蜜芽太极罐联合常规疗法治疗儿童肺炎支原体肺炎风热闭肺证临床研究
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R725.6;R272

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浙江省中医药科技计划项目(2025ZL447)


Clinical Study on Miya Taiji Moving-Cupping Therapy Combined with Conventional Therapy for Mycoplasma Pneumoniae Pneumonia with Wind and Heat Blocking the Lung Syndrome in Children
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    摘要:

    目的:观察蜜芽太极罐联合常规疗法治疗儿童肺炎支原体肺炎(MPP) 风热闭肺证的临床疗效。 方法:选取2024年6月—2025年3月在杭州市红十字会医院儿科住院治疗的160例MPP风热闭肺证患儿,按随 机数字表法分为对照组、拔罐组、刮痧组及观察组,每组40例。4组均使用现代医学常规疗法治疗,拔罐组加 用拔罐疗法,刮痧组加用刮痧疗法,观察组加用蜜芽太极罐疗法。4组均治疗5天。记录患儿的退热时间、咳 嗽消失时间及住院时间;治疗前后检测炎症指标[血清C-反应蛋白(CRP)、血沉(ESR)、降钙素原(PCT)]、 免疫功能指标[免疫球蛋白(Ig) A、IgG、IgM]及谷丙转氨酶(ALT)、肌酸激酶同工酶(CK-MB)、D-二聚体 水平,评估症状与体征评分;比较4 组的临床疗效。结果:治疗后,4 组总有效率比较,差异有统计学意 义(P<0.05)。观察组的总有效率高于对照组、拔罐组及刮痧组,差异均有统计学意义(P<0.05),对照组、 拔罐组及刮痧组的总有效率两两比较,差异均无统计学意义(P>0.05)。4组的症状与体征积分均随治疗时间 的延长呈下降趋势。4组治疗3天后、治疗5天后的症状与体征积分整体比较,差异均有统计学意义(P< 0.05)。治疗3天后,4组的症状与体征积分均较治疗前、治疗1天后降低,差异均有统计学意义(P<0.05)。 治疗5天后,4组的症状与体征积分均较治疗前、治疗1天后、治疗3天后降低,差异均有统计学意义(P< 0.05)。观察组治疗3天后、治疗5天后的症状与体征积分均低于同期对照组、拔罐组及刮痧组,差异均有统计 学意义(P<0.05);拔罐组、刮痧组治疗3天后、治疗5天后的症状与体征积分均低于同期对照组,差异均有 统计学意义(P<0.05)。4组的退热时间、咳嗽消失时间、住院时间分别进行整体比较,差异均有统计学意 义(P<0.05)。观察组的退热时间、咳嗽消失时间、住院时间均短于对照组、拔罐组及刮痧组,差异均有统计 学意义(P<0.05)。拔罐组、刮痧组及对照组的退热时间两两比较,差异均无统计学意义(P>0.05)。拔罐 组、刮痧组的咳嗽消失时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。治疗5天后,4组的 血清CRP、ESR、PCT、IgA、IgG、IgM、CK-MB、ALT及D-二聚体水平分别进行整体比较,差异均有统计学 意义(P<0.05);4组的血清CRP、ESR、PCT、CK-MB、ALT及D-二聚体水平均较治疗前下降,差异均有统 计学意义(P<0.05);观察组的血清CRP、ESR、PCT、CK-MB、ALT及D-二聚体水平均低于对照组、拔罐组 及刮痧组,差异均有统计学意义(P<0.05);拔罐组、刮痧组的血清CRP、ESR水平均低于对照组,差异均有 统计学意义(P<0.05)。4组的血清IgA、IgG、IgM水平均较治疗前升高,差异均有统计学意义(P<0.05);观 察组的血清IgA、IgG、IgM水平均高于对照组、拔罐组及刮痧组,差异均有统计学意义(P<0.05);拔罐组、 刮痧组及对照组的血清IgA、IgG、IgM、PCT、CK-MB、ALT 及D-二聚体水平比较,差异均无统计学意 义(P>0.05)。结论:采用蜜芽太极罐联合常规疗法治疗MPP风热闭肺证患儿,与单纯常规疗法及联合传统拔 罐、刮痧疗法相比,其在缓解临床症状、缩短病程、降低炎症反应、改善免疫功能及器官损伤方面更具优势。

    Abstract:

    Abstract: Objective: To observe the clinical effect of miya taiji moving-cupping therapy combined with conventional therapy on mycoplasma pneumoniae pneumonia (MPP) with wind and heat blocking the lung syndrome in children. Methods:A total of 160 MPP children with wind and heat blocking the lung syndrome who were hospitalized in the Department of Pediatrics,Hangzhou Red Cross Hospital from June 2024 to March 2025 were selected and divided into the control group, the cupping group, the scraping group, and the observation group according to the random number table method, with 40 cases in each group. The four groups were given conventional therapy of modern medicine,the cupping group was additionally treated with cupping therapy,the scraping group was additionally treated with scraping therapy,and the observation group additionally treated with miya taiji moving-cupping therapy. The four groups were treated for five days. The time for abatement of fever, disappearance time of cough, and hospitalization time were recorded; the levels of inflammatory indexes [serum C-reactive protein (CRP),erythrocyte sedimentation rate (ESR), procalcitonin (PCT)], immune function indexes [immunoglobulin (Ig)A, IgG, IgM], alanine aminotransferase (ALT), creatine kinase isoenzyme (CK-MB), and D-dimer were detected before and after treatment, and the scores of symptoms and signs were evaluated; the clinical effects were compared among the four groups. Results:After treatment,there was significant difference being found in the comparison of the total effective rate among the four groups( P<0.05). The total effective rate in the observation group was higher than that in the control group,the cupping group,and the scraping group (P<0.05). There were no significant differences being found in the comparison of the total effective rate among the control group,the cupping group,and the scraping group (P>0.05). The scores of symptoms and signs in the four groups decreased with the prolonged treatment time. There were significant differences being found in the comparisons of scores of symptoms and signs among the four groups after three days and five days of treatment (P<0.05). After three days of treatment, the scores of symptoms and signs in the four groups decreased when compared with those before treatment and after one day of treatment (P<0.05). After five days of treatment,the scores of symptoms and signs in the four groups decreased when compared with those before treatment, one day after treatment and three days after treatment (P<0.05). The scores of symptoms and signs in the observation group after three days and five days of treatment were lower than those in the control group,the cupping group,and the scraping group (P<0.05). The scores of symptoms and signs in the cupping group and the scraping group after three days and five days of treatment were lower than those in the control group (P<0.05). The time for abatement of fever, disappearance time of cough, and hospitalization time were compared among the four groups as a whole, differences being significant( P<0.05). The above three times in the observation group were shorter than those in the control group, the cupping group, and the scraping group, differences being significant (P<0.05). There was no statistically significant difference in the time for abatement of fever among the cupping therapy group, scraping therapy group, and control group (P>0.05). The disappearance time of cough and hospitalization time in the cupping group and the scraping group were shorter than those in the control group,differences being significant (P<0.05). After five days of treatment,the levels of serum CRP,ESR,PCT,IgA,IgG,IgM,CK-MB,ALT,and D-dimer were compared among the four groups as a whole, differences being significant (P<0.05); the levels of serum CRP, ESR, PCT, CK-MB,ALT,and D-dimer in the four groups reduced when compared with those before treatment,differences being significant (P<0.05);the levels of serum CRP,ESR,PCT,CK-MB,ALT,and D-dimer in the observation group were lower than those in the control group, the cupping group, and the scraping group, differences being significant (P<0.05). The levels of serum CRP and ESR in the cupping group and the scraping group were lower than those in the control group,differences being significant (P<0.05). The levels of serum IgA,IgG,and IgM in the four groups increased when compared with those before treatment,differences being significant (P<0.05);the above three levels in the observation group were higher than those in the control group,the cupping group,and the scraping group, differences being significant (P<0.05);there were no significant differences being found in the comparisons of serum IgA,IgG,IgM,PCT,CK-MB,ALT,and D-dimer levels among the cupping group,the scraping group,and the control group (P>0.05). Conclusion:Compared to conventional therapy alone or combined with traditional cupping and scraping therapies, miya taiji moving-cupping therapy combined with conventional therapy is more effective in alleviating clinical symptoms, shortening the course of the disease, reducing inflammatory responses, improving immune function,and mitigating organ damage in the treatment of MPP in children with wind and heat blocking the lung syndrome.

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陈雅茹,姜宁,林晓佩.蜜芽太极罐联合常规疗法治疗儿童肺炎支原体肺炎风热闭肺证临床研究[J].新中医,2026,58(5):131-138

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  • 在线发布日期: 2026-03-12
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