论文部分内容阅读
[目的]观察清肺贴穴位贴敷联合西药治疗小儿急性支气管炎疗效。[方法]使用随机平行对照方法,将108例门诊患者按就诊顺序编号方法简单随机分为两组。对照组54例对症治疗,止咳、抗生素、抗病毒,营养支持。治疗组54例清肺贴(银花、前胡、紫菀、冬花、百部、浙贝、矮地茶、枳壳、鱼腥草等打成粉末,用凡士林制成药膏)穴位贴敷,将带有药膏的自粘性消毒敷料贴于双侧肺腧、膻中穴、天突、丰隆穴位,1次/d,4~6h/次;西药治疗同对照组。连续治疗5d为1疗程。观测临床症状、中医证候积分、咯痰、咳嗽、湿啰音消失时间、不良反应。治疗1疗程(5d),判定疗效。[结果]治疗组痊愈7例,显效31例,有效14例,无效2例,总有效率96.29%;对照组痊愈3例,显效27例,有效20例,无效4例,总有效率92.59%;两组间无明显差异(P>0.05)。中医证候积分两组均明显改善(P<0.01),治疗组改善优于对照组(P<0.01);咯痰、咳嗽、湿罗音消失时间治疗组均明显快于对照组(P<0.01)。[结论]清肺贴穴位贴敷联合西药治疗小儿急性支气管炎,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Qingfei plaster acupoint sticking combined with Western medicine in treating pediatric acute bronchitis. [Methods] Using randomized parallel control method, 108 outpatients were randomly divided into two groups according to the sequence number of visiting doctor. The control group of 54 patients symptomatic treatment, cough, antibiotics, antivirals, nutritional support. The treatment group, 54 cases of Qingfei paste (Yinhua, Qianhu, aster, winter flowers, one hundred, Zhejiang shellfish, short dry tea, Citrus aurantium, Houttuynia and other labeled as powder, made with ointment Ointment) The self-adhesive disinfection dressing with ointment affixed to the bilateral lung 膻, 膻 points, celestial sudden, Feng long points, 1 / d, 4 ~ 6h / time; western medicine treatment with the control group. Continuous treatment of 5d for a course of treatment. Observation of clinical symptoms, TCM syndrome score, expectoration, cough, wet rales disappear time, adverse reactions. Treatment of 1 course of treatment (5d), determine the efficacy. [Results] In the treatment group, 7 cases were cured, 31 cases were markedly effective, 14 cases were effective, 2 cases were ineffective and the total effective rate was 96.29%. In the control group, 3 cases were cured, 27 cases markedly effective, 20 effective and 4 ineffective. The total effective rate was 92.59% There was no significant difference between the two groups (P> 0.05). TCM syndromes scores were significantly improved in both groups (P <0.01), treatment group improved better than the control group (P <0.01); sputum, cough, wet rales disappear time treatment group were significantly faster than the control group (P <0.01 ). [Conclusion] Qingfei plaster acupoint sticking combined with Western medicine in treating pediatric acute bronchitis has satisfactory curative effect and no serious adverse reactions, which deserves promotion.