首页|祛风宣肺方联合穴位贴敷治疗小儿呼吸道感染后咳嗽风邪伤肺证48例临床观察

祛风宣肺方联合穴位贴敷治疗小儿呼吸道感染后咳嗽风邪伤肺证48例临床观察

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目的 观察祛风宣肺方联合穴位贴敷治疗小儿呼吸道感染后咳嗽风邪伤肺证的临床疗效。方法 选取2021年3月至2022年10月我院儿科收治的呼吸道感染后咳嗽风邪伤肺证患儿96例,采用随机数字表法分为治疗组和对照组,各4 8例。对照组予孟鲁司特钠咀嚼片口服,治疗组予祛风宣肺方联合穴位贴敷治疗。2组连续治疗10 d后,比较临床疗效、中医证候积分、咳嗽消失时间和安全性。结果 对照组总有效率为81。25%(39/48),治疗组为95。83%(46/48),2组比较,差异有统计学意义(P<0。05)。治疗前2组咳嗽、咳痰、咽痒、鼻塞等中医证候积分比较,差异无统计学意义(P>0。05),具有可比性;治疗后2组以上各积分均显著降低,与同组治疗前比较,差异有统计学意义(P<0。05),且治疗组降低更显著(P<0。05)。治疗前2组日间咳嗽、夜间咳嗽积分和总积分比较,差异无统计学意义(P>0。05),具有可比性;治疗后2组以上各积分均显著降低,与同组治疗前比较,差异有统计学意义(P<0。05),且治疗组降低更显著(P<0。05)。治疗组咳嗽消失时间为(5。79±1。81)d,显著短于对照组的(7。11±2。05)d,2组比较,差异有统计学意义(P<0。05)。对照组不良反应发生率为8。33%(4/48),治疗组为0,2组比较,差异有统计学意义(P<0。05)。结论 祛风宣肺方联合穴位贴敷治疗小儿呼吸道感染后咳嗽风邪伤肺证疗效满意,能明显改善患儿临床症状,且安全性良好,值得临床推广应用。
Clinical observation on the combination of Qufeng Xuanfei Fang(祛风宣肺方)and acupoint application in the treatment of 48 cases of cough after respiratory tract infection with lung injury caused by pathogenic wind syndrome
Objective To observe the clinical effiicacy of Qufeng Xuanfei Fang(祛风宣肺方)combined with acupoint application in the treatment of cough after respiratory tract infection with lung injury caused by pathogenic wind syndrome in children.Methods A total of 96 pediatric patients with cough wind evil injury lung syndrome af-ter respiratory tract infection admitted to pediatric department of Quzhou Traditional Chinese Medicine Hospital from March 2021 to October 2022 were selected.They were randomly divided into a treatment group and a control group using a random number table method,with 48 cases in each group.The control group was given oral administration of Montelukast sodium chewable tablets,while the treatment group was treated with Qufeng Xuanfei Fang combined with acupoint application.After 10 days of continuous treatment,compare the clinical efficacy,traditional Chinese medicine syndrome score,cough disappearance time,and safety between two groups.The total effective rate of the control group was 81.25%(39/48),while the total effective rate of the treatment group was 95.83%(46/48).The difference between the two groups was statistically significant(P<0.05).Before treatment,there was no statistically significant difference(P>0.05)in the scores of traditional Chinese medicine syndromes such as cough,sputum,pharyngeal itching,and nasal congestion between the two groups,indicating comparability.After treatment,the scores of two or more groups significantly decreased,and compared with the same group before treatment,the difference was statistically significant(P<0.05),and the treatment group showed a more significant decrease(P<0.05).There was no statistically significant difference(P>0.05)in the daytime cough,nighttime,social score,and total score be-tween the two groups before treatment,indicating comparability.After treatment,the scores of two or more groups sig-nificantly decreased,and compared with the same group before treatment,the difference was statistically significant(P<0.05),and the treatment group showed a more significant decrease(P<0.05).The disappearance time of cough in the treatment group was(5.79±1.81)days,significantly shorter than that in the control group(7.11±2.05)days.The difference between the two groups was statistically significant(P<0.05).The liver and kidney functions and blood routine tests of the two groups of children were normal,and no serious adverse reactions occurred.The in-cidence of adverse reactions in the control group was 8.33%(4/48),while in the treatment group it was 0.The difference between the two groups was statistically significant(P<0.05).Conclusion The combination of Qufeng Xuanfei Fang and acupoint application has a satisfactory therapeutic effect on the cough after respiratory tract infec-tion with lung injury caused by pathogenic wind syndrome.lt can significantly reduce the traditional Chinese medi-cine syndrome score and cough symptom score,and has good safety.It is worthy of clinical promotion and applica-tion.

cough after respiratory infectionlung injury caused by pathogenic wind syndromeQufeng Xuanfei Fang(祛风宣肺方)acupoint applicationclinical observation

吴弯弯、姜琇憓、邱丽燕

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衢州市中医医院儿科,浙江 衢州 324000

小儿 呼吸道感染后咳嗽 风邪伤肺证 祛风宣肺方 穴位贴敷 临床观察

2024

中医儿科杂志
甘肃中医学院,中华中医药学会

中医儿科杂志

影响因子:0.82
ISSN:1673-4297
年,卷(期):2024.20(2)
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