Xu Yan, Cui Sheng-Tao, Bai Li-Ying, Yang Jing-Jing, Li Jie, Xie Tian-Long, Zhang Yang-Ling, Wang Dan, Wu Si, Wang Zhong-Tian, Sun Li-Ping
College of TCM, Changchun University of CM, Changchun 130117, Jilin Province, China.
Children's Diagnosis and Treatment Center, Affiliated Hospital of Changchun University of CM, Changchun 130021, Jilin Province.
Zhongguo Zhen Jiu. 2021 Mar 12;41(3):283-7. doi: 10.13703/j.0255-2930.20200804-k0004.
To compare the clinical efficacy of cupping treatment combined with antibiotics and antibiotics alone for bacterial pneumonia in children.
A total of 72 children with bacterial pneumonia were randomly divided into an observation group (36 cases, 1 case dropped off) and a control group (36 cases). The children in the control group were treated with intravenous drip of cefodizine sodium [80 mg/(kg•d)] for 7 days. Based on the treatment of the control group, the children in the observation group were treated with cupping treatment on the bladder meridian of the back on the first day and the fourth day of antibiotic treatment; each cupping treatment was given for 5-10 min; the treatment of observation group was given for 7 days. The days for complete fever reduction, TCM syndrome scores and Canadian acute respiratory illness flu scale (CARIFS) scores before and after treatment were observed, and the clinical efficacy was evaluated.
The days for complete fever reduction in the observation group were shorter than that in the control group (<0.05). After treatment, the TCM syndrome scores and CARIFS scores in the two groups were reduced (<0.05), and the cough score, expectoration score, lung auscultation score of TCM syndrome and cough score, runny nose score and sore throat score of CARIFS in the observation group were lower than those in the control group (<0.05). The cured rate in the observation group was 97.1% (34/35), which had no significant difference with 91.7% (33/36) in the control group (>0.05).
Cupping treatment combined with antibiotics has similar efficacy with antibiotics alone for bacterial pneumonia in children, but shows better effect in shortening the duration of fever and improving pulmonary symptoms.
比较拔罐治疗联合抗生素与单纯使用抗生素治疗儿童细菌性肺炎的临床疗效。
将72例儿童细菌性肺炎患者随机分为观察组（36例，脱落1例）和对照组（36例）。对照组患儿采用静脉滴注头孢地嗪钠[80mg/（kg•d）]治疗7天。观察组患儿在抗生素治疗的第1天和第4天，于背部膀胱经进行拔罐治疗；每次拔罐治疗5 - 10分钟；观察组治疗7天。观察两组患儿治疗前后体温完全恢复正常的天数、中医证候积分及加拿大急性呼吸道疾病流感量表（CARIFS）评分，并评价临床疗效。
观察组体温完全恢复正常的天数短于对照组（P<0.05）。治疗后，两组患儿的中医证候积分及CARIFS评分均降低（P<0.05），且观察组中医证候的咳嗽积分、咳痰积分、肺部听诊积分及CARIFS的咳嗽积分、流涕积分、咽痛积分均低于对照组（P<0.05）。观察组治愈率为97.1%（34/35），与对照组的91.7%（33/36）比较，差异无统计学意义（P>0.05）。
拔罐治疗联合抗生素治疗儿童细菌性肺炎与单纯使用抗生素疗效相似，但在缩短发热病程及改善肺部症状方面效果更佳。
