ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (5): 512-514.doi: 10.3969/j.issn.167-43865.2016.04.017

• 临床研究 • 上一篇    下一篇

中药口服、熏洗、灸疗治疗小儿腹型过敏性紫癜疗效观察

温玉玲，王瑛，金福厚   

  1. 161000 黑龙江 齐齐哈尔，齐齐哈尔市中医院儿科
  • 出版日期:2016-10-25 发布日期:2017-12-08
  • 通讯作者: 温玉玲，E-mail：22528271@qq.com
  • 作者简介:温玉玲(1976-)，女，医学硕士，副主任医师。研究方向：小儿哮喘及紫癜的诊断与治疗

Effect of Chinese medicine orally taken, fumigation and moxibustion in the treatment of children with abdominal-type allergic purpura

WEN Yuling，WANG Ying，JIN Fuhou   

  1. Qiqihaer Hospital of Traditional Chinese Medicine，Qiqihaer 161000,China.
  • Online:2016-10-25 Published:2017-12-08

PDF (PC)

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摘要：
目的： 观察中医中药内服加外治的方法治疗腹型过敏性紫癜的疗效。
方法：2010年1月至2014年1月齐齐哈尔市中医院儿科收治住院的腹型过敏性紫癜患儿60例，随机分为对照组和观察组各30例。对照组口服强地松片及维生素C丸，观察组采用中药汤剂口服配合中药熏洗双足、艾灸仪灸疗腹部穴位的方法，疗程均为2周，比较两组总体治疗效果、消除皮肤紫癜及缓解腹部疼痛时间、用药不良反应的情况。
结果：观察组总有效率为100.0%(30/30)，显著高于对照组66.7%(20/30)，差异有统计学意义(P<0.05)。观察组皮肤紫癜消退和腹痛缓解时间均低于对照组，差异有统计学意义(P<0.05)。两组均未发生不良反应情况。
结论：中药汤剂口服加中药熏洗双足及灸疗腹部穴位的方法治疗小儿腹型过敏性紫癜的效果显著，可明显消除患儿皮肤紫癜、缓解腹痛，用药的不良反应较少，具有很高的安全性，值得临床推广使用。

关键词: 腹型紫癜, 中药, 熏洗, 灸法, 儿童

Abstract:
Objective ：To observe the effect of traditional Chinese medicine orally taken and externally applied in the treatment of abdominal allergic purpura.
Methods： Sixty children with abdominal allergic purpura hospitalized in Qiqihaer TCM Hospital from January 2010 to January 2014 were randomly divided into two groups: observation group(30 cases) and control group(30 cases).The control group was given prednisone tablets and Vc pill, while the observation group was given decoction of Chinese medicine, plus feet fumigation with medicinal herbs and moxibustion of abdominal acupoints. The treatment lasted for 2 weeks for both groups. Compare the treatment effect, time length for purpura to disappear and for abdominal pain to be relieved, and the adverse reactions.
Results： The total effective rate of the observation group was 100.0%(30/30), significantly higher than the control group（66.7%,20/30）, with statistical difference(P<0.05).Both of the time length were shorter in observation group, and the difference was statistically significant(P<0.05).There was no adverse reactions in both groups.
Conclusion： The method of orally taking decoction of Chinese medicine plus feet fumigation with medicinal herbs and moxibustion of abdominal acupoints has great effect in the treatment of children with abdominal allergic purpura, which can remove the purpura and relieve abdominal pain and has fewer adverse reactions. It is very safe and worthy of clinical application.

Key words: Abdominal purpura, Chinese medicine, Fumigation, Moxibustion, Children