| 引用本文:薛明，达春水，刘佳淳子，田新峰，凌子恒.冬病夏治穴位贴敷联合中医辨证治疗儿童咳嗽变异性哮喘的临床疗效[J].世界中医药,2018,(01):. |
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| 冬病夏治穴位贴敷联合中医辨证治疗儿童咳嗽变异性哮喘的临床疗效 |
| Clinical Curative Effect of Winter Disease Summer Treat of Acupoint Sticking Combined with Traditional Chinese Medicine Pattern Differentiation in Treating Children with CVA |
| 投稿时间：2016-12-13 |
| DOI：10.3969/j.issn.1673-7202.2018.01.041 |
| 中文关键词: 冬病夏治穴位贴敷 中医辨证 儿童 咳嗽变异性哮喘 |
| English Keywords:Acupoints application of winter disease summer treat TCM syndrome differentiation Children Cough variant asthma |
| 基金项目:陕西省宝鸡市卫计委基金项目（2015-24） |
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| 中文摘要: |
| 目的：分析冬病夏治穴位贴敷联合中医辨证治疗儿童咳嗽变异性哮喘（Cough Variant Asthma，CVA）的临床疗效。方法：选取2014年8月至2016年10月CVA患儿90例，按照随机数表法将所有的入选患儿分为观察和对照组，各45例，对照组给予中医辨证的常规治疗，观察组在中医辨证基础上给予冬病夏治穴位贴敷治疗，观察比较2组的治疗前后血清免疫球蛋白水平情况、临床症状改善情况、疗效和观察指标情况以及患儿家属对治疗的满意度。结果：2组患儿治疗前LgA、LgM、LgG、LgE指标，差异无统计学意义（P>0.05），治疗后，观察组患儿的LgA、LgM、LgG指标均高于对照组，LgE指标低于对照组，差异有统计学意义（P<0.05）；治疗后，观察组出现阵发呛咳、痰黏难咳、手足心热、夜卧不安、大便秘结症状的例数均少于对照组，差异有统计学意义（P<0.05）；观察组总有效率（86.67%）高于对照组（68.89%），差异有统计学意义（P<0.05）；观察组每年复发次数、复发咳嗽症状持续时间、每年因此病住院人数和每年感冒次数均少于对照组，差异有统计学意义（P<0.05）；观察组患儿家属对治疗的满意度（91.11%）高于对照组（75.56%），差异有统计学意义（P<0.05）。结论：对CVA儿童进行冬病夏治穴位贴敷联合中医辨证治疗，安全可靠，治疗效果好，患儿家属满意度高。 |
| English Summary: |
| To study the clinical curative effect of winter disease summer treat of acupoint sticking combined with traditional Chinese medicine pattern differentiation in treating children CVA (cough variant asthma). Methods:A total of 90 cases of children CVA who were treated in our hospital from August 2015 and October 2015 were selected and divided into observation and control group according to random number table, with 45 cases in each group. The control group was given routine therapy of traditional Chinese medicine pattern differentiation, and observation group of children was treated with winter disease summer treat of acupoint sticking therapy on the basis of pattern differentiation. The serum immunoglobulin levels indexes, clinical symptoms improvement, the curative effect and the observation indexes and families of children with satisfaction of treatment of two groups before and after treatment were observed and compared. Results:LgA, LgM, LgG, LgE index of the two groups before treatment had no significant differences (P>0.05). After treatment, the LgA, LgM, LgG index of observation group were higher than the control group. LgE index was lower than the control group. There were significant differences in two groups (P<0.05); After treatment, cases of children with paroxysms of coughing, sputum viscosity, feverish feeling in palms and soles, restless in night, constipation were fewer than those in the control group, and the differences were statistically significant (P<0.05); the total effective rate of observation group was 86.67%, higher than 68.89% in the control group, and the differences were statistically significant (P<0.05); The recurrence rate and duration of recurrent cough every year, annual number of patients with hospitalization, annual number of patients with cold in the observation group were less than the control group, and the differences were statistically significant (P<0.05); The degree of satisfaction of family members in observation group was 91.11%, higher than 75.56% of the control group, and the differences were statistically significant (P<0.05). Conclusion:Acupoints application of winter disease summer treat on children with CVA combined with TCM syndrome differentiation is safe and reliable with good treatment effect and high satisfaction of families of children, which is worthy of popularizing in clinical medicine and application. |
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