| 引用本文: |
宋琛虹,初红霞,王亚琼.三伏贴穴位敷贴联合推拿防治小儿反复呼吸道感染的临床观察[J].湖南中医药大学学报,2020,40(8):987-991[点击复制] |
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| 三伏贴穴位敷贴联合推拿防治小儿反复呼吸道感染的临床观察 |
| 宋琛虹,初红霞,王亚琼 |
| (烟台芝罘医院中医科, 山东 烟台 264000;烟台毓璜顶医院心内科, 山东 烟台 264000;河南科技大学第一附属医院儿科, 河南 洛阳 471000) |
| 摘要: |
| 目的 探究三伏贴穴位敷贴联合推拿防治小儿反复呼吸道感染（recurrent respiration tract infections,RRTI）的临床疗效。方法 选取2018年4月至2019年2月于本院儿科就诊的RRTI患儿150例，按照随机数字表法分为A组、B组和C组，各50例。A组给予推拿治疗，B组给予三伏贴穴位敷贴治疗，C组给予三伏贴穴位敷贴联合推拿治疗。观察3组中医临床症候积分、临床疗效、细胞及体液免疫功能相关指标水平。结果 与治疗前比较，治疗后3组中医临床症候积分显著降低（P<0.05），且C组低于A组、B组（P<0.05）。C组总有效率为90.00%，高于A组的72.00%和B组的74.00%（P<0.05）。治疗后，3组CD3+、CD4+水平及CD4+/CD8+值均较治疗前升高（P<0.05），CD8+水平较治疗前降低（P<0.05）；治疗后，C组CD3+、CD4+水平及CD4+/CD8+值均高于A组、B组（P<0.05），CD8+水平低于A组、B组（P<0.05）。治疗后，3组IgA、IgG较治疗前均升高（P<0.05），C组IgM较治疗前升高（P<0.05），A组、B组IgM较治疗前差异无统计学意义（P>0.05）；治疗后，C组IgA、IgG、IgM均高于A组、B组（P<0.05）。结论 三伏贴穴位敷贴联合推拿治疗RRTI疗效显著，可显著降低患儿中医临床症候积分，改善细胞免疫与体液免疫指标水平，增强患者体质，提高临床疗效，此法安全高效，值得临床推广应用。 |
| 关键词: 小儿反复呼吸道感染 三伏贴 穴位敷贴 中医临床症候积分 免疫功能 |
| DOI：10.3969/j.issn.1674-070X.2020.08.014 |
| 投稿时间：2019-11-05 |
| 基金项目:河南省中医药管理局科研计划项目（2018Z265）。 |
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| Clinical Observation on Prevention and Treatment of Recurrent Respiratory Tract Infection in Children by Sanfu Acupoint Application Combined with Tuina |
| SONG Chenhong,CHU Hongxia,WANG Yaqiong |
| (Department of Traditional Chinese Medicine, Yantai Zhifu Hospital, Yantai, Shandong 264000, China;Department of Cardiology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, China;Department of Pediatrics, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang, Henan 471000, China) |
| Abstract: |
| Objective To investigate the clinical effect of Sanfu acupoint application combined with tuina in the prevention and treatment of recurrent respiratory tract infection (RRTI) in children. Methods From April 2018 to February 2019, 150 children with RRTI treated in the Department of Pediatrics of our hospital were randomly divided into a group A (n=50), group B(n=50) and group C (n=50). The group A was treated with tuina. The group B was treated with Sanfu acupoint application, and the group C was treated with Sanfu acupoint application combined with tuina. The TCM clinical syndrome score, clinical curative effect, cellular and humoral immune function of the 3 groups were compared. Results Compared with pre-treatment, the score of TCM clinical syndromes in the 3 groups decreased significantly after treatment (P<0.05). The scores of in the group C were lower than those in the group A and the group B. The total effective rate in the group C was 90.00%, which was higher than 72.00% in the group A and 74.00% of the group B (P<0.05). After treatment, the levels of CD3+, CD4+ and CD4+/CD8+ of the 3 groups were increased than before treatment (P<0.05), and CD8+ level was decreased than before treatment (P<0.05). After treatment, the CD3+, CD4+ levels and CD4+/CD8+ value of the group C were higher than those of the group A and the group B (P<0.05), and the level of CD8+ was lower than the group A and the group B (P<0.05). After treatment, the levels of IgA and IgG in the 3 groups were increased than before treatment (P<0.05), and IgM in the group C was increased than before treatment (P<0.05). There was no significant difference in IgM in the group A and B compared with before treatment (P>0.05); After treatment, IgA, IgG and IgM in the group C were higher than those in the group A and the group B (P<0.05). Conclusion Sanfu acupoint application combined with tuina has significant clinical effects in the treatment of RRTI, which can significantly reduce the score of TCM clinical symptoms of children, improve the level of cellular immunity and humoral immunity, strengthen the physique of patients, improve the clinical curative effect. It is safe and efficient, which is worth popularizing and applying in clinic. |
| Key words: repeated respiratory tract infection in children Sanfu paste acupoint application TCM clinical symptoms immunologic function |
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