孙波

[摘要] 目的 探讨小儿外感咳嗽实施推拿加拔罐治疗的临床效果。 方法 收集144例外感咳嗽小儿患者，资料收集起止时间为2013年11月～2015年11月。按照入院顺序随机分组，分为对照组（71例）和观察组（73例），分别给予常规治疗和常规治疗联合推拿加拔罐治疗。治疗前后，分别对两组进行主要症状积分、次要症状积分评定，并进行治疗效果比较。 结果 两组患者治疗后的主要症状积分、次要症状积分与本组治疗前比较差异显著，均显著下降，且治疗后组间比较也存在明显差异，观察组积分均显著低于对照组（P<0.05）。经疗效评估，观察组的总有效率为93.15%，总有效率显著高于对照组（P<0.05）。 结论 小儿外感咳嗽在常规治疗的基础上联合实施推拿加拔罐治疗效果确切，可有效改善患儿的临床症状，提高有效率。

[关键词] 小儿；外感咳嗽；推拿；拔罐；症状

[中图分类号] R272 [文献标识码] B [文章编号] 1673-9701（2017）22-0113-04

[Abstract] Objective To discuss the clinical effect of manipulation and cupping in treatment of exogenous cough in children. Methods A total of 144 children with exogenous cough treated from November 2013 to November 2015 were selected and randomly divided into control group（71 cases） and observation group（73 cases）. Patients in the control group were given routine treatment and those in the observation group were given routine treatment combined with manipulation and cupping. The main symptom scores and minor symptom scores were evaluated before and after treatment and the clinical effects were compared between two groups. Results The main symptom scores and minor symptom scores after treatment were significantly lower than those before treatment in the same group， and were significantly lower in the observation group after treatment than those in the control group after treatment（P<0.05）. The overall response rate was 93.15% in the observation group， which was significantly higher than that in the control group （P<0.05）. Conclusion The effect of routine treatment combined with manipulation and cupping is definite in treatment of exogenous cough in children， which can effectively relieve the clinical symptoms and improve the response rate.

[Key words] Children； Exogenous cough； Manipulation； Cupping； Symptoms

咳嗽可分为外感咳嗽和内伤咳嗽两种类型，其中，外感咳嗽在儿童中具有很高的发病率[1]。临床治疗可采用抗感染、对症治疗等方式，但在获得一定治疗效果的同时，也容易导致一定毒副作用的出现，影响儿童的生长发育。中医认为，凡因外感六淫或脏腑功能失调，影响肺的正常宣肃功能，造成肺气上逆作咳，咯吐痰涎的即称为“咳嗽”。临床治疗中，选择中医推拿、拔罐等疗法安全无毒，具有十分明显的应用优势[2]。

1 资料与方法

1.1临床资料

收集144例外感咳嗽小儿患者进行研究，资料收集起止时间为2013年11月～2015年11月。男女比例为83：61，年龄最小3岁，最大13岁，平均（6.25±2.15 ）岁。按照入院顺序随机分组，分为对照组（71例）和观察组（73例），两组患者的性别、年龄和平均病程等比较，差异均无统计学意义（均P>0.05）。针对本研究的相关研究形式和内容等向医院伦理学部门进行汇报，接受审核，并经批准准予实施。