| 赵犇微,李琳苹,闫丽超.“推胸背法”治疗小儿痰湿蕴肺型慢性咳嗽的临床疗效观察[J].浙江中西医结合杂志,2023,33(11): |
| “推胸背法”治疗小儿痰湿蕴肺型慢性咳嗽的临床疗效观察 |
| Clinical observation on the therapeutic effect of "pushing chest and back method" on chronic cough of phlegm dampness accumulation in the lungs in children |
| 投稿时间：2023-06-08 修订日期：2023-10-12 |
| DOI： |
| 中文关键词: 小儿慢性咳嗽 痰湿蕴肺型 推胸背法 临床疗效 |
| 英文关键词:Chronic cough in children Phlegm dampness accumulation in the lung type Chest back pushing method Clinical efficacy |
| 基金项目:台州市科学技术局项目（台科〔2022〕11号） |
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| 中文摘要: |
| 目的 观察“推胸背法”治疗小儿痰湿蕴肺型慢性咳嗽的临床疗效。方法 选择本院2020年1月-2023年1月就诊的100例痰湿蕴肺型慢性咳嗽患儿，采用随机数表法分为两组各50例。对照组给予氨溴特罗口服液治疗，观察组实施推胸背法治疗。对比两组临床疗效、中医证候积分、生化因子（白细胞介素-4（interleukin-4,IL-4）、白细胞介素-17(interleukin-17,IL-17)、干扰素-γ（Interferon-γ,IFN-γ））、安全性、家长满意度。结果 观察组临床有效率为（96.00%）对照组为（76.00%），两组之间对比差异具有统计学意义（P<0.05）。治疗后两组中医症候积分、IL-4、IL-17因子均低于治疗前，FN-γ高于治疗前（P<0.05），观察组中医证候积分、IL-4、IL-17因子均低于对照组，IFN-γ高于对照组（P<0.05）。两组不良反应发生率（6.00%、8.00%）对比差异无统计学意义（P＞0.05），而观察组家长满意度（94.00%）高于对照组（78.00%）（P<0.05）。结论：“推胸背法”治疗小儿痰湿蕴肺型慢性咳嗽中临床效果显著，可有效改善患儿中医证候积分及病理相关因子，且安全性较高，可有效提高家长满意度。 |
| 英文摘要: |
| Objective To observe the clinical efficacy of "pushing chest and back method" in the treatment of phlegm dampness accumulation in the lung type chronic cough. Methods One hundred cases of children with phlegm-damp lung chronic cough attending our hospital from January 2020 to January 2023 were selected and divided into two groups of 50 cases each using the randomized number table method. The control group was treated with ambroterol oral liquid, and the observation group was treated with chest and back pushing. The clinical efficacy, TCM syndrome score, biochemical factors (interleukin-4 (IL-4), interleukin-17 (IL-17), interferon-γ (IFN-γ)), safety and parental satisfaction of the two groups were compared. Results The clinical effective rate of the observation group was (96.00%), while the control group was (76.00%), and the difference between the two groups was statistically significant (P<0.05). After treatment, TCM syndrome score, IL-4 and IL-17 factor in both groups were lower than before treatment, FN-γ was higher than before treatment (P<0.05), TCM syndrome score, IL-4 and IL-17 factor in observation group were lower than control group, IFN-γ was higher than control group (P<0.05). There was no remarkable difference in the incidence of adverse reactions between the two groups (6.00% and 8.00%) (P > 0.05), and the parental satisfaction of the observation group (94.00%) was higher than that of the control group (78.00%) (P<0.05).. Conclusion: The "pushing chest and back method" is clinically effective in treating children with phlegm-damp lung chronic cough, and can effectively improve the TCM syndrome score and pathology-related factors of the children, and is safe and can effectively improve parental satisfaction. |
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