麻杏石甘汤联合小儿推拿治疗痰热闭肺型毛细支气管炎30例

Clinical Observation on 30 Cases of Bronchiolitis of Phlegm-Heat Obstructing Lung Syndrome Treated with Maxing Shigan Decoction Combined with Pediatric Tuina

摘要: 目的：观察麻杏石甘汤联合小儿推拿治疗痰热闭肺型小儿毛细支气管炎的临床疗效与安全性，为本病提供安全、有效的中西医结合治疗方案。方法：选取符合纳入标准的痰热闭肺型毛细支气管炎住院患儿60例，随机分为对照组与治疗组，各30例。对照组予以常规西医对症治疗，治疗组在对照组基础上加用麻杏石甘汤加减口服联合小儿推拿外治干预，两组疗程均为7 d。通过对比治疗前后患儿临床症状、体征及辅助检查改善情况，综合评价临床疗效。结果：对照组、治疗组临床总有效率分别为93.33%、96.67%，组间疗效对比差异具有统计学意义(P < 0.05)。其中治疗组在止咳、化痰、平喘及改善胸部影像学表现等方面的改善效果显著优于对照组。两组患儿治疗期间均未出现明显不良反应，整体治疗安全性良好。结论：麻杏石甘汤联合小儿推拿辅助治疗痰热闭肺型小儿毛细支气管炎疗效确切，可有效改善患儿临床症状与肺部体征，且无明显毒副作用、安全性可靠，是临床治疗本病的优质干预方案，具备较高的临床应用及推广价值。

Abstract: Objective: To observe the clinical efficacy of Maxing Shigan Decoction combined with pediatric tuina in the treatment of bronchiolitis with phlegm-heat obstructing lung syndrome, and to provide a safe and effective therapeutic regimen for children suffering from bronchiolitis of this syndrome type. Methods: A total of 60 hospitalized children meeting the inclusion criteria for bronchiolitis (phlegm-heat obstructing lung syndrome) were enrolled and randomly divided into two groups, with 30 cases in each group. The control group received conventional Western medicine treatment, while the treatment group was additionally administered Maxing Shigan Decoction combined with pediatric tuina on the basis of the control group’s therapy. A treatment course lasted 7 days. The clinical efficacy was evaluated by observing the changes in clinical symptoms, physical signs and auxiliary examination results of children in both groups. Results: The total effective rates of the control group and treatment group were 93.33% and 96.67% respectively, and the between-group difference in clinical efficacy was statistically significant (P < 0.05). The treatment group achieved superior outcomes in relieving cough, eliminating phlegm, calming panting and improving chest X-ray manifestations compared with the control group. No obvious adverse reactions were observed in either group, indicating favorable safety. Conclusion: Maxing Shigan Decoction combined with pediatric tuina yields definite clinical efficacy for pediatric bronchiolitis of phlegm-heat obstructing lung syndrome with no obvious adverse reactions. It is a safe and effective clinical regimen worthy of wide clinical application for bronchiolitis.