雷火灸联合中药治疗小儿反复呼吸道感染肺脾气虚型的临床疗效评价

发布时间：2018-03-21 14:37

本文选题：反复呼吸道感染　切入点：雷火灸　出处：《北京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:比较雷火灸联合中药组与单纯中药组对小儿反复呼吸道感染肺脾气虚证感染次数、中医证候积分、免疫细胞因子的影响,拟揭示内服外治法优于单纯服用中药;拟定雷火灸治疗反复呼吸道感染的治疗方案。为外治法治疗反复呼吸道感染提供新的干预手段,丰富中医药治疗反复呼吸道感染的方法,以进一步提高治疗反复呼吸道感染的有效率。方法:将66例肺脾气虚型反复呼吸道感染患儿随机分治疗组和对照组,每组各33例。治疗组予雷火灸联合中药治疗;对照组仅用中药治疗,疗程均为2个月,随访6个月。结果:治疗组完成治疗31例,完成随访28例;对照组完成治疗32例,完成随访26例。治疗前2组患儿性别、年龄构成,发病种类,中医证候总积分及各证候积分,免疫细胞因子方面无显著性差异,具有可比性。治疗组疾病疗效有效率为89.29%,对照组为80.77%(P0.05)。治疗结束时,治疗组中医证候评分有效率为87.10%,对照组为75.00%(P0.05);治疗结束后6个月随访时,治疗组中医证候评分有效率为89.29%,对照组为84.62%(P0.05)。2组均可改善肺脾气虚证型患儿多汗、少食、面色少华、少气懒言、大便干结、大便溏薄的症状(P0.05)。2组组间同期对照显示治疗组在改善多汗、少气懒言、大便溏薄的症状方面比对照组有优势(P0.05),在改善少食、面色少华、大便干结证候方面2组未见显著性差异(P0.05)。患儿治疗前IL-10水平相对升高,IFN-γ水平相对降低,治疗结束时2组IL-10水平较均治疗前有所下降,IFN-γ 水平升高(P0.01)。结论:雷火灸联合中药治疗小儿反复呼吸道感染肺脾气虚型,能有效减少呼吸道感染发作次数,改善临床症状,提高患儿体质,增强免疫力,扶正固本。
[Abstract]:Objective: to compare the effects of thunder fire moxibustion combined with traditional Chinese medicine group and simple Chinese medicine group on infantile recurrent respiratory tract infection with deficiency of lung qi syndrome, TCM syndromes integral and immune cytokines. To draw up the treatment scheme of thunder fire moxibustion for recurrent respiratory tract infection, to provide a new intervention method for external treatment of recurrent respiratory tract infection, and to enrich the method of traditional Chinese medicine in the treatment of recurrent respiratory tract infection. Methods: 66 children with recurrent respiratory tract infection of lung and spleen qi deficiency type were randomly divided into treatment group and control group with 33 cases in each group. Results: 31 cases were treated in the treatment group, 28 cases were followed up in the control group, 32 cases were treated and 26 cases were followed up in the control group. There was no significant difference in the type of disease, the total integral of TCM syndromes and the integral of each syndrome, and the immune cytokines were comparable. The effective rate of disease in the treatment group was 89.29, and that in the control group was 80.77775. At the end of the treatment, the effective rate was 89.29. The effective rate of TCM syndrome score was 87.10 in the treatment group and 75.00 in the control group, and the effective rate of TCM syndrome score in the treatment group was 89.29 at the end of 6 months after treatment, and in the control group was 84.62P0.05.2. Compared with the control group, the control group showed that the treatment group had advantages over the control group in improving the symptoms of excessive sweating, less Qi lazy speech and loose stools. There was no significant difference in stool dry knot syndrome between the two groups (P 0.05). Before treatment, the level of IL-10 increased and the level of IFN- 纬 decreased. At the end of the treatment, the level of IL-10 in both groups was lower than that before treatment. Conclusion: Thunderfire moxibustion combined with traditional Chinese medicine can effectively reduce the number of episodes of respiratory tract infection and improve clinical symptoms in children with recurrent respiratory tract infection. Improve children's physique, enhance immunity, and strengthen the foundation.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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