本文選題：反復(fù)呼吸道感染　切入點：雷火灸　出處：《北京中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:比較雷火灸聯(lián)合中藥組與單純中藥組對小兒反復(fù)呼吸道感染肺脾氣虛證感染次數(shù)、中醫(yī)證候積分、免疫細(xì)胞因子的影響,擬揭示內(nèi)服外治法優(yōu)于單純服用中藥;擬定雷火灸治療反復(fù)呼吸道感染的治療方案。為外治法治療反復(fù)呼吸道感染提供新的干預(yù)手段,豐富中醫(yī)藥治療反復(fù)呼吸道感染的方法,以進(jìn)一步提高治療反復(fù)呼吸道感染的有效率。方法:將66例肺脾氣虛型反復(fù)呼吸道感染患兒隨機分治療組和對照組,每組各33例。治療組予雷火灸聯(lián)合中藥治療;對照組僅用中藥治療,療程均為2個月,隨訪6個月。結(jié)果:治療組完成治療31例,完成隨訪28例;對照組完成治療32例,完成隨訪26例。治療前2組患兒性別、年齡構(gòu)成,發(fā)病種類,中醫(yī)證候總積分及各證候積分,免疫細(xì)胞因子方面無顯著性差異,具有可比性。治療組疾病療效有效率為89.29%,對照組為80.77%(P0.05)。治療結(jié)束時,治療組中醫(yī)證候評分有效率為87.10%,對照組為75.00%(P0.05);治療結(jié)束后6個月隨訪時,治療組中醫(yī)證候評分有效率為89.29%,對照組為84.62%(P0.05)。2組均可改善肺脾氣虛證型患兒多汗、少食、面色少華、少氣懶言、大便干結(jié)、大便溏薄的癥狀(P0.05)。2組組間同期對照顯示治療組在改善多汗、少氣懶言、大便溏薄的癥狀方面比對照組有優(yōu)勢(P0.05),在改善少食、面色少華、大便干結(jié)證候方面2組未見顯著性差異(P0.05)�；純褐委熐癐L-10水平相對升高,IFN-γ水平相對降低,治療結(jié)束時2組IL-10水平較均治療前有所下降,IFN-γ 水平升高(P0.01)。結(jié)論:雷火灸聯(lián)合中藥治療小兒反復(fù)呼吸道感染肺脾氣虛型,能有效減少呼吸道感染發(fā)作次數(shù),改善臨床癥狀,提高患兒體質(zhì),增強免疫力,扶正固本。
[Abstract]:Objective: to compare the effects of thunder fire moxibustion combined with traditional Chinese medicine group and simple Chinese medicine group on infantile recurrent respiratory tract infection with deficiency of lung qi syndrome, TCM syndromes integral and immune cytokines. To draw up the treatment scheme of thunder fire moxibustion for recurrent respiratory tract infection, to provide a new intervention method for external treatment of recurrent respiratory tract infection, and to enrich the method of traditional Chinese medicine in the treatment of recurrent respiratory tract infection. Methods: 66 children with recurrent respiratory tract infection of lung and spleen qi deficiency type were randomly divided into treatment group and control group with 33 cases in each group. Results: 31 cases were treated in the treatment group, 28 cases were followed up in the control group, 32 cases were treated and 26 cases were followed up in the control group. There was no significant difference in the type of disease, the total integral of TCM syndromes and the integral of each syndrome, and the immune cytokines were comparable. The effective rate of disease in the treatment group was 89.29, and that in the control group was 80.77775. At the end of the treatment, the effective rate was 89.29. The effective rate of TCM syndrome score was 87.10 in the treatment group and 75.00 in the control group, and the effective rate of TCM syndrome score in the treatment group was 89.29 at the end of 6 months after treatment, and in the control group was 84.62P0.05.2. Compared with the control group, the control group showed that the treatment group had advantages over the control group in improving the symptoms of excessive sweating, less Qi lazy speech and loose stools. There was no significant difference in stool dry knot syndrome between the two groups (P 0.05). Before treatment, the level of IL-10 increased and the level of IFN- 緯 decreased. At the end of the treatment, the level of IL-10 in both groups was lower than that before treatment. Conclusion: Thunderfire moxibustion combined with traditional Chinese medicine can effectively reduce the number of episodes of respiratory tract infection and improve clinical symptoms in children with recurrent respiratory tract infection. Improve children's physique, enhance immunity, and strengthen the foundation.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R272

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