剌四缝、拿肩井、拍背疗法佐治儿童喘息性支气管炎的疗效评价

发布时间：2018-03-29 11:23

本文选题：喘息性支气管炎　切入点：热哮证　出处：《南京中医药大学》2012年硕士论文

【摘要】：目的：1.通过对文献的研究,了解儿童喘息性支气管炎的传统医学以及现代医学的研究概况。 2.通过对疾病疗效评价和中医症候疗效评价,探讨并临床验证中医外治法(刺四缝、拿肩井、拍背疗法)对儿童喘息性支气管炎的辅助治疗意义,以期形成治疗喘息性支气管炎简便、有效、经济、安全并适于推广的治疗方案。方法：1.文献研究：通过查阅古代、现代以及国内外有关喘息性支气管炎的研究文献,对儿童喘息性支气管炎的中西医研究状况进行总结和学习。 2.临床研究：本次采用随机、平行对照的研究方法,于江苏省中医院门诊及住院部随机抽取临床试验总病例48例,按1∶1随机分为中医治疗组、西医对照组两组接受观察,每组24例。西医对照组采用西医常规治疗,中医治疗组除常规治疗外加用中医外治法(刺四缝、拿肩井、拍背疗法)。观察治疗前后咳嗽、痰壅、气喘(呼吸次数)、肺部听诊、精神、食欲食量等情况的改变。将喘息性支气管炎热哮证的症状进行量化积分,根据(治疗前总积分-治疗后总积分)/治疗前总积分来计算疗效指数作为临床观察的依据,探讨中医外治法(刺四缝、拿肩井、拍背疗法)对儿童喘息性支气管炎的辅助治疗意义。结果：两组患儿临床疗效经统计学处理有统计学意义(P0.05),且治疗组优于对照组。治疗前治疗组与对照组各项基本条件、病情轻重、主次症积分、总积分相比均无显著差异。经秩和统计学分析,治疗组在改善患儿咳嗽、痰壅、哮鸣音等主要症状方面优于对照组(P0.05),具有显著性统计学差异,在改善患儿喘息、紫绀、心率方面,两组在最终结果上无明显差异(P0.05)。治疗后治疗组在改善患儿精神、食欲、二便、汗出、舌象等次要症状方面优于对照组(P0.05),具有显著性统计学差异,在改善患儿体温、面色、口渴、恶心呕吐方面两组无明显差异(P0.05)。但是治疗组在缓解患儿咳嗽、喘息、痰壅、哮鸣音等主要症状方面所需时间明显少于对照组(P0.01),具有显著性统计学差异。结论：中医外治法辅助治疗儿童喘息性支气管炎是有效的方法。
[Abstract]:Objective to study the traditional medicine and modern medicine in children with asthmatic bronchitis. 2. By evaluating the curative effect of disease and syndrome of TCM, the significance of external treatment of TCM (pricking four seams, holding shoulder well, clapping back therapy) to children's wheezing bronchitis was discussed and verified. In order to form a simple, effective, economical, safe and suitable for the treatment of asthmatic bronchitis. Methods: literature study: by referring to ancient, modern and domestic literatures on asthmatic bronchitis, the research status of TCM and Western medicine in children with wheezing bronchitis was summarized and studied. 2. Clinical study: in this study, 48 cases of clinical trial were randomly selected from outpatient and inpatient department of Jiangsu Provincial traditional Chinese Medicine Hospital by a randomized, parallel control method. According to 1:1, 48 cases were randomly divided into traditional Chinese medicine treatment group and western medicine control group. There were 24 cases in each group. The western medicine control group was treated with routine western medicine, while the traditional Chinese medicine treatment group was treated with external Chinese medicine therapy in addition to routine treatment (pricking four seams, holding shoulder well, patting back therapy, etc.) before and after treatment, cough, phlegm obstruction, asthma (respiratory frequency, lung auscultation) were observed. The symptoms of asthmatic bronchitis heat wheezing syndrome were quantified and the curative effect index was calculated according to the total score before and after treatment / the total integral before and after treatment as the basis of clinical observation. Objective: to explore the significance of external therapy of traditional Chinese medicine (pricking four seams, holding shoulder well, clapping back therapy) in children with wheezing bronchitis. Results: the clinical efficacy of the two groups was statistically significant (P 0.05), and the treatment group was superior to the control group. By rank sum statistical analysis, the treatment group was superior to the control group in improving the main symptoms such as cough, phlegm, wheezing, etc. There was no significant difference in heart rate between the two groups in the final results. After treatment, the treatment group was superior to the control group in improving the mental state, appetite, stool, sweating, tongue appearance and other minor symptoms. There was significant statistical difference in the improvement of the temperature of the children. There was no significant difference in facial color, thirst, nausea and vomiting between the two groups. However, the time needed to relieve the main symptoms of cough, asthma, phlegm and wheezing in the treatment group was significantly less than that in the control group (P 0.01). Conclusion: external treatment of TCM is an effective method to treat asthmatic bronchitis in children.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R725.6

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