非急性期小兒反復呼吸道感染熱敏灸干預的護理效果

黃四碧　楊濤　匡蕾　楊靜　胡春媚　王智琴

【摘要】 目的：觀察熱敏灸干預非急性期小兒反復呼吸道感染的臨床護理效果。方法：選擇本院門診2015年7月-2017年7月收治的非急性期小兒反復呼吸道感染患兒60例，按隨機數字表法分為試驗組與對照組，各30例。試驗組根據中醫辨證分型分為肺脾氣虛、營衛失調、脾腎兩虛，依據證型采用不同穴位實施熱敏灸干預，同時進行個性化常規護理；對照組采用免疫制劑干預，并給予常規護理。通過檢測兩組患兒血清IgG、IgA、IgM水平，患兒平均癥狀消失、發熱消退、治療結束時間及臨床護理效果比較分析兩種護理方法的臨床效果。結果：兩組護理后血清IgG、IgA、IgM水平與護理前比較，差異均有統計學意義（P<0.01），治療后試驗組IgG恢復優于對照組（P<0.05）；兩組護理后平均每次臨床癥狀消失、發熱消退、治療結束時間比較，差異均有統計學意義（P<0.01）；兩組護理后臨床效果評價，試驗組有效率與對照組比較差異有統計學意義（P<0.05），好轉率、無效率及總有效率比較差異均無統計學意義（P>0.05）。結論：熱敏灸干預的常規個性化護理，通過熱敏灸不同穴位的熱灸，調整了患兒機體呼吸、消化、泌尿等的紊亂，提高患兒抗病能力，有利于提高非急性期小兒反復呼吸道感染的臨床護理效果。

【關鍵詞】 非急性期小兒反復呼吸道感染； 熱敏灸； 護理措施； 免疫球蛋白

Nursing Effect of Thermal Moxibustion Intervention on Repeated Respiratory Tract Infection in Children with Non-acute Stage/HUANG Sibi，YANG Tao，KUANG Lei，et al.//Medical Innovation of China，2017，14（32）：083-086

【Abstract】 Objective：To observe the nursing effect of thermal moxibustion on recurrent respiratory tract infection in non-acute children.Method：60 patients with recurrent respiratory tract infection were enrolled from July 2015 to July 2017 in our hospital，then were randomly divided into the experimental group（n=30） and the control group（n=30） according to the random number table.The patients were divided into lung and spleen deficiency，Ying and Wei disorders，spleen and kidney deficiency according to the TCM syndrome differentiation.Different points were treated by thermal moxibustion and with personalized routine.By detecting the levels of serum IgG，IgA and IgM in children，the clinical effects of two kinds of nursing methods were compared and analyzed，including symptom disappearance，fever subsided，treatment end time and clinical nursing effect.Result：The two groups after nursing of serum IgG，IgA，IgM levels compared with before treatment，the differences were statistically significant（P<0.01），after treatment，the recovery of IgG in the experimental group was better than that in the control group，the difference was statistically significant（P<0.05）；there were significant differences between the two groups in clinical symptoms，fever subsided and treatment end time after nursin，the differences were statistically significant（P<0.01）.Clinical evaluation in children of two groups after nursing，the effective rate was significant difference between the two groups（P<0.05），improvement rate，ineffective rate and total effective rate were no significant difference between the two groups（P>0.05）.Conclusion：Recurrent respiratory tract infection in non-acute children are intervened by thermal moxibustion and the routine physical care，which is beneficial to improve the clinical nursing effect of recurrent respiratory tract infection in non-acute children through the thermal moxibustion at different acupoints，adjust the function of childrens respiratory，digestive and urinary disorders，improve the ability of children to resist disease and the effect of clinical nursing care.endprint

【Key words】 Recurrent respiratory tract infection in children with non-acute stage； Thermal moxibustion intervention； Nursing measures； Immunoglobulin

First-authors address：The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine，Nanchang 330006，China

doi：10.3969/j.issn.1674-4985.2017.32.020

小兒反復呼吸道感染（repeated respiratory tract infection in children，RRTI），是影響小兒生長發育和身心健康的常見病，發病率占兒科疾病的20%～30%，而且發病率呈逐年上升的趨勢[1-2]。該病病因病機復雜，癥狀表現不一，以冬春季節反復發作[3]，防治方法主要是服用和注射增加免疫力的藥物及對癥治療。相關研究表明患兒長期應用藥會增加成年后肺臟病變發生的概率，也會抑制正常的生長發育[4]，使得該病治療難度進一步提高，因此尋找一種安全有效的干預方法，是目前RRTI急待解決的問題?！?br>