自拟宣肺止嗽汤联合小儿推拿对急性支气管炎(风热犯肺证)患儿临床疗效的影响

目的 观察自拟宣肺止嗽汤联合小儿推拿对急性支气管炎(风热犯肺证)患儿临床疗效、证候评分及炎症因子的影响.方法 急性支气管炎(风热犯肺证)患儿92例采用随机数字表法分为两组各46例.对照组行常规西医治疗,观察组在此基础上加以自拟宣肺止嗽汤联合小儿推拿治疗.比较两组患者临床疗效、咳嗽症状积分、中医证候积分、咳嗽症状转归情况...

Effect of Self-made Xuanfei Zhisou Decoction Combined with Pediatric Massage on the Clinical Efficacy in Children with Acute Bronchitis Caused by Wind-heat Invading Lung

Objective:To explore the effect of adding self-made Xuanfei Zhisou Decoction combined with pediatric massage on the clinical efficacy,syndrome scores and inflammatory factors in children with acute bronchitis caused by wind-heat invading lung.Methods:A total of 92 children with acute bronchitis of wind-heat invading lung-type acute bronchitis who were treated in our hospital from January 2019 to May 2020 were selected for study.Random number table method was used to divide patients into 2 groups,46 cases in each group.The control group was treated with conventional Western medicine,and the observation group was added with self-made Xuanfei Zhisou Decoction combined with pediatric massage.The clinical efficacy,cough symptom score,TCM syndrome score,cough symptom outcome,inflammatory factor levels and adverse reactions were compared between the two groups.Results:The total effective rate in the observation group was 95.65%,which was higher than 82.61%in the control group(P<0.05).After treatment,the scores of cough symptom in day,night cough symptom and TCM syndrome were significantly decreased in both groups,but the observation group decreased more(P<0.05).The cough onset time,cough relief time and cough disappearance time of observation group were shorter than those of control group(P<0.05).The cough onset time,cough relief time and cough disappearance time of observation group were shorter than those of control group(P<0.05).There were 2 cases of adverse reactions in the control group and 4 cases in the observation group,with no significant difference between the two groups(P>0.05).Conclusion:On the basis of conventional western medicine treatment,self-made Xuanfei Zhisou Decoction combined with pediatric massage therapy can effectively improve the clinical efficacy of wind-heat invading lung-type acute bronchitis in children,improve cough symptom score and TCM syndrome score,and effectively alleviate inflammatory reaction with high safety.