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According to the random number table method, the above children were divided into control group and observation group, 72 cases in each group. Both groups were given routine treatment, and the control group was treated with acupoint acupuncture, whereas the observation group was combined with Tongfei Pingxiao Decoction on the basis of the control group. The clinical efficacy and safety in the two groups were evaluated, and the differences in TCM syndromes scores, lung function [forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), peak expiratory flow (PEF)], serum IgE, ICAM - 1 and IFN - γ levels were analyzed in both groups.Results: The observation group had significantly higher total effective rate than the control group (P < 0.05). After treatment, the scores of wheezing, cough, runny nose, tongue and pulse and levels of serum IgE and ICAM - 1 in both groups were significantly decreased, and the above scores and levels in observation group were significantly lower than those in control group (P <0.05). The lung function indexes such as FVC, FEV1%, PEFR% and serum IFN- γ were significantly increased in the two groups after treatment, and the indexes were significantly higher in observation group (P < 0.05).Conclusion: Based on the conventional western medicine treatment, Tongfei Pingxiao Decoction combined with acupoint acupuncture can effectively improve the clinical symptoms and lung function of children with acute attack of BA. The role mechanism may be related to the regulations of serum IgE, IFN - γ and ICAM - 1., authors=WEI Xiaojian1 , ZHU Xia1 , YIN Hongyi1 , authorsList=WEI Xiaojian, ZHU Xia, YIN Hongyi, authorCompany=1 Jingzhou Hospital of Traditional Chinese Medicine, Jingzhou 434000, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=湖北省中医药管理局科研项目 (ZY2023M050)), CN=ArticleExt(id=1304438810507505807, articleId=1304438810276819086, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=通肺平哮汤联合穴位针刺对支气管哮喘急性发作期患儿的临床疗效研究, columnId=1303760933084484510, journalTitle=中医药学报, columnName=临床研究, runingTitle=null, highlight=null, articleAbstract=目的: 探究通肺平哮汤联合穴位针刺治疗支气管哮喘(BA)急性发作期患儿对中医证候及血清免疫球蛋白(Ig) E、细胞间黏附分子1(ICAM - 1)、γ干扰素(IFN - γ)的影响。 方法: 选取荆州市中医医院2023年10月—2024年10月收治的144例BA急性发作期热哮证患儿为研究对象,按照随机数字表将其分为对照组与观察组,每组72例。两组均予以常规治疗,对照组在常规治疗上联合穴位针刺治疗,观察组在对照组基础上联合通肺平哮汤治疗。评价两组临床疗效及安全性,分析两组中医证候积分、肺功能[用力肺活量(FVC)、第1秒用力呼气容积占预计值百分比(FEV1 % pred)、最大呼气流量占预计值百分比(PEF% pred)]、血清IgE、ICAM - 1、IFN - γ水平的差异。 结果: 观察组总有效率显著高于对照组(P < 0.05);两组治疗后喘息、咳嗽、流涕、舌脉等积分、血清IgE与ICAM - 1水平均显著降低(P <0.05),且观察组均显著低于对照组(P < 0.05);两组治疗后FVC、FEV1 % pred、PEFR% pred等肺功能指标、血清IFN - γ水平均显著升高(P < 0.05),且观察组均显著高于对照组(P < 0.05)。 结论: 基于西医常规治疗,通肺平哮汤联合穴位针刺治疗小儿BA急性发作期,可有效改善患儿临床症状及肺功能,其作用机制可能与调节血清IgE、IFN - γ与ICAM - 1水平相关。, authors=魏晓建1 , 朱霞1 , 尹虹懿1 , authorsList=魏晓建, 朱霞, 尹虹懿, authorCompany=1 荆州市中医医院,湖北 荆州 434000, correspAuthors=* 尹虹懿(1988-),女,主治医师,从事中医儿科相关研究。, authorNote=魏晓建(1984-),男,硕士,主治医师,从事中医儿科相关研究。, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, 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中医药学报
|临床研究
2026
, 54
(2) :
63
-67
通肺平哮汤联合穴位针刺对支气管哮喘急性发作期患儿的临床疗效研究
全屏
魏晓建1 , 朱霞1 , 尹虹懿1
作者信息
通讯作者:
* 尹虹懿(1988-),女,主治医师,从事中医儿科相关研究。
作者简介:
魏晓建(1984-),男,硕士,主治医师,从事中医儿科相关研究。
Clinical Efficacy of Tongfei Pingxiao Decoction Combined with Acupoints Needling in Children with Acute Exacerbation of Bronchial Asthma
WEI Xiaojian1 , ZHU Xia1 , YIN Hongyi1
Affiliations
1 Jingzhou Hospital of Traditional Chinese Medicine, Jingzhou 434000, China
doi: 10.19664/j.cnki.1002-2392.260035
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目的: 探究通肺平哮汤联合穴位针刺治疗支气管哮喘(BA)急性发作期患儿对中医证候及血清免疫球蛋白(Ig) E、细胞间黏附分子1(ICAM - 1)、γ干扰素(IFN - γ)的影响。 方法: 选取荆州市中医医院2023年10月—2024年10月收治的144例BA急性发作期热哮证患儿为研究对象,按照随机数字表将其分为对照组与观察组,每组72例。两组均予以常规治疗,对照组在常规治疗上联合穴位针刺治疗,观察组在对照组基础上联合通肺平哮汤治疗。评价两组临床疗效及安全性,分析两组中医证候积分、肺功能[用力肺活量(FVC)、第1秒用力呼气容积占预计值百分比(FEV1 % pred)、最大呼气流量占预计值百分比(PEF% pred)]、血清IgE、ICAM - 1、IFN - γ水平的差异。 结果: 观察组总有效率显著高于对照组(P < 0.05);两组治疗后喘息、咳嗽、流涕、舌脉等积分、血清IgE与ICAM - 1水平均显著降低(P <0.05),且观察组均显著低于对照组(P < 0.05);两组治疗后FVC、FEV1 % pred、PEFR% pred等肺功能指标、血清IFN - γ水平均显著升高(P < 0.05),且观察组均显著高于对照组(P < 0.05)。 结论: 基于西医常规治疗,通肺平哮汤联合穴位针刺治疗小儿BA急性发作期,可有效改善患儿临床症状及肺功能,其作用机制可能与调节血清IgE、IFN - γ与ICAM - 1水平相关。
中西结合疗法
/
针药联合
/
支气管哮喘
/
急性发作期
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通肺平哮汤
Objective: To explore the influence of Tongfei Pingxiao Decoction combined with acupoint acupuncture on TCM syndromes, serum immunoglobulin (Ig) E, intercellular adhesion molecule 1 (ICAM - 1) and interferon - γ (IFN - γ) in children with acute attack of bronchial asthma (BA).Methods: 144 children with BA acute attack of heat wheezing admitted to Jingzhou Hospital of Traditional Chinese Medicine Hospital were selected from October 2023 to October 2024 as the research subjects. According to the random number table method, the above children were divided into control group and observation group, 72 cases in each group. Both groups were given routine treatment, and the control group was treated with acupoint acupuncture, whereas the observation group was combined with Tongfei Pingxiao Decoction on the basis of the control group. The clinical efficacy and safety in the two groups were evaluated, and the differences in TCM syndromes scores, lung function [forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), peak expiratory flow (PEF)], serum IgE, ICAM - 1 and IFN - γ levels were analyzed in both groups.Results: The observation group had significantly higher total effective rate than the control group (P < 0.05). After treatment, the scores of wheezing, cough, runny nose, tongue and pulse and levels of serum IgE and ICAM - 1 in both groups were significantly decreased, and the above scores and levels in observation group were significantly lower than those in control group (P <0.05). The lung function indexes such as FVC, FEV1%, PEFR% and serum IFN- γ were significantly increased in the two groups after treatment, and the indexes were significantly higher in observation group (P < 0.05).Conclusion: Based on the conventional western medicine treatment, Tongfei Pingxiao Decoction combined with acupoint acupuncture can effectively improve the clinical symptoms and lung function of children with acute attack of BA. The role mechanism may be related to the regulations of serum IgE, IFN - γ and ICAM - 1.
Integrated Chinese - western medicine therapy
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Acupuncture combined with medication
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Bronchial asthma
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Acute exacerbation stage
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Tongfei Pingxiao Decoction
魏晓建, 朱霞, 尹虹懿.
通肺平哮汤联合穴位针刺对支气管哮喘急性发作期患儿的临床疗效研究.
中医药学报,
2026
, 54
(2)
: 63
-67
.
DOI: 10.19664/j.cnki.1002-2392.260035
WEI Xiaojian, ZHU Xia, YIN Hongyi.
Clinical Efficacy of Tongfei Pingxiao Decoction Combined with Acupoints Needling in Children with Acute Exacerbation of Bronchial Asthma[J].
Acta Chinese Medicine and Pharmacology ,
2026
, 54
(2)
: 63
-67
.
DOI: 10.19664/j.cnki.1002-2392.260035
2026年第54卷第2期
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doi: 10.19664/j.cnki.1002-2392.260035
接收时间:2025-01-13
首发时间:2026-09-09
https://castjournals.cast.org.cn/joweb/zyyxb/CN/10.19664/j.cnki.1002-2392.260035
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2种不同金属材料的力学参数
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