中药穴位贴敷联合西药治疗小儿支原体肺炎临床研究
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R725.6

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苍南县科技计划项目(2020S09)


Clinical Study on Chinese Medicine Point Application Combined with Western Medicine for Mycoplasma Pneumonia in Children
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    摘要:

    目的:观察中药穴位贴敷联合西药治疗小儿支原体肺炎的临床疗效。方法:选取小儿支原体肺炎患者60 例,按随机数字表法分为对照组和观察组各30 例。对照组给予常规西药治疗,观察组在对照组基础上给予中药穴位贴敷治疗。比较2 组咳嗽消失、发热消失、气喘消失及肺部湿啰音消失时间,检测2 组治疗前后中医证候积分、炎性因子[C-反应蛋白(CRP)、降钙素原(PCT)] 水平,评价临床疗效和不良反应发生情况。结果:观察组总有效率为96.67%,高于对照组76.67%,差异有统计学意义(χ2=5.192,P=0.023)。观察组咳嗽消失、发热消失、气喘消失及肺部湿啰音消失时间均短于对照组(P<0.05)。治疗后,2 组主要症状积分、次要症状积分、总积分较治疗前降低(P<0.05),且观察组治疗后主要症状积分、次要症状积分、总积分均低于对照组(P<0.05)。治疗后,2 组血清CRP、PCT 水平均低于治疗前,且观察组治疗后CRP、PCT 水平均低于对照组(P<0.05)。观察组不良反应发生率低于对照组(χ2=5.455,P=0.020)。结论:中药穴位贴敷联合西药治疗小儿支原体肺炎疗效较好,能有效缓解患儿临床症状及体征,降低炎症因子水平和不良反应发生率,安全性高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Chinese medicine point application combined with western medicine for mycoplasma pneumonia in children. Methods:A total of 60 cases of children with mycoplasma pneumonia were selected and divided into the control group and the observation group according to the random number table method,with 30 cases in each group. The control group was given routine western medicine,and the observation group was given Chinese medicine point application combined with western medicine. The disappearance time of cough, fever, asthma, and lung moist rale were compared between the two groups. Before and after treatment, Chinese medicine syndrome scores and levels of inflammatory factors including C- reactive protein(CRP) and procalcitonin(PCT) were detected in the two groups. Clinical effect and incidence of adverse reactions were evaluated. Results: The total effective rate was 96.67% in the observation group,higher than that of 76.67% in the control group,the difference being significant(χ 2=5.192,P=0.023). The disappearance time of cough, fever, asthma, and lung moist rale in the observation group were shorter than that in the control group(P<0.05). After treatment, scores of main symptoms and secondary symptoms and total scores in the two groups were decreased when compared with those before treatment(P<0.05),and the three scores in the observation group were lower than those in the control group(P<0.05). After treatment,levels of CRP and PCT in serum in the two groups were lower than those before treatment(P<0.05),and the two levels in the observation group were lower than those in the control group(P<0.05). The incidence of adverse reactions in the observation group was lower than that in the control group(χ 2= 5.455, P=0.020). Conclusion: Chinese medicine point application combined with western medicine has a good curative effect and high safety in the treatment of mycoplasma pneumonia in children, and can effectively relieve their clinical symptoms and signs,and reduce levels of inflammatory factors and incidence of adverse reactions.

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周明义,项小苹.中药穴位贴敷联合西药治疗小儿支原体肺炎临床研究[J].新中医,2022,54(5):186-189

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  • 在线发布日期: 2022-03-10
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