五物甘草生摩膏穴位推拿防治肺脾气虚证脑瘫患儿反复呼吸道感染临床研究
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R725.6

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河南省中医药科学研究专项课题资助项目(2021JDZY048)


Clinical Study on Acupoints Massage with Wuwu Gancao Shengmo Ointment for Prevention and Treatment of Recurrent Respiratory Tract Infection in Children with Cerebral Palsy with Lung-Spleen Qi Deficiency Syndrome
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    摘要:

    目的:观察五物甘草生摩膏穴位推拿防治肺脾气虚证脑瘫患儿反复呼吸道感染(RRTI) 的临床疗 效。方法:将60例2022年3月—2023年4月于河南中医药大学第一附属医院就诊的肺脾气虚证RRTI脑瘫患 儿,采用随机数字表法分为观察组与对照组各30例。观察组以五物甘草生摩膏为介质进行穴位推拿治疗,对 照组给予口服脾氨肽治疗。疗程8周,观察2组临床疗效、中医证候评分;随访12个月,记录2组呼吸道感染 减少次数及不良反应。结果:观察组总有效率为93.33%(27/30),对照组为63.33%(19/30),2组比较,差异 有统计学意义(P<0.05)。治疗后,2组恶风、自汗、气短、面色苍白、少气懒言、不思饮食、形体消瘦、大 便溏薄等中医证候评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。随访12个 月,观察组呼吸道感染减少次数明显多于对照组(P<0.05);其中观察组上呼吸道感染减少次数多于对照 组(P<0.05),2组下呼吸道感染(包括气管炎/支气管炎感染、肺炎感染) 减少次数比较,差异无统计学意 义(P>0.05)。治疗期间,2组患儿均未见明显不良反应。结论:五物甘草生摩膏穴位推拿治疗能改善肺脾气 虚证脑瘫患儿RRTI的临床症状,减少上呼吸道感染次数,且远期疗效较好。

    Abstract:

    Abstract:Objective:To observe the clinical effect of acupoints massage with Wuwu Gancao Shengmo Ointment on the prevention and treatment of recurrent respiratory tract infection( RRTI) in children with cerebral palsy with lungspleen qi deficiency syndrome. Methods:A total of 60 cases of RRTI children with cerebral palsy with lung-spleen qi deficiency syndrome admitted to the First Affiliated Hospital of Henan University of Chinese Medicine from March 2022 to April 2023 were selected and divided into the treatment group and the control group according to the random number table method,with 30 cases in each group. The observation group was treated with acupoint massage with Wuwu Gancao Shengmo Ointment,and the control group was given oral administration of Spleen Aminopeptide. The course of treatment was 8 weeks. The clinical effects and traditional Chinese medicine (TCM) syndrome scores in the two groups were observed;the patients were followed up for 12 months,and the reduction in times of respiratory tract infection and the incidence of adverse reactions in the two groups were recorded. Results:The total effective rate was 93.33%(27/ 30) in the observation group and 63.33%( 19/30)in the control group,the difference being significant( P<0.05). After treatment, the TCM syndrome scores of aversion to wind, spontaneous sweating, shortness of breath, pale complexion,shortage of qi and disinclination to talk,no thought of food and drink,emaciation,and loose stools in the two groups were dwindled when compared with those before treatment (P<0.05), and the above scores in the observation group were lower than those in the control group (P<0.05). After 12 months of follow-up, the times of respiratory tract infection in the observation group were significantly lower than those in the control group (P<0.05); the reduction in times of upper respiratory tract infection in the observation group was better than that in the control group( P<0.05),and there was no significant difference being found in the reduction in times of lower respiratory tract infection (tracheitis/bronchitis infection and pneumonia infection) between the two groups (P>0.05). During the treatment,there were no obvious adverse reactions in the two groups. Conclusion:The acupoints massage with Wuwu Gancao Shengmo Ointment can improve the clinical symptoms of recurrent respiratory tract infection in children with cerebral palsy with lung-spleen qi deficiency syndrome,and reduce the times of respiratory tract infection with a great long-term curative effect.

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张争艳,王俊玲,李洁,白青云,都修波.五物甘草生摩膏穴位推拿防治肺脾气虚证脑瘫患儿反复呼吸道感染临床研究[J].新中医,2025,57(2):143-147

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  • 在线发布日期: 2025-02-05
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