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目的:探讨人参五味子汤加减联合穴位敷贴治疗小儿哮喘缓解期的临床效果。方法:选择明确诊断为支气管哮喘缓解期、中医辨证为肺脾气虚证的患儿80例,随机分为治疗组与对照组,每组40例。两组患者均予以口服富马酸酮替芬治疗,治疗组再予人参五味子汤加减联合穴位敷贴治疗。观察两组患者不同时间点哮喘月发作次数及血清IgA、IgG水平的变化。结果:经不同治疗后,两组哮喘月发作次数均呈下降趋势;其中治疗组在4、12、24周时哮喘月发作次数均低于对照组,差异均有统计学意义(P<0.05)。两组血清IgA、IgG水平均呈上升趋势,其中治疗组在4、12、24周时血清IgA、IgG水平均高于对照组,差异均有统计学意义(P<0.05)。结论:人参五味子汤加减联合穴位敷贴治疗小儿哮喘缓解期,能有效提高机体免疫水平,降低患儿哮喘发作次数。
Objective: To investigate the clinical effect of Ginseng and Fructus Schisandra decoction combined with acupoint application in the treatment of pediatric asthma remission. Methods: Eighty children with definite diagnosis of bronchial asthma and TCM syndrome differentiation were randomly divided into treatment group and control group, 40 cases in each group. Two groups of patients were treated with oral ketotifen fumarate treatment group treated with ginseng decoction combined with acupuncture. The number of monthly episodes of asthma and serum IgA and IgG levels in two groups were observed at different time points. Results: The number of monthly episodes of asthma in both groups showed a decreasing trend after treatment. The number of monthly episodes of asthma at 4, 12 and 24 weeks in treatment group was lower than that in control group (P <0.05) . Serum IgA and IgG levels showed an upward trend in both groups. Serum IgA and IgG levels in the treatment group at 4, 12 and 24 weeks were significantly higher than those in the control group (P <0.05). Conclusion: Ginseng and Wuweizi decoction combined with acupoint application can relieve the remission of asthma in children, which can effectively improve the level of immunity and reduce the number of asthma attacks in children.