组,差异具有统计学意义(P<0。05)。观察组治疗有效率高于对照组,差异具有统计学意义(P<0。05)。治疗后观察组血管内皮生长因子(VEGF)、基质金属蛋白酶2(MMP-2)、基质金属蛋白酶9(MMP-9)水平低于对照组,差异具有统计学意义(P<0。05)。治疗后观察组第一秒用力呼气量(FEV1)、用力肺活量(FVC)、呼气峰值流速(PEFR)水平高于对照组,差异具有统计学意义(P<0。05)。治疗后观察组白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)水平低于对照组,差异具有统计学意义(P<0。05)。观察组不良反应发生率低于对照组,差异具有统计学意义(P<0。05)。结论 变异性哮喘患儿接受小青龙汤加减联合穴位贴敷治疗,效果显著,可改善气道重塑,改善患者肺功能,降低炎症因子水平,安全性较高。
Clinical Efficacy and Adverse Reaction Analysis of Xiaoqinglong DecoctionCombined with Acupoint Application for Children with Cough Variant Asthma
Objective To explore the clinical effects and adverse reactions of Xiaoqinglong decoction combined with acupoint application in children with cough variant asthma.Methods 82 children with cough variant asthma treated in Xinxiang Xinhua Hospital from February 2021 to February 2023 were selected and divided into a control group(conventional treatment)and an observation group(Xiaoqinglong decoction combined with acupoint application)of 41 cases each using a random number table method.The traditional Chinese medicine symptom scores,treatment effectiveness rate,airway remodeling indicators,lung function indicators,inflammation factor levels,and adverse reaction incidence rate of the two groups were compared.Results After treatment,the traditional Chinese medicine symptom scores(number of coughs,nature of cough,degree of cough,throat itchiness,shortness of breath,coughing up phlegm)in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).The treatment effectiveness rate in the observation group was higher than that in the control group,with a statistically significant difference(P<0.05).After treatment,the levels of vascular endothelial growth factor(VEGF),matrix metalloproteinase-2(MMP-2),and matrix metalloproteinase-9(MMP-9)in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).After treatment,the forced expiratory volume in one second(FEV1),forced vital capacity(FVC),and peak expiratory flow rate(PEFR)in the observation group were higher than those in the control group,with a statistically significant difference(P<0.05).After treatment,the levels of interleukin-6(IL-6),interleukin-8(IL-8),and tumor necrosis factor-alpha(TNF-α)in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).The incidence rate of adverse reactions in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).Conclusion The treatment of cough variant asthma in children with Xiaoqinglong decoction combined with acupoint application has significant effects,can improve airway remodeling,improve patient lung function,reduce inflammation factor levels,and has high safety.

Xiaoqinglong decoctionacupoint applicationchildren's cough variant asthmaclinical efficacyadverse reactions

刘丽华、范钧、张宪明

展开 >

新乡新华医院 中医儿科门诊,河南 新乡 453000

小青龙汤加减 穴位贴敷 小儿咳嗽变异性哮喘 临床疗效 不良反应

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(8)