小儿清热宣肺贴膏联合中医推拿辅助治疗小儿肺炎(风温肺热型)的临床疗效观察OA
Clinical efficacy observation of Xiao'er Qingre Xuanfei plaster combined with traditional Chinese medicine Tuina in adjuvant treatment of infantile pneumonia(wind-warmth lung-heat syndrome)
目的:评估小儿清热宣肺贴膏联合中医推拿作为辅助疗法,治疗小儿肺炎(风温肺热型)的临床疗效与安全性.方法:选取2024年1月至2025年3月江西省儿童医院住院并诊断为风温肺热型肺炎的120例患儿,采用随机数字表法分为试验组(n=60)和对照组(n=60).对照组实施抗感染等常规西医治疗,试验组在对照组基础上联合小儿清热宣肺贴膏穴位外敷与中医推拿治疗.主要观察指标包括中医症候积分、临床症状缓解时间、住院时长、白细胞计数(White blood cells,WBC)、C-反应蛋白(C-reactive protein,CRP)水平及胸片改善情况.结果:与对照组相比,试验组在改善临床症状方面优势更为显著;试验组发热、咳嗽、咳痰及肺部啰音消失时间更短(P<0.01),且治疗7 d后中医症候总积分更低(P<0.05);试验组住院时长缩短[6.0(5.0,7.0)d vs 8.0(7.0,10.0)d,P<0.05],且临床疗效等级分布更优(Z=-2.156,P=0.031).实验室指标方面,治疗7 d后,2组在WBC、CRP及胸片改善情况上差异无统计学意义(P>0.05).安全性评价结果显示,试验组仅1例出现轻微不良反应(贴敷部位潮红),未影响治疗进程.结论:小儿清热宣肺贴膏联合中医推拿作为辅助手段,能有效改善风温肺热型小儿肺炎的临床症状,缩短住院病程且安全性良好,为小儿肺炎(风温肺热型)提供了一种有效的中西医结合治疗选择.
Objective:To evaluate the clinical efficacy and safety of Xiao'er Qingre Xuanfei plaster combined with traditional Chinese medicine Tuina as an adjuvant therapy for infantile pneumonia of the wind-warmth lung-heat syndrome type.Methods:A total of 120 pediatric patients hospitalized and diagnosed with wind-warmth lung-heat type pneumonia at Jiangxi Provincial Children's Hospital from January 2024 to March 2025 were included in this study.They were divided into an experimental group(n=60)and a control group(n=60)using a random number table method.The control group received conventional western medical treatment,including anti-infective therapy.The experimental group received acupoint application of Xiao'er Qingre Xuanfei plaster and traditional Chinese medicine Tuina in addition to the conventional treatment provided to the control group.The primary outcome measures included traditional Chinese medicine syndrome scores,time to resolution of clinical symptoms,length of hospital stay,white blood cell(WBC)count,C-reactive protein(CRP)level,and improvement on chest radiographs.Results:Compared with the control group,the experimental group had a more pronounced advantage in improving clinical symptoms.The times to resolution of fever,cough,sputum,and lung rales in the experimental group were significantly shorter than those in the control group(P<0.01),and the total traditional Chinese medicine syndrome score was also significantly lower at day 7 of treatment(P<0.05).The length of hospital stay was significantly reduced[6.0(5.0,7.0)days vs 8.0(7.0,10.0)days,P<0.05],and the overall clinical efficacy rank distribution was significantly superior to the control group(Z=-2.156,P=0.031).Regarding laboratory indicators,there were no statistically significant differences between the two groups in WBC,CRP,and chest radiograph improvements at day 7 of treatment(P>0.05).The safety assessment revealed that only one case in the experimental group experienced a minor adverse reaction(redness at the application site)during the treatment period,which did not affect the treatment progress.Conclusion:Xiao'er Qingre Xuanfei plaster combined with Traditional Chinese medicine Tuina,as an adjuvant therapy,can effectively improve the clinical symptoms of infantile pneumonia of the wind-warmth lung-heat type,shorten the duration of hospitalization,and has a good safety profile.This approach offers an effective integrative medicine treatment option for this disease.
杨弋仙;张双武;孙顾峰
江西省儿童医院急诊医学科江西省儿童医院康复科,江西 南昌 330000江西省儿童医院急诊医学科
医药卫生
小儿肺炎清热宣肺贴膏中医推拿中西医结合抗生素耐药性
Infantile pneumoniaQingre Xuanfei plasterTraditional Chinese medicine TuinaIntegrative Chinese and western medicineAntibiotic resistance
《赣南医科大学学报》 2026 (7)
613-618,623,7
江西省中医药管理局科技计划项目(2024B0019)
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