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 ›› 2023, Vol. 15 ›› Issue (2): 173-177.

• 中医应用研究 • 上一篇    下一篇

中药足浴联合虎符铜砭刮痧佐治儿童大叶性肺炎的临床疗效观察

  

  • 出版日期:2023-04-25 上线日期:2023-11-22

Clinical observation on the treatment for child lobar pneumonia with Chinese medicine foot bathing combined with Hufu Tongbian scraping

  • Published:2023-04-25 Online:2023-11-22

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摘要： 目的 观察中药足浴联合虎符铜砭刮痧佐治儿童大叶性肺炎(热毒壅肺型)的临床疗效。方法 选取2020年6月至2021年12月在河南中医药大学第一附属医院、河南省儿童医院、河南中医药大学人民医院就诊的儿童大叶性肺炎(热毒壅肺型)患儿60例。随机分为观察组、对照组各30例。对照组予西药干预治疗，观察组在对照组治疗的基础上给予中药足浴加虎符铜砭刮痧治疗，两组疗程均为7 d。观察比较两组临床疗效、中医证候评分及血浆凝血酶原时间(PT)、活化部分凝血活酶(APTT)和D-二聚体(D-D)凝血功能指标变化情况。结果 观察组临床疗效优于对照组，差异有统计学意义(P<0.05)。治疗后观察组发热、咳嗽、咳痰、肺部听诊、面赤、精神状态、纳食、大便评分均低于对照组，差异有统计学意义(P<0.05),喘息评分两组比较差异无统计学意义(P>0.05)。治疗后观察组PT、APTT结果高于对照组，D-D结果低于对照组，差异有统计学意义(P<0.05)。结论 中药足浴联合虎符铜砭刮痧疗法辅助治疗儿童大叶性肺炎安全有效，对患儿临床症状体征及凝血功能改善具有重要作用，值得临床推广使用。

关键词: 大叶性肺炎, 中药足浴, 虎符铜砭刮痧, 凝血功能, 临床研究, 儿童

Abstract: ObjectiveTo observe the clinical effect of Chinese medicine foot bathing combined with Hufu Tongbian scraping on child lobar pneumonia (heat toxin obstructing lung). MethodsA total of 60 child with lobar pneumonia (heat toxin obstructing lung) were selected and randomly divided into an observation group and a control group, with 30 cases in each group. The control group was given western medicine as intervention treatment, and the observation group was given traditional Chinese medicine foot bathing plus Hufu Tongbian scraping therapy on the basis of the treatment for the control group. The course of treatment in both groups was 7 days. Clinical efficacy, TCM syndrome score, plasma prothrombin time(PT), activated partial thrombin activity(APTT) and D-dimer(D-D) were observed and compared between the two groups. ResultsThe total effective rate of observation group was higher than that of control group(P<0.05). After treatment, the scores of fever, cough, phlegm, lung auscultation, mental state, diet and stool in the observation group were lower than those in the control group(P<0.05), and the score of wheezing was lower than that in the control group(P>0.05). After treatment, PT and APTT levels in the observation group were higher than those in the control group, while D-D levels were lower than those in the control group(P<0.05). ConclusionChinese medicine foot bathing combined with Hufu Tongbian therapy is safe and effective in the adjuvant treatment of children with lobar pneumonia. It plays an important role in improving the clinical symptoms and signs and coagulation function of children, which is worthy of clinical application.

Key words:

Lobar pneumonia, Traditional Chinese medicine foot bathing, Hufu Tongbian scraping, Coagulation function, Clinical research, Children