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 ›› 2018, Vol. 10 ›› Issue (4): 319-322.doi: 10.3969/j.issn.1674-3865.2018.04.014

• 临床研究 • 上一篇    下一篇

中药内服加捏积外治法联合吸入疗法治疗毛细支气管炎疗效观察

张美芳，张倩，刘晓娜，季红英，王小洁，王云霞，董秋菊，张文慧   

  1. 056000 河北 邯郸，邯郸市妇幼保健院儿科（张美芳，季红英，王小洁，王云霞，董秋菊）；056000 河北 邯郸，邯郸市妇幼保健院儿科（张倩）；056000 河北 邯郸，河北工程大学附属医院儿科（刘晓娜）；056000 河北 邯郸，永年光明医院儿科（张文慧）
  • 出版日期:2018-08-25 发布日期:2018-12-03
  • 通讯作者: 张倩，E-mail：531466956@qq.com
  • 作者简介:张美芳（1965-），女，主任医师。研究方向：儿科疾病的中医治疗

Effect of taking Chinese medicine orally combined with external treatment of pinching spine and inhalation therapy in the treatment of bronchiolitis

ZHANG Meifang, ZHANG Qian, LIU Xiaona, JI Hongying, WANG Xiaojie, WANG Yunxia, DONG Qiuju, ZHANG Wenhui   

  1. Handan Maternal and Child Healthcare Hospital, Handan 056000, China
  • Online:2018-08-25 Published:2018-12-03

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摘要：
目的
观察中药内服加捏积外治法联合吸入疗法治疗毛细支气管炎的疗效。
方法
2015年8月至2016年10月邯郸市妇幼保健院、永年光明医院儿科门诊收治的毛细支气管炎患儿150例，随机分为观察组和对照组各75例。两组均予吸氧、抗病毒、吸痰等综合治疗基础上给予复方异丙托溴铵溶液和吸入性布地奈德溶液，合并细菌感染者加用抗生素。对照组采用西医治疗，缓解后不予干预；观察组采用中西医结合治疗，中药应用自拟方剂脱敏调体方（防风5 g，乌梅、蝉蜕、灵芝各2 g），急性症状缓解后配合冯氏捏积治疗。观察两组本次发病喘息缓解时间、患儿喘息复发率及临床疗效。
结果
观察组哮鸣音消失时间和咳嗽消失时间显著少于对照组，差异有统计学意义（P<0.01）。观察组1年内未复发率为69.3%（52/75），高于对照组38.6%（29/75），差异有统计学意义（P<0.01）。观察组治疗后总有效率为97.3%（73/75），高于对照组74.7%（56/75），差异有统计学意义（P<0.01）。
结论
运用中药内服加捏积外治方法联合吸入疗法治疗毛细支气管炎，对预防该病反复喘息，取得满意的疗效。

关键词: 毛细支气管炎, 喘息, 中西医结合, 序贯疗法, 儿童

Abstract:
Objective:
To observe the effect of taking Chinese medicine orally combined with external treatment of pinching spine and inhalation therapy in the treatment of bronchiolitis.
Methods:
A total of 150 children with bronchiolitis treated in our hospital from Aug. 2015 to Oct. 2016 were included in the study, and they were randomly divided into two groups: observation group(75 cases) and control group(75 cases). Both groups were given comprehensive treatment of oxygen inhalation, anti-virus and sputum suction; in addition, compound ipratropium bromide solution and inhaled budesonide solution were given, and antibiotics were used for those with infection. The control group was treated with western medicine and was not intervened after relief; the observation group was treated with integrated Chinese and western medicine: for Chinese medicine, a self-mode prescription was used(5 g of radix sileris, 2 g of dark plum, 2 g of cicada, and 2 g of Ganodorma lucidum), and when the acute symptoms were relieved, Feng's spine-pinching was performed. Observe the relief time of wheezing, the recurrence rate and the clinical effect of the two groups.
Results:
The disappearance time of wheezing rales and cough in the observation group was significantly shorter than in the control group, and the difference was statistical(P<0.01). The nonrecurrence rate within one year in observation group was 69.3%(52/75), higher than the control group (38.6%,29/75), and there was statistical difference(P<0.01).After treatment, the total effective rate in observation group was 97.3%(73/75), higher than that in control group(74.7%,56/75), the difference being statistical(P<0.01).
Conclusion:Taking Chinese medicine orally combined with external treatment of pinching spine and inhalation therapy has satisfactory effect in the treatment of bronchiolitis, and can prevent recurrent wheezing of this disease.

Key words: Bronchiolitis, Wheezing, Integrated Chinese and western medicine, Sequential therapy, Child