Observation on the therapeutic effect of pediatric Tuina combined with traditional Chinese medicine hot compress in children with wind-cold lung closure type lung wind phlegm asthma
小儿推拿联合中药热奄包在风寒闭肺型肺风痰喘患儿中的疗效观察

摘要

目的 将小儿推拿联合中药热奄包用于风寒闭肺型肺风痰喘患儿中，观察其疗效。方法 选取2023年12月-2025年4月本院收治的60例肺风痰喘患儿（风寒闭肺型）为研究对象，按照随机数字表法分组，对照组30例行常规西医治疗，观察组30例加小儿推拿联合中药热奄包治疗，比较两组总有效率、临床症状消退时间、中医证候积分各项指标差异。结果 两组总有效率比较，观察组96.67%高于对照组（P<0.05）；两组症状消退时间比较，观察组更短（P<0.05）；治疗前，两组中医证积分评分比较，差异不显著（P>0.05），治疗后，观察组中医证候积分比对照组更低（P<0.05）。结论 对风寒闭肺型肺风痰喘患儿来说，应用小儿推拿联合中药热奄包治疗可获得确切疗效，还可加快患儿各项症状消退，改善中医证候，具有较高应用价值。

Abstract

Objective To apply pediatric massage combined with traditional Chinese medicine hot compress in children with lung wind and phlegm asthma of wind-cold lung closure type and observe its therapeutic effect.
Methods Sixty children with lung wind phlegm asthma (wind-cold lung closure type) admitted to our hospital from December 2023 to April 2025 were selected as the research subjects. They were grouped according to the random number table method. Thirty cases in the control group received conventional Western medical treatment, and 30 cases in the observation group were treated with pediatric massage combined with traditional Chinese medicine hot compress. Compare the differences in total effective rate, time for clinical symptom regression, and various indicators of TCM syndrome score between the two groups.
Results The comparison of the total effective rates between the two groups showed that the observation group (96.67%) was higher than the control group (P<0.05). The comparison of symptom regression time between the two groups showed that the observation group had a shorter time (P<0.05). Before treatment, there was no significant difference in the TCM syndrome score comparison between the two groups (P>0.05). After treatment, the TCM syndrome score of the observation group was lower than that of the control group (P<0.05).
Conclusion   For children with lung wind and phlegm asthma of wind-cold lung closure type, the application of pediatric massage combined with traditional Chinese medicine hot compress therapy can achieve definite therapeutic effects, accelerate the resolution of various symptoms in children, improve traditional Chinese medicine syndromes, and has high application value.