| 引用本文:叶青艳1，顾奕婷1，宗南伟1，周君慧1，马春艳1，赵鋆1，姜永红2.中药联合耳穴治疗儿童反复呼吸道感染临床观察[J].世界中医药,2021,(08):. |
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| 中药联合耳穴治疗儿童反复呼吸道感染临床观察 |
| Clinical Observation of Treatment of Recurrent Respiratory Tract Infections Combined Traditional Chinese Medicine with Auricular Application Pressure Treatment |
| 投稿时间：2019-09-21 |
| DOI：10.3969/j.issn.1673-7202.2021.08.023 |
| 中文关键词: 反复呼吸道感染 儿童 中医药治疗 耳穴压丸 体质 中医证候 血清免疫球蛋白A 临床研究 |
| English Keywords:Recurrent respiratory tract infections Children Chinese medicinal treatment Auricular pressure treatment Constitution TCM syndrome Immunoglobulin A Clinical research |
| 基金项目:上海市“科技创新行动计划”项目(15401970900)——反复呼吸道感染儿童体质的中医调理及耳穴外治研究;上海市科学技术委员会科研计划项目(18401904700)——运用上海市名中医唐为勇“固表方”治疗儿童反复呼吸道感染(肺脾气虚证)的临床研究;上海市儿童健康服务能力建设专项高端儿科海外研修团队培养项目(GDEK201704) |
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| 中文摘要: |
| 目的:观察中药联合耳穴贴压治疗儿童反复呼吸道感染的临床疗效。方法:选取2016年10月至2017年10月上海中医药大学附属曙光医院收治的反复呼吸道感染患儿120例作为研究对象,按照随机数字表法分为对照组和观察组,每组60例。对照组给予单纯中药治疗,观察组予中药联合耳穴压丸治疗。2组疗程均为2个月,随访6个月,观察2组临床疗效,病程、病情、病种、中医证候积分及血清免疫球蛋白A(IgA)的变化。结果:观察组临床疗效总有效率为93.33%,高于对照组的83.33%,但差异无统计学意义(P>0.05);在病种改善方面,观察组优于对照组(P<0.05),但在病情及病程改善方面2组差异无统计学意义(P>0.05);治疗后2组患儿中医证候量化积分均较治疗前改善(P<0.05),且观察组改善优于对照组(P<0.05);2组患儿血清IgA水平均较治疗前升高,但差异无统计学意义(P>0.05);2组患儿在治疗期间均无不良反应发生。结论:对反复呼吸道感染患儿中药联合耳穴压丸与单纯中药治疗在临床疗效上相当,但中药联合耳穴压丸能改善反复感染患儿中医证候及病种。 |
| English Summary: |
| To observe the effects of Chinese medicinal combined with auricular application pressure treatment in the treatment of children recurrent respiratory tract infections.Methods:According to the random number table，a total of 120 patients admitted to Shuguang Hospital Affiliate to Shanghai University of Traditional Chinese Medicine were selected as the research objects and were divided into a control group and the observation group was treated with Chinese medicinal combined with auricular pressure.The control group was treated with Chinese medicinal only.The observation group was treated with Chinese medicinal combined with auricular pressure treatment.The course of treatment was 2 months.The follow-up period was 6 months.The clinical efficacy，the course of disease，the state of disease，the type of disease，TCM syndrome score and serum immunoglobulin(Ig)A were observed in the 2 groups.Results:The total effective rates were 93.33% in the observation group and 83.33% in the control group.But the difference was not statistically significant(P>0.05).In terms of disease improvement，the observation group was better than the control group(P<0.05)，but there was no statistically significant difference between the 2 groups in terms of disease condition and course of disease improvement(P>0.05); the quantitative scores of TCM syndromes of the 2 groups of children after treatment were both improved compared with before treatment(P<0.05)，and the improvement of the observation group was better than that of the control group(P<0.05); the serum IgA levels of the 2 groups of child patients were higher than those before treatment，but the difference was not statistically significant(P>0.05); there were no adverse reactions in the 2 groups of children during the treatment.Conclusion:Chinese medicinal combined with auricular pressure treatment shows equivalent clinical efficacy with Chinese medicinal group.However，Chinese medicinal combined with Erzhen Anya Pills can improve TCM syndromes and disease types in children with relapse. |
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