摘要
目的观察神阙、关元穴温和灸防治脑瘫儿反复呼吸道感染的临床疗效。方法将64例患儿随机分为温和灸组和对照组,每组32例,在感染急性期均给予常规对症治疗,其中温和灸组采用温和灸神阙、关元穴,对照组静脉滴注西药丙种球蛋白,疗程3个月。观察反复呼吸道感染次数,复发的止咳时间和肺部罗音消失时间,血清免疫球蛋白(IgG、IgM、IgA值)进行疗效评价。结果治疗后,温和灸组和对照组感染复发次数分别减少至(2.38±0.64)次和(6.50±0.84)次;温和灸组平均止咳时间、平均肺部罗音消失时间分别为(3.92±1.32)天、(4.66±1.82)天,而对照组分别为(6.48±2.18)天、(7.64±1.44)天,温和灸组效果更佳(P<0.01);两组治疗后血清免疫球蛋白IgG、IgM、IgA值均升高(P<0.05),对照组短期效果好,温和灸组长期效果好。结论神阙、关元穴温和灸配合常规对症治疗防治脑瘫儿反复呼吸道感染有较好的长期临床效果。
Objective To investigate the clinical effect of mild warming moxibustion（MWM） on acupoints Shenque（RN8） and Guanyuan（RN4） for treatment of recurrent respiratory tract infection（RRTI） in children with cerebral palsy（CP）.Methods Sixty-four CP patients with RRTI were randomly and equally assigned to two groups,all received conventional rehabilitation treatment,but in acute infection stage,MWM was applied on the treated group,and intravenous dripping of immunoglobulin was given to the control group,all for 3 months.The frequency of RRTI attacking（Fre）,the mean cough alleviating time（T-CA） and rale disappearing time（T-RA） during infection,as well as the serum levels of immune globulins during the post-treatment 1 -year follow-up period were observed.Results The effectiveness in the treated group was better than that in the control group,showing in aspects of Fre（2.38±0.64 times vs.6.50±0.84 times）,T-CA（3.92±1.32 days vs.6.48±2.18 days） and T-RA（4.66±1.82 days vs.7.64±1.44 days）,significant difference was shown between groups （P0.01）.The serum levels of IgG,IgM and IgA all raised in both two groups（P0.05）,comparison of immunoglobulin levels between groups showed that they were lower immediately after treatment,but higher at the end of the 1-year follow-up in the treated group than those in the control group.Conclusion MWM on acupoints Shengue and Guanyuan has a better and long-term clinical effect for treatment of RRTI in children with CP.
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2010年第9期935-937,共3页
Chinese Journal of Integrated Traditional and Western Medicine
基金
国家重点基础研究发展计划(973计划)资助(No.2009CB522903)
关键词
温和灸
神阙穴
关元穴
脑瘫
反复呼吸道感染
mild warming moxibustion
Shenyue point
Guanyuan point
cerebral palsy
recurrent respiratory tract infection
