| Objective:Based on the theory of"lung and bladder differentiation"and"lung and large intestine"theory,Tongli bladder Fu and large intestine Fu organs can treat external diseases.Clinical observation found that jiejiejietongfu method is widely used in children cold,but there are no relevant reports.Therefore,this paper,through observing the clinical effect of jiejiejietongfu method in the treatment of children cold,further explore the mechanism of jiejiejietongfu method,and provide ideas and methods for clinical treatment of children cold.Methods:72 cases of children with wind cold,86 cases of wind heat cold and 68 cases of damp heat cold were collected from the pediatric clinic of Affiliated Hospital of Shandong University of traditional Chinese medicine.According to the principle of random and controlled statistics,they were divided into the control group and the observation group.The control group was treated with Xiaoer’s Paracetamol huangnamin granules,and the observation group was treated with Jingfang Baidu powder;The control group was treated with Xiaoer Anfen huangnamin granules,and the observation group was treated with yinqiao powder;In damp heat cold,the control group was treated with infantile paracetamol huangnamin granules,and the observation group was treated with Sanren decoction.Three days was a course of treatment and one course of observation.The changes of symptoms and signs before and after treatment were observed and recorded.The data were processed and evaluated.Excel and spss25.0were used for data collection,processing and analysis.Results:1.Comparison of antipyretic time:in the control group,11 cases had antipyretic time≤24 hours,17 cases had antipyretic time≤48 hours,4cases had antipyretic time≤72 hours and 3 cases had antipyretic time>72 hours;in the observation group,24 cases had antipyretic time≤24hours,4 cases had antipyretic time≤48 hours,3 cases had antipyretic time≤72 hours and 1 case had antipyretic time>72 hours.The antipyretic time of the two groups was tested,?~2=13.913,P=0.003<0.05,there was a difference between the two groups,with statistical significance.The antipyretic time of the observation group was shorter than that of the control group.In the control group,there were 14 cases with fever abatement time≤24 hours,18 cases with fever abatement time≤48 hours,2 cases with fever abatement time≤72 hours and 3 cases with fever abatement time>72 hours;in the observation group,there were 30 cases with fever abatement time≤24 hours,8 cases with fever abatement time≤48 hours,3 cases with fever abatement time≤72 hours and 1 case with fever abatement time>72 hours.The antipyretic time of the two groups was tested,?~2=10.590,P=0.014<0.05,there was difference between the two groups,with statistical significance.The antipyretic time of the observation group was shorter than that of the control group.In the control group,there were 9 cases with fever abatement time≤24 hours,16 cases with fever abatement time≤48 hours,3 cases with fever abatement time≤72 hours and 2 cases with fever abatement time>72 hours;in the observation group,there were 20 cases with fever abatement time≤24 hours,6 cases with fever abatement time≤48 hours,4 cases with fever abatement time≤72 hours and 1 case with fever abatement time>72 hours.The antipyretic time of the two groups was tested,?~2=9.180,P=0.027<0.05,there was difference between the two groups,with statistical significance.The antipyretic time of the observation group was shorter than that of the control group.2.TCM syndrome remission comparison:in most syndromes,the test P>0.05,no difference,indicating that the curative effect of the two groups is similar,but in cold,fever,sneezing,nasal congestion,cough and other symptoms P<0.05,the two groups have differences,with statistical significance,the observation group in the remission effect of these symptoms is better than the control group.In the wind heat cold,the symptoms of fever,cough,sore throat,thirst,irritability,yellow and red urine,constipation were P<0.05.There were differences between the two groups,with statistical significance.The relief effect of the observation group was better than that of the control group.In damp heat cold,the symptoms of fever,cough,runny nose,expectoration,thirst,yellow urine and sticky stool were P<0.05.There was significant difference between the two groups,with statistical significance.The relief effect of the observation group was better than that of the control group.3.Comparison of TCM syndrome score after treatment:in wind cold,the average score of the control group after treatment was 6.80±4.95,and the average score of the observation group after treatment was 5.06±6.28.Two groups of cases were tested,Z=-2.058,P=0.040<0.05,two groups of cases were different,with statistical significance,the observation group for symptom relief effect is better than the control group.In the wind heat cold,the average score of the control group was10.16±8.22,and the average score of the observation group was 7.09±9.10.The two groups of cases were tested,Z=-2.009,P=0.045<0.05,there was a difference between the two groups of cases,with statistical significance,the observation group was better than the control group in relieving symptoms.The average score of the control group was 7.40±6.69,and that of the observation group was 3.68±4.56.The two groups of cases were tested,Z=-1.986,P=0.047<0.05,there was a difference between the two groups of cases,with statistical significance,the observation group was better than the control group in relieving symptoms.4.Comparison of total effective rate:in the control group,8 cases were cured,10 cases were markedly effective,13 cases were effective,4 cases were ineffective,the total effective rate was 88.6%;in the observation group,11 cases were cured,16 cases were markedly effective,4 cases were effective,1 case was ineffective,the total effective rate was 96.9%.Two groups of cases were tested,Z=-2.339,P=0.019<0.05,with statistical significance,indicating that the observation group was better than the control group in relieving symptoms.In the control group,7 cases were cured,11 cases were markedly effective,14 cases were effective,5 cases were ineffective,the total effective rate was 86.5%;in the observation group,14 cases were cured,17 cases were markedly effective,9 cases were effective,2 cases were ineffective,the total effective rate was 95.2%.The two groups of cases were tested,Z=-2.279,P=0.023<0.05,with statistical significance,indicating that the observation group had better remission effect than the control group.In the control group,6 cases were cured,12 cases were markedly effective,8 cases were effective,4 cases were ineffective,the total effective rate was 86.7%;in the observation group,13 cases were cured,14 cases were markedly effective,3 cases were effective,1 case was ineffective,the total effective rate was 96.8%.The two groups of cases were tested,Z=-2.513,P=0.012<0.05,with statistical significance,indicating that the remission effect of the observation group was better than that of the control group.Conclusion:Through clinical observation,it is found that jiebiao Tongfu method can effectively improve some symptoms and signs of children with cold,and the effect is better than that of the control group,which is worthy of further clinical research and application. |
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