论文部分内容阅读
[目的]观察冬病夏治穴位贴敷联合西药治疗小儿支气管哮喘疗效。[方法]使用随机平行对照方法,将28例门诊患者按就诊顺序号法简单随机分为两组。对照组14例3mg~4mg/(kg·d)氨茶碱+100m L 5%葡萄糖,1次/d,静滴;10mg/(kg·d)琥珀酸氢化可的松+100m L 5%葡萄糖,1次/d,静滴。治疗组14例冬病夏治穴位贴敷,三伏天将细辛、苍耳子、白芥子、附子按1:1.5:1:1比例,蜂蜜或鲜姜汁调制成饼;贴敷膻中穴、膏盲穴、肺俞穴、定喘穴、大椎穴,热性体质加石膏、夏枯草比例为2:1;根据肌肤承受情况,调整贴敷时间,1h~3h/次,1次/3d~5d;西药治疗同对照组。连续治疗21d为1疗程。观测临床症状、发作程度、发作频率、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈6例,显效6例,有效2例,无效0例,总有效率100.00%。对照组痊愈2例,显效5例,有效3例,无效4例,总有效率71.43%。治疗组疗效优于对照组(P<0.05)。两组相关指标均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。[结论]冬病夏治穴位贴敷联合西药治疗小儿支气管哮喘疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of winter cure summer acupoint sticking combined with western medicine in treating pediatric bronchial asthma. [Methods] Using randomized parallel control method, 28 outpatients were randomly divided into two groups according to the sequence number of visiting doctor. The control group received intravenous infusion of 10 mg / (kg · d) hydrocortisone succinate + 100 m L of 5% dextrose , 1 / d, intravenous infusion. In the treatment group, 14 cases of winter disease were treated with summer acupuncture points, and the ascites, Xanthium sibiricum, Mustard Seed and Aconitum were mixed into 1: 1.5: 1: 1 ratio, , Cream blind spot, Feishu point, Dingchuan point, Dazhui, hot physique plus gypsum, Prunella ratio 2: 1; According to the skin to withstand the situation, adjust the application time, 1h ~ 3h / times, 1 time / 3d ~ 5d; Western medicine treatment with the control group. Continuous treatment of 21d for a course of treatment. Observation of clinical symptoms, degree of attack, frequency of seizures, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 6 cases, 6 cases markedly effective, 2 cases effective, 0 cases ineffective, the total effective rate was 100.00%. The control group recovered 2 cases, markedly effective in 5 cases, effective in 3 cases, ineffective in 4 cases, the total effective rate was 71.43%. The treatment group was better than the control group (P <0.05). The related indexes of both groups were improved (P <0.05), and the treatment group improved better than the control group (P <0.05). [Conclusion] The treatment of pediatric bronchial asthma with winter disease and summer acupoint sticking combined with Western medicine has satisfactory curative effect and no serious adverse reactions, which deserved promotion.