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为了深入探讨传统中医治疗方法对小儿痰湿蕴肺型咳嗽的治疗或辅助治疗效果,本研究以我院收治的92例小儿痰湿蕴肺型咳嗽病例为研究对象,按随机数字法等分为试验组(46例)和对照组(46例)。对照组患儿给予常规西医药物治疗,观察组患儿在对照组治疗方案基础上给予穴位敷贴联合拔罐治疗,在两种治疗方案治疗1个疗程(10 d)后进行临床疗效分析。研究结果显示,试验组的治疗总有效率(97.83%)显著优于对照组(86.96%),统计学分析具有显著差异性(p<0.05)。治疗后和治疗后1个月随访,试验组患儿咳嗽、咯痰、喘息、哮鸣等主要症状体征积分及主要症状总积分显著低于对照组,且试验组患儿的主要症状体征积分及主要症状总积分缓解速度明显优于对照组。治疗后两组患儿的免疫指标CD4+/CD8+值均显著高于治疗前(p<0.05),且治疗后试验组患儿的免疫指标CD4+/CD8+值显著高于对照组(p<0.05);两组患儿在治疗期间均未发生明显的心脑血管、过敏反应、神经系统等不良症状。我们的研究表明,西医方案辅以穴位敷贴及拔罐治疗在小儿痰湿蕴肺型咳嗽治疗中远期与近期疗效均较为确切,可有效改善患儿主要不良症状体征,提升患儿机体免疫水平,不失为一种小儿痰湿蕴肺型咳嗽临床治疗的有效辅助方案。
In order to further explore the traditional Chinese medicine treatment of pediatric phlegm dampness-type cough or adjuvant treatment effect, the study admitted to our hospital 92 cases of pediatric phlegm damp type lung cough cases as the research object, according to random number method is divided into The experimental group (46 cases) and the control group (46 cases). The control group of children given conventional Western medicine treatment, the observation group of children in the control group on the basis of the program of treatment given acupuncture plus cupping therapy, the two treatment regimens after a course of treatment (10 d) clinical efficacy analysis. The results showed that the total effective rate of treatment group (97.83%) was significantly better than that of the control group (86.96%), the statistical analysis was significantly different (p <0.05). After treatment and 1 month after treatment, the scores of cough, expectoration, wheezing, wheezing and other major symptoms and signs and the total score of the main symptoms in the experimental group were significantly lower than those in the control group. The scores of the main symptoms and signs in the experimental group and The main symptoms of total score relief rate was significantly better than the control group. After treatment, the immune index CD4 + / CD8 + of the two groups were significantly higher than those before treatment (p <0.05), and the immune index CD4 + / CD8 + of the experimental group was significantly higher than that of the control group after treatment (p <0.05). Two groups of children during the treatment did not occur obvious cardiovascular, allergic reactions, nervous system and other adverse symptoms. Our research shows that the western medicine program supplemented with acupuncture point application and cupping therapy in pediatric phlegm dampness-type cough treatment in the long-term and short-term curative effect are more exact, can effectively improve the symptoms of children with major adverse symptoms and enhance the level of immunity in children , After all, a kind of pediatric phlegm Yun lung-type cough clinical treatment of effective adjuvant programs.