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穴位揿针联合百会穴艾灸治疗婴儿外感风寒型伤风鼻塞的疗效观察

Therapeutic effect of acupoint pressing acupuncture combined with moxibustion at Baihui acupoint on infantile cold and nasal obstruction caused by exogenous wind and cold

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目的 观察穴位揿针联合百会穴艾灸治疗婴儿外感风寒型伤风鼻塞的临床疗效.方法 选取2021年2月至2022年5月在金华市妇幼保健院治疗的外感风寒型伤风鼻塞患儿120例为研究对象,采用随机对照研究方法,按照随机数字表法将患儿分为揿针组、艾灸组及治疗组,每组40例.在常规治疗的基础上,揿针组采用穴位揿针(印堂、双迎香、双鼻通)治疗,艾灸组采用温和灸百会穴治疗,治疗组在揿针组的基础上联合百会穴艾灸治疗.观察三组患儿临床疗效,于治疗后2 h、24h、48h、72h比较三组患儿鼻塞症状评分、治疗前后睡眠质量.结果 治疗组有效率为92.5%(37/40),均高于揿针组的 75.0%(30/40)及艾灸组的 65.0%(26/40)(x2=4.50、9.04,均P<0.05);治疗后 2h、24h、48 h、72 h,治疗组鼻塞症状评分分别为(2.05±0.55)分、(1.80±0.64)分、(1.33±0.59)分、(0.90±0.18)分,揿针组分别为(2.43±0.59)分、(2.15±0.57)分、(1.73±0.84)分、(1.18±0.80)分,艾灸组分别为(2.50± 0.59)分、(2.13±0.78)分、(1.88±0.81)分、(1.45±0.81)分,三组治疗后 2 h、24 h、48 h、72 h 鼻塞症状评分差异均有统计学意义(F=3.15、9.27、16.17、20.22,均P<0.05);治疗后,治疗组患儿简明婴儿睡眠问卷情况中白天睡眠时间、夜间睡眠时间分别为(3.41±0.31)h、(12.36±1.17)h,均长于揿针组的(2.95± 1.07)h、(11.33±1.38)h及艾灸组的(2.93±0.98)h、(11.21±1.93)h,治疗组夜醒时间、夜醒次数、入睡潜伏时间分别为(18.74±2.21)min、(1.64±0.18)次、(15.43±2.03)min,均短于揿针组的(21.13±3.78)min、(2.15±0.66)次、(17.63±5.24)min 及艾灸组的(20.53±2.90)min、(2.11±0.32)次、(17.22±2.88)min,治疗组患儿睡眠效率为(0.91±0.03),高于揿针组的(0.87±0.06)及艾灸组的(0.87±0.05),三组患儿睡眠质量评分差异均有统计学意义(F=6.37、12.31、15.93、15.36、10.11、23.45,均P<0.05).结论 穴位揿针联合百会穴艾灸治疗婴儿外感风寒型伤风鼻塞的疗效显著,能明显改善患儿鼻塞症状,提高睡眠质量.
Objective To investigate the clinical efficacy of acupoint pressing acupuncture combined with moxibustion at Baihui acupoint on infantile cold and nasal obstruction caused by exogenous wind and cold.Methods This study included a total of 120 children with exogenous wind and cold-induced infantile cold and nasal obstruction who were treated at the Jinhua Maternal & Child Health Care Hospital from February 2021 to May 2022.They were divided into three groups using a random number table method,namely the acupoint pressing acupuncture group,the moxibustion group,and the combined therapy group,each containing 40 children.Based on routine treatment,children in the acupoint pressing acupuncture group received acupoint(Yintang,Shuangyingxiang,Shuangbitong)pressing acupuncture treatment,while those in the moxibustion group underwent mild moxibustion at Baihui acupoint,and those in the combined therapy group underwent acupoint(Yintang,Shuangyingxiang,Shuangbitong)pressing acupuncture Baihui combined with mild moxibustion at Baihui acupoint.The clinical efficacy of each group was evaluated.At 2,24,48,and 72 hours after treatment,differences in nasal congestion symptom scores were compared among the three groups.Sleep quality was also compared among the three groups before and after treatment.Results The response rate in the combined therapy group was 92.5%(37/40),which was significantly higher than 75%(30/40)in the acupoint pressing acupuncture group and 65%(26/40)in the moxibustion group(x2=4.50,9.04,both P<0.05).At 2,24,48,and 72 hours after treatment,the nasal congestion symptom score in the combined therapy group was(2.05±0.55)points,(1.80±0.64)points,(1.33±0.59)points,and(0.90±0.18)points,respectively,while it was(2.43±0.59)points,(2.15±0.57)points,(1.73±0.84)points,and(1.18±0.80)points,respectively,in the acupoint pressing acupuncture group,and(2.50±0.59)points,(2.13±0.78)points,(1.88±0.81)points,and(1.45±0.81)points,respectively,in the moxibustion group.At the above-mentioned time points,the nasal congestion symptom score was statistically significant among the three groups(F=3.15,9.27,16.17,20.22,all P<0.05).After treatment,daytime sleep duration and nocturnal sleep duration in the combined therapy group were(3.41±0.31)hours and(12.36±1.17)hours,respectively,which were significantly longer than(2.95±1.07)hours and(11.33±1.38)hours in the acupoint pressing acupuncture group and(2.93±0.98)hours and(11.21± 1.93)hours in the moxibustion group(F=6.37,12.31,both P<0.05).Nocturnal wake time,the number of night wakings,and sleep onset time in the combined therapy group were(18.74±2.21)minutes,(1.64±0.18)times,and(15.43±2.03)minutes,respectively,which were significantly shorter or less than(21.13±3.78)minutes,(2.15±0.66)times,and(17.63±5.24)minutes in the acupoint pressing acupuncture group,and(20.53±2.90)minutes,(2.11±0.32)times,and(17.22± 2.88)minutes in the moxibustion group(F=15.93,15.36,10.11,all P<0.05).There was a significant difference in sleep quality score among the three groups(F=23.45,P<0.05).Conclusion The combination of acupoint pressing acupuncture and moxibustion at Baihui acupoint is highly effective against infantile cold and nasal obstruction caused by exogenous wind and cold.The combined therapy can alleviate the symptoms of nasal congestion in children and improve sleep quality.

Acupuncture pointsMoxibustionNasal obstructionSleepComparative effectiveness researchInfant

倪毅萍、吕红仙、杨霞

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金华市妇幼保健院儿童保健科,金华 321000

金华市妇幼保健院儿科,金华 321000

金华市妇幼保健院急诊科,金华 321000

针刺穴位 灸法 鼻塞 睡眠 疗效比较研究 婴儿

浙江省金华市中医药科技计划

金卫2020104

2024

中国基层医药
中华医学会,安徽医科大学

中国基层医药

影响因子:1.003
ISSN:1008-6706
年,卷(期):2024.31(2)
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