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中冲点刺放血结合西药治疗小儿疱疹性咽峡炎临床观察
作者姓名:王云娜  黎顺平  宋腾菊
作者单位:广州中医药大学针灸康复临床医学院,广东广州,510405;广州中医药大学第二临床医学院,广东广州,519000;广东省第二中医院儿科,广东广州,510095
摘    要:目的 探讨中冲穴点刺放血治疗小儿疱疹性咽峡炎的临床疗效。方法 选取86例疱疹性咽峡炎患儿,随机分为观察组和对照组,每组各43例,对照组予利巴韦林雾化吸入及小儿豉翘清热颗粒口服,合并细菌感染者予阿莫西林克拉维酸钾颗粒以抗感染;观察组在对照组的基础上予中冲穴点刺放血,所有患儿高热时均予对症处理。结果 观察组临床疗效显著优于对照组(P<0.05),观察组在缩短退热时间、疱疹消退时间和咽痛消退时间方面均明显优于对照组,差异具有统计学意义(P<0.05),且无明显不良反应。结论 中冲穴点刺放血结合西药治疗小儿疱疹性咽峡炎的疗效优于单纯西药治疗,可缩短退热时间、疱疹消失时间,改善咽痛、烦躁等症状。

关 键 词:小儿疱疹性咽峡炎  中冲穴  点刺放血

Clinical Effect of Pricking Blood Therapy at Zhongchong Point Combined with Western Medicine Treatment in Children with Herpangina
Institution:1. School of Clinical Medicine for Acupuncture and Rehabilitation, Guangzhou University of Chinese Medicine, Guangdong Guangzhou 510405, China; 2. The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangdong Guangzhou 519000, China; 3. Department of Pediatrics, Guangdong Second Provincial Traditional Chinese Medicine Hospital, Guangdong Guangzhou 510095, China
Abstract:Objective To investigate the clinical effect of pricking blood therapy at Zhongchong point combined with Western medicine treatment in children with herpangina. Methods A total of 86 children with herpangina were randomly divided into observation group and control group, with 43 children in each group. The children in the control group were given aerosol inhalation of ribavirin and oral administration of Xiaoer Chiqiao Qingre Granule, and those with bacterial infection were given amoxicillin and clavulanate potassium granules as the anti-infective therapy. The children in the observation group were given pricking blood therapy at Zhongchong point in addition to the treatment for the control group. Symptomatic treatment was given to children who had severe fever. Results The observation group had a significantly better clinical outcome than the control group (P<0.05). Compared with the control group, the observation group had significantly better results in shortening fever clearance time and regression time of herpes and pharyngalgia (P<0.05) and had no significant adverse events. Conclusion Pricking blood therapy at Zhongchong point combined with Western medicine treatment in children with herpangina has a better clinical effect than Western medicine treatment alone and can shorten fever clearance time and herpes regression time and improve the symptoms of pharyngalgia and dysphoria.
Keywords:Herpangina  Zhongchong point  Pricking blood therapy
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