清热祛痰推拿法联合西药治疗大叶性肺炎患儿的临床分析

发布时间：2018-04-28 19:46

本文选题：清热祛痰推拿法 + 西药　；参考：《中华医院感染学杂志》2017年19期

【摘要】：目的观察分析清热祛痰推拿法联合西药治疗大叶性肺炎患儿的临床疗效。方法全部病例选自医院2015年1月-2016年5月收治的痰热闭肺型大叶性肺炎患儿86例,随机分为观察组(清热祛痰推拿法+西药)与对照组(西药),各43例,治疗7天后观察两组患者临床疗效及相关体征改善情况,评价患儿肺功能情况:包括达峰容积比(VPTEF/VE)达峰时间比(TPTEF/TE);并记录与治疗及用药相关的不良反应发生情况。结果治疗后观察组患者总有效率为93.02%显著高于对照组72.09%(P0.05)。治疗后,观察组患儿的咳嗽持续时间、退热时间均短于对照组,差异具有统计学意义(P0.05);两组患儿肺部体征消失时间差异无统计学意义。治疗前两组患儿TPTEF/TE及VPTEF/VE比值水平,差异无统计学意义;治疗后观察组患儿TPTEF/TE为(33.03±4.25)、VPTEF/VE为(35.37±6.21)均高于对照组(30.35±4.64)、(29.92±6.98)(P0.05),两组治疗后TPTEF/TE及VPTEF/VE表达均高于治疗前(P0.05)。观察组总不良反应发生率9.30%显著低于对照组30.23%。结论清热祛痰推拿法联合西药治疗儿童大叶性肺炎临床疗效确切,能缩短发热及咳嗽持续时间,改善患儿肺功能,且能够减少药物不良反应。
[Abstract]:Objective To observe and analyze the clinical effect of clearing heat and removing phlegm and massage with western medicine in the treatment of children with lobar pneumonia. Methods all cases were selected from 86 children with phlegm lobar pneumonia treated in the hospital in May -2016 January 2015. They were randomly divided into the observation group (the method of clearing heat, removing phlegm and massage plus Western Medicine) and the control group (Western Medicine), each of them was observed for 7 days after 7 days of treatment. The two groups of patients' clinical efficacy and related physical signs were improved, and the pulmonary function of the children was evaluated, including peak to volume ratio (VPTEF/VE) peak time ratio (TPTEF/TE), and the occurrence of adverse reactions related to treatment and medication. The total effective rate of the patients in the observation group was 93.02% significantly higher than that of the control group (72.09%) after treatment (P0.05). After treatment, the view was observed. The duration of cough in the group of children was shorter than that of the control group, and the difference was statistically significant (P0.05). There was no significant difference between the two groups of children's pulmonary signs disappearance time. There was no significant difference in the TPTEF/TE and VPTEF/VE ratio levels in the two groups of children before treatment, and the children in the observation group were (33.03 + 4.25) and VPTEF/VE was VPTEF/VE after treatment. (35.37 + 6.21) was higher than that of the control group (30.35 + 4.64), (29.92 + 6.98) (P0.05). The expression of TPTEF/TE and VPTEF/VE in the two groups was higher than that before the treatment (P0.05). The incidence of total adverse reactions in the observation group was 9.30% significantly lower than that of the control group 30.23%. conclusion the clinical efficacy of clearing heat and phlegm and massage combined with western medicine in the treatment of large lobar pneumonia in children could shorten the fever. And cough duration can improve lung function and reduce adverse drug reactions.

【作者单位】：杭州市中医院推拿科;杭州市中医院感染科;杭州市中医院儿科;杭州市红十字会医院推拿科;
【基金】：浙江省医药卫生一般研究基金资助项目(2014KYB205)
【分类号】：R725.6

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