Clinical study on the treatment for upper airway cough syndrome of damp-heat type in children with Shangjiao Xuanbi decoction and acupoint application
Objective To observe the clinical efficacy of Shangjiao Xuanbi decoction and acupoint application in the treatment of upper airway cough syndrome(UACS)of damp-heat type in children.Methods From January 2021 to July 2023,80 cases of UACS of damp-heat type diagnosed in the pediatric outpatient clinic of the Second Affiliated Hospital of Jiangxi University of TCM were selected and were randomly divided into a control group and an observation group,with 40 cases in each group.The control group was given symptomatic treatment such as anti-infection and anti-allergy treatment,while the observation group was given Shangjiao Xuanbi decoction and acupoint application on this basis.After 3 courses of treatment the VAS scores and the scores of main clinical symptom grading were used for evaluation,and the clinical efficacy,adverse reactions and recurrence rate were compared.Results The total effectiveness rate was 95.0％(38/40)in the observation group,significantly higher than that in the control group(80.0％,32/40),and the difference was statistically significant(P＜0.05).The clinical symptom score was significantly lower in the observation group than in the control group(P＜0.05).The VAS scores of the two groups were lower after treatment than before treatment,and the score in the observation group was even lower(P＜0.05).There was no statistical difference in the incidence rate of adverse reactions between the two groups during the treatment(P＞0.05).The recurrence rate of the observation group in the 3-month follow-up was 7.89％(3/38),obviously lower than that of the control group(28.13％,9/32),and the difference was of statistical significance(P＜0.05).Conclusion The combination of Shangjiao Xuanbi decoction and acupoint application is effective and safe in the treatment of UACS of damp-heat type in children,which can reduce the recurrence rate,and deserves clinical promotion and application.
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