标题：宣肺平喘汤联合穴位贴敷治疗痰饮郁肺型支气管哮喘患儿的疗效观察

      作者：杨敏飞 1，张玲 2，王苗 2    1.宝鸡市妇幼保健院儿三科，陕西 宝鸡 721000；2.陕西中医药大学第一附属医院儿科，陕西 咸阳 712000

      卷次： 2019年30卷22期

      【摘要】 目的 探讨宣肺平喘汤联合穴位贴敷对痰饮郁肺型支气管哮喘患儿肺功能及证候的改善效果，为患儿的治疗提供指导。方法 选择2017年1月至2019年1月宝鸡市妇幼保健院收治的100例支气管哮喘患儿，按随机数表法分为观察组和对照组，每组50例。对照组患儿给予常规治疗，观察组在对照组治疗的基础上给予宣肺平喘汤联合穴位贴敷治疗，均连续治疗 7 d。比较两组患儿的临床疗效、1秒用力呼出量(FEV1)、FEV1/用力肺活量(FEV1/FVC)、呼气峰值流速(PEF)、中医证候积分的变化及不良反应。结果 治疗后，观察组患儿的临床治疗总有效率为92.00%，明显高于对照组的76.00%，差异有统计学意义(P<0.05)；观察组和对照组患儿的FEV1 [(3.60±0.57) L vs (2.99±0.46) L]、FEV1/FVC[(87.40±6.42)% vs (80.04±6.11)%]、PEF[(86.76±5.88)% vs (79.14±5.30)%]比较，观察组明显高于对照，差异均有统计学意义(P<0.05)；观察组和对照组患儿的喘息[(0.34±0.05)分 vs (0.82±0.11)分]、气促[(0.30±0.05)分vs (0.76±0.09)分]、咳嗽[(0.28±0.04)分 vs (0.69±0.07)分]、胸闷[(0.27±0.05)分 vs (0.64±0.09)分]、哮鸣音[(0.31±0.04)分vs (0.80±0.08)分]等中医证候积分比较，观察组明显低于对照组，差异均具有统计学意义(P<0.05)；两组患儿治疗期间均无严重不良反应。结论 宣肺平喘汤联合穴位贴敷治疗痰饮郁肺型支气管哮喘患儿可有效改善肺功能及中医证候，疗效显著，安全性好，值得临床推广应用。
      【关键词】 宣肺平喘汤；穴位贴敷；痰饮郁肺型；支气管哮喘；肺功能；中医证候；疗效
      【中图分类号】 R725.6 【文献标识码】 A 【文章编号】 1003—6350（2019）22—2938—03

Curative effect of Xuanfei Pingchuan Decoction combined with acupoint application in children with bronchialasthma of Tanyin Yufei type.
YANG Min-fei 1, ZHANG Ling 2, WANG Miao 2. 1.Third Department of Pediatrics, BaojiMaternal and Child Health Hospital, Baoji 721000, Shaanxi, CHINA; 2. Department of Pediatrics, the First AffiliatedHospital of Shaanxi University of Traditional Chinese Medicine, Xianyang 712000, Shaanxi, CHINA
【Abstract】 Objective To study the curative efficacy of Xuanfei Pingchuan Decoction combined with acupointapplication in children with bronchial asthma of Tanyin Yufei type, and to provide guidance for the treatment of the dis-ease. Methods A total of 100 children with bronchial asthma who received therapy from January 2017 to January 2019in Baoji Maternal and Child Health Hospital were selected. According to random number table, the patients were dividedinto the observation group and the control group, with 50 children in each group. The children in the control group weregiven routine treatment, while those in the observation group were given Xuanfei Pingchuan Decoction combined with acu-point application on the basis of the control group, continuously for 7 days. The clinical efficacy, Forced expiratory volumein 1 second (FEV1), FEV1/forced vital capacity (FEV1/FVC), peak expiratory flow rate (PEF), TCM syndrome score, and ad-verse reactions were compared between the two groups. Results After treatment, the total effective rate in the observationgroup was 92.00%, which was significantly higher than 76.00% in the control group (P<0.05). FEV1, FEV1/FVC, and PEFin the observation group were significantly higher those in the control group (P<0.05): (3.60±0.57) L vs (2.99±0.46) L,(87.40±6.42)% vs (80.04±6.11)%, (86.76±5.88)% vs (79.14±5.30)%. The TCM syndrome scores of wheezing, shortnessof breath, cough, chest tightness, and wheezing rale in the observation group were significantly lower those in the con-trol group (P<0.05): (0.34±0.05) vs (0.82±0.11), (0.30±0.05) vs (0.76±0.09), (0.28±0.04) vs (0.69±0.07), (0.27±0.05) vs(0.64±0.09), (0.31±0.04) vs (0.80±0.08). There were no serious adverse reactions during treatment in the two groups.Conclusion Xuanfei Pingchuan Decoction combined with acupoint application can effectively improve pulmonaryfunction and TCM syndromes of children with bronchial asthma of Tanyin Yufei type, with remarkable curative effectand good safety, which is worthy of clinical popularization and application.
      【Key words】 Xuanfei Pingchuan Decoction; Acupoint application; Tanyin Yufei type; Bronchial asthma; Lungfunction; TCM syndrome; Curative effect