中药穴位贴敷联合常规西药治疗儿童咳嗽变异型哮喘临床研
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R725.6

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Clinical Study on Point Application with Chinese Herbal Medicine Combined with Routine Western Medicine for Cough Variant Asthma in Children
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    摘要:

    目的:观察中药穴位贴敷联合西药治疗儿童咳嗽变异型哮喘(CVA) 的临床疗效。方法:将90 例CVA 风盛挛急证患儿随机分为对照组和观察组各45 例。2 组均予布地奈德福莫特罗粉吸入剂、孟鲁司特钠咀嚼片治疗,并予健康宣教、饮食护理、起居护理等综合护理措施,观察组加予中药穴位贴敷。2 组疗程均为4 周。咳嗽程度采用视觉模拟评分法(VAS) 于治疗前、治疗1 周、2 周、3 周和4 周各评价1 次,记录咳嗽消失时间,治疗前后评定风盛挛急证评分,利用莱塞斯特咳嗽问卷(LCQ) 评价生活质量。比较2 组的临床疗效。结果:治疗1~4 周,2 组的咳嗽VAS 评分均呈下降趋势(P<0.05),观察组治疗后各时点的VAS 评分均低于同期对照组(P<0.05)。经4 周治疗,对照组和观察组的咳嗽消失率分别为80.00%、95.56%,2 组比较,差异有统计学意义(P<0.05);观察组咳嗽消失时间较对照组缩短(P<0.01)。2 组风盛挛急证积分均较治疗前下降(P<0.01),观察组风盛挛急证积分低于对照组(P<0.01)。2 组LCQ 生理、心理、社会评分及总分均较治疗前升高(P<0.01),观察组的生理、心理、社会评分和总分均高于对照组(P<0.01)。观察组临床疗效优于对照组(P<0.05)。结论:在西药治疗的基础上给予中药穴位贴敷,可有效减轻CVA 患儿的咳嗽程度,提高咳嗽消失率,缩短病程,提高患儿的生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of point application with Chinese herbal medicine combined with routine western medicine for cough variant asthma(CVA) in children. Methods: A total of 90 cases of CVA children with excessive wind and spasm syndrome were randomly divided into the control group and the observation group,45 cases in each group. Both groups were treated with budesonide and formoterol inhalation as well as montelukast sodium chewable tablets, and given comprehensive nursing measures including health propaganda and education, diet nursing and living care;the observation group was additionally treated with point application with Chinese herbal medicine. Both groups were treated for four weeks. The degrees of cough were evaluated once each time by Visual Analogue Scale(VAS) before treatment, after treatment for one, two, three and four weeks respectively, and the disappearance time of cough was recorded. Before and after treatment,the scores of excessive wind and spasm syndrome were assessed,and the quality of life was assessed by Leicester Cough Questionnaire(LCQ). The clinical effect in the two groups was compared. Results:After treatment for one to four weeks,the VAS scores of cough in the two groups showed a downward trend(P<0.05),and the scores of each time point in the observation group were lower than those in the control group(P<0.05). After four- week treatment,the disappearance rate of cough was 95.56% in the observation group,higher than that of 80.00% in the control group,the difference being significant(P<0.05);the disappearance time of cough in the observation group was shorter than that in the control group(P<0.01). The scores of excessive wind and spasm syndrome in the two groups were decreased when compared with those before treatment(P<0.01), and the score in the observation group was lower than that in the control group(P<0.01). The scores of physiology,psychology and society as well as the total scores in LCQ in the two groups were increased when compared with those before treatment(P<0.01); the above scores in the observation group were higher than those in the control group(P<0.01). The clinical effect in the observation group was better than that in the control group(P<0.05). Conclusion: Based on western medicine, point application with Chinese herbal medicine can effective alleviate cough,shorten the course and improve disappearance rate of cough,quality of life.

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苟丽,张婕,苟向华,王冬雨.中药穴位贴敷联合常规西药治疗儿童咳嗽变异型哮喘临床研[J].新中医,2020,52(16):148-151

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  • 在线发布日期: 2020-08-19
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