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[目的]观察咳哮散穴位贴敷治疗小儿哮喘疗效。[方法]使用随机平行对照方法,将91例门诊患者按随机数字表法分为两组。对照组46例中药口服。肺肾阴虚,都气丸(熟地黄24g,山萸肉、干山药各12g,泽泻、牡丹皮、茯苓去皮各9g,五味子6g),1剂/d,水煎100mL,1次/d,口服;肺脾气虚,玉屏风散(白术、麦门冬、白芍药、五味子各6g,黄芪、龙骨、牡蛎、党参各10g,甘草、桂枝、防风各3g,红枣5枚),水煎100mL,1次/d,口服。治疗组45例穴位贴敷。咳喘散方(甘遂30g,白芥子、白芷、黄芩、细辛各15g,肉桂5g),药研末,姜汁调制,制成直径为2cm药饼,药饼分贴肺俞、天突、膏肓穴、双侧大杼,固定,4h/次,2次/7d,贴敷。连续治疗14d为1疗程。观测临床症状、临床症状情况、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组显效7例,有效18例,无效20例,总有效率55.56%。对照组显效3例,有效17例,无效26例,总有效率43.48%。治疗组疗效优于对照组(P<0.05)。临床症状情况治疗组改善优于对照组(P<0.05)。[结论]咳哮散穴位贴敷治疗小儿哮喘效果显著,值得推广。
[Objective] To observe the effect of cough asthma acupoint application on children asthma. [Methods] Using randomized parallel control method, 91 outpatients were divided into two groups according to random number table method. The control group of 46 cases of oral Chinese medicine. Lungs and kidney, both Qi pills (Rehmannia 24g, cornus, dried yam the 12g, Alisma, Cortex Moutan, Poria peel 9g, Schisandra 6g), 1 / d, decoction 100mL, d, orally; lung spleen qi, Yupingfeng San (Atractylodes, wheat astringent, white peony, Schisandra each 6g, Astragalus, keel, oysters, Codonopsis 10g, licorice, cassia twig, wind 3g, jujube 5) Fried 100mL, 1 time / d, orally. Treatment group 45 acupoint sticking. Kechuan powder (Gan Sui 30g, Mustard Seed, Angelica, skullcap, Asarum 15g, cinnamon 5g), medicine powder, ginger juice modulation, made of diameter 2cm cake, , Ointment acupoints, bilateral scape, fixed, 4h / time, 2 times / 7d, sticking. Continuous treatment 14d for a course of treatment. Observation of clinical symptoms, clinical symptoms, adverse reactions. Continuous treatment of 3 courses to determine the efficacy. [Results] The treatment group was markedly effective in 7 cases, effective in 18 cases, ineffective in 20 cases, the total effective rate was 55.56%. In the control group, 3 cases were markedly effective, 17 cases were effective and 26 cases were ineffective. The total effective rate was 43.48%. The treatment group was better than the control group (P <0.05). Clinical symptoms improved better than the control group treatment group (P <0.05). [Conclusion] The cough and asthma acupoint sticking is effective in pediatric asthma and is worth promoting.