摘要
目的:观察在西医治疗基础上,运用"中医理论"用中药、推拿、捏脊、刮痧进行综合治疗咳嗽变异性哮喘的临床疗效。方法:将患儿96例随机分为两组,每组各48例;对照组给予氨茶碱和孟鲁司特咀嚼片治疗,治疗组给予氨茶碱和孟鲁司特咀嚼片同时根据患儿具体情况进行辨证,进行中药内服,外治用按摩穴位、捏脊、刮痧治疗。两组均以治疗10d为1个疗程,3个疗程结束后进行近期疗效观察,两年随访进行远期疗效观察。结果:近期疗效症状、体征消失改善时间和肺功能改善,治疗组均优于对照组,两组比较差异有统计学意义(P<0.05),治疗组总有效率(95.9%)明显高于对照组(79.2%),差异有统计学意义(字2=4.51,P<0.05)。治疗组远期疗效优于对照组,治疗组总有效率(93.5%)明显高于对照组(66.6%),两组比较差异有统计学意义(字2=11.83,P<0.05)。结论:采用中西医综合治疗CVA可降低西药毒副作用,标本兼治,临床疗效肯定,能有效控制咳嗽变异性哮喘、值得推广。
Objective： To observate in western medicine treatment based on the ＂Chinese medicine theory＂ with Chinese traditional medicine, massage, knead ridge, scrapping treatment cough variant asthma clinical curative effect. Method： Ninty-six cases of children with cough variant asthma were randomly assigned to two groups, The treatment group were treated with oral aminophylline and montelukast sodium; On this basis, the control group according to specific circumstances children on syndrome differentiation received herbal internal and outside, put to use massage acupuncture points, knead ridge, scrapping treatment. 10 days of treatment for the two groups ale in a course of treatment~ 3 therapeutic efects after treatment, to observe the recent curative effects and two years of follow-up to the long-term outcome observation. Result： The treatment group were better than control group in recent curative effect symptoms, signs disappeared improve time and improve lung function, the difference was statistically significant （ P〈0.05 ）. The total effective rate in treatment group （ 95.9% ） was significantly higher than control group （ 79.2% ）, the difference was statistically significant （ X2=4.51, P〈0.05 ） . The treatment group were better than control group in remote curative effects, the total effective rate in treatment group （ 93.5% ） was significantly higher than control group （ 66.6% ）, the difference was statistically significant （x2=11.83, P〈0.05 ） . Conclusion： The traditional Chinese and western medicine can reduce the western medicine treatment CVA toxicity, the specimen and cure, clinical curative effect affirmation, and can effectively control cough variant asthma, and worthy of clinical application.
出处
《中国医学创新》
CAS
2013年第2期4-7,共4页
Medical Innovation of China
关键词
咳嗽变异性哮喘
中西医结合
小儿
Cough variant asthma
Chinese and western medicine treatment
Child
