Objective: To observe the clinical therapeutic effect of acupuncture at Sifeng (EX-UE 10) as adjuvant treatment for pneumonia of phlegm-heat blocking lung type in children.
Methods: A total of 80 children with pneumonia of phlegm-heat blocking lung type were randomized into an observation group (40 cases, 1 case dropped off) and a control group (40 cases). In the control group, routine anti-infection and symptomatic and supportive treatment were given. On the basis of the treatment in the control group, acupuncture was applied at Sifeng (EX-UE 10) in the observation group, once every 2 days, 4 times were required. Before and after treatment, the score of clinical symptoms and signs and level of serum hypersensitive C-reactive protein (hs-CRP) were observed in the two groups. The antifebrile time, lung moist rale disappearance time, duration of antibacterial drugs and hospital stays were recorded, and the clinical therapeutic effect was evaluated in the two groups.
Results: After treatment, the scores of clinical symptoms and signs and levels of serum hs-CRP were reduced in the two groups (P<0.01), and the changes of scores of fever, cough and lung moist rale, secondary symptom score, total score of clinical symptoms and signs and level of serum hs-CRP in the observation group were larger than those in the control group (P<0.05, P<0.01). The antifebrile time, lung moist rale disappearance time, duration of antibacterial drugs and hospital stays in the observation group were shorter than those in the control group (P<0.05). The total effective rate was 87.2% (34/39) in the observation group, which was superior to 65.0% (26/40) in the control group (P<0.05).
Conclusion: Acupuncture at Sifeng (EX-UE 10) as adjuvant treatment can relieve clinical symptoms, shorten duration of antibacterial drugs and hospital stays for children with pneumonia of phlegm-heat blocking lung type.
目的：观察针刺四缝穴辅助治疗痰热闭肺型儿童肺炎的临床疗效。方法：将80例痰热闭肺型肺炎患儿随机分为观察组（40例，脱落1例）和对照组（40例）。对照组予常规抗感染及对症支持治疗；在对照组治疗基础上，观察组予针刺四缝穴治疗，隔日1次，共治疗4次。观察两组患儿治疗前后临床症状和体征积分、血清超敏C反应蛋白（hs-CRP）水平变化，记录两组患儿退热时间、肺部湿啰音消失时间、抗菌药物治疗天数及住院天数，并评定临床疗效。结果：治疗后两组患儿临床症状和体征积分、血清hs-CRP水平均较治疗前明显下降（P<0.01），且观察组主要症状和体征中发热、咳嗽、肺部湿啰音积分，次要症状积分和总积分及血清hs-CRP水平下降幅度大于对照组（P<0.05，P<0.01）。观察组患儿退热时间、肺部湿啰音消失时间、抗菌药物治疗天数及住院天数均短于对照组（P<0.05）。观察组总有效率为87.2%（34/39），明显高于对照组的65.0%（26/40，P<0.05）。结论：针刺四缝穴辅助治疗痰热闭肺型儿童肺炎可以缓解患儿的临床症状，缩短患儿抗菌药物使用天数及住院天数。.
Keywords: Point EX-UE 10 (Sifeng); acupuncture therapy; hypersensitive C-reactive protein (hs-CRP); pneumonia in children, phlegm-heat blocking lung type.