[1]孙映雪,刘伟然,董书桂,等.推拿联合穴位贴敷治疗轮状病毒肠炎175例[J].西部中医药,2023,36(02):98-101.[doi:10.12174/j.issn.2096-9600.2023.02.22]
　SUN Yingxue,LIU Weiran,DONG Shugui,et al.Massage and Acupoint Application in the Treatment of 175 Cases of Rotavirus Enteritis[J].Western Journal of Traditional Chinese Medicine,2023,36(02):98-101.[doi:10.12174/j.issn.2096-9600.2023.02.22]
点击复制

推拿联合穴位贴敷治疗轮状病毒肠炎175例
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年02期
页码:
98-101
栏目:
出版日期:
2023-02-15

文章信息/Info

Title:
Massage and Acupoint Application in the Treatment of 175 Cases of Rotavirus Enteritis
作者:
孙映雪, 刘伟然, 董书桂, 孙波, 王巍
唐山市妇幼保健院，河北 唐山 063000
Author(s):
SUN Yingxue, LIU Weiran, DONG Shugui, SUN Bo, WANG Wei
Tangshan Maternal and Child Health Care Hospital, Tangshan 063000, China
关键词:
轮状病毒; 肠炎; 小儿; 推拿; 穴位贴敷; 临床疗效
Keywords:
rotavirus; enteritis; children; massage; acupoint application; clinical effects
分类号:
R516.1
DOI:
10.12174/j.issn.2096-9600.2023.02.22
文献标志码:
B
摘要:
目的观察推拿联合穴位贴敷治疗轮状病毒肠炎的临床疗效。 方法将350例轮状病毒肠炎患儿采用随机数字表法分为观察组和对照组各175例。对照组给予常规处理措施，观察组在对照组的基础上给予推拿联合穴位贴敷治疗。观察两组患儿脱水纠正时间、止泻时间、体温恢复时间、轮状病毒抗原转阴率和临床疗效，比较两组治疗前后血清肿瘤坏死因子α（tumor necrosis factor-α，TNF-α）、白细胞介素6（Interleukin-6，IL-6）、白细胞介素8（Interleukin-8，IL-8）和T淋巴细胞亚群水平。 结果观察组脱水纠正时间、止泻时间、体温恢复时间均少于对照组，差异有统计学意义（P＜0.05）。轮状病毒转阴率观察组［93.14%（163/175）］高于对照组为［85.14%（149/175）］（P＜0.05）。IL-6、TNF-α、IL-8水平治疗后两均较治疗前显著降低，且观察组降低更明显，差异有统计学意义（P＜0.05）。CD4+T细胞和CD4+/CD8+T细胞比值治疗后两组均较治疗前显著升高，且观察组均高于对照组（P＜0.05）；CD8+T细胞治疗后两组均较治疗前显著降低，且观察组低于对照组，差异有统计学意义（P＜0.05）。总有效率观察组［97.14%（170/175）］高于对照组［89.14%（156/175）］（P＜0.05）。 结论推拿联合穴位贴敷治疗轮状病毒肠炎患儿可缩短临床症状消失时间，提高临床有效率及轮状病毒抗原转阴率，降低免疫炎症反应和增强细胞免疫功能可能是其重要作用机制。
Abstract:
ObjectiveTo explore the clinical effect of massage combined with acupoint application in the treatment of rotavirus enteritis. MethodsAll 350 children with rotavirus enteritis were selected as the observation group and the control group by using random number table method. The control group was given conventional treatment measures, and the observation group was treated by massage combined with acupoint application. To observe dehydration correction time, the time to stop diarrhea, recovery time of body temperature, antigen nega-tive conversion rate of rotavirus and clinical effects between both groups, to compare the levels of TNF-α, IL-6, IL-8 and T lymphocyte subsets before and after the treatment. ResultsThe observation group was less than the control group in dehydration correction time, the time to stop diarrhea, recovery time of body temperature, and the difference had statistical meaning (P<0.05). Antigen negative conversion rate of rotavirus of the observation group was [93.14%(163/175], lower than [85.14%(149/175] of the control group, and the difference was statistically significant (P<0.05). The levels of TNF-α, IL-6 and IL-8 in the two groups reduced remarkably after the treatment compared with these before the treatment, and the decrease of the observation group was more noticeable, and there was a significant difference (P<0.05). CD4+T cells and CD4+/CD8+ ratios raised apparently in the two groups than these before the treatment, and the observation group was higher than the control group (P<0.05); the levels of CD8+T cells in both groups after the treatment lowered compared with these before the treatment, and the obser-vation group was lower than the control group, and the difference had statistical meaning (P<0.05). Total effective rate of the observation group was [97.14%(170/175)], higher than [89.14%(156/175)] of the control group, and the difference was statistically significant (P<0.05). ConclusionMassage combined with acupoint application in the treatment of children with rotavirus enteritis could shorten the disappearing time of clinical symptoms, lift clinical effective rate and antigen negative conversion rate of rotavirus, reduce immune-inflammatory responses and potentiate immunocyte function, which might be its important mechanism.

相似文献/References:

[1]周胜涟,龚辉,陈州华.健脾渗湿法治疗放射性肠炎的临床观察[J].西部中医药,2014,27(03):102.
　ZHOU Shenglian,GONG Hui,CHEN Zhouhua.Curative Observation on Therapy for Radioactive Enteritis by the Method of Spleen-invigorating and Dampness-eliminating[J].Western Journal of Traditional Chinese Medicine,2014,27(02):102.
[2]常建华.中药联合阿奇霉素治疗急性肠炎48例[J].西部中医药,2013,26(09):88.
　CHANG Jianhua.Herbs and Azithromycin Injection for 48 Cases of Acute Enteritis[J].Western Journal of Traditional Chinese Medicine,2013,26(02):88.

备注/Memo

备注/Memo:
孙映雪（1986—），女，主治医师。研究方向：小儿病的中医诊治。河北省中医药管理局科研计划项目（2020419）。
更新日期/Last Update: 2023-02-15