加味金粟丹联合针灸治疗小儿热性惊厥临床研究
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R272

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嘉兴市科技计划项目(2018AD32048);嘉兴市科技计划项目(2020AD30089)


Clinical Study on Modified Jinsu Pellets Combined with Acupuncture and Moxibustion for Febrile Convulsion in Children
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    摘要:

    目的:观察加味金粟丹联合针灸治疗小儿热性惊厥的临床疗效及对患儿血清高迁移率蛋白 盒 1 (HMGB1)、白细胞介素-6 (IL-6)、铁蛋白 (SF) 水平的影响。方法:选取 100 例热性惊厥患儿,按照 不同的治疗方法分为对照组及观察组各 50 例。对照组采取现代医学常规疗法及针灸治疗,观察组在对照组基 础上联合加味金粟丹治疗。比较 2 组临床疗效,观察 2 组惊厥消失时间、神志恢复时间以及退热时间,比较 2 组治疗前后神经因子[神经元特异性稀醇化酶 (NSE)、脑源性神经营养因子 (BNDF)、神经肽-Y (NPY)] 水平、SF、IL-6、HMGB1 及血清免疫球蛋白 IgG、IgM、IgA 水平的变化。结果:观察组临床疗效总有效率为 90%,对照组为 72%,2 组比较,差异有统计学意义(P<0.05)。观察组退热时间、神志恢复时间、惊厥消失 时间均短于对照组,差异有统计学意义 (P<0.05)。治疗后,2 组 NSE、NPY、BDNF 水平均较治疗前下 降 (P<0.05),观察组 NSE、NPY、BDNF 水平低于对照组 (P<0.05)。治疗后,2 组 SF 水平均较治疗前上 升,HMGB1、IL-6 水平均较治疗前下降,差异均有统计学意义(P<0.05);治疗后,观察组 SF 水平高于对照 组,HMGB1、IL-6 水平低于对照组,差异有统计学意义(P<0.05)。治疗后,2 组 IgG、IgM、IgA 水平均较治 疗前下降 (P<0.05),观察组上述 3 项水平均低于对照组 (P<0.05)。观察组复发率为 4%,对照组为 26%, 2 组比较,差异有统计学意义(P<0.05)。结论:加味金粟丹联合针灸治疗小儿热性惊厥的临床疗效显著,能 有效减轻炎症反应,改善免疫球蛋白水平。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Jinsu Pellets combined with acupuncture and moxibustion for febrile convulsion in children and its effect on levels of serum high mobility group protein box 1(HMGB1), interleukin-6(IL-6) and serum ferritin(SF). Methods: A total of 100 cases of children with febrile convulsion were selected and serum divided into the control group and the observation group according to different treatment methods, with 50 cases in each group. The control group was treated with routine therapy of modern medicine as well as acupuncture and moxibustion,and the observation group was additionally treated with modified Jinsu pellets based on the treatment of the control group. The clinical effects were compared between the two groups; the disappearance time of convulsion,the recovery time of consciousness and the antipyretic time in the two groups were observed. Before and after treatment,the changes in the levels of nerve factors including neuron- specific enolase (NSE), brain- derived neurotrophic factor(BNDF) and neuropeptide- Y(NPY), SF, IL- 6, HMGB1, and serum immunoglobulin lgG,lgM and lgA in the two groups were compared. Results:The total effective rate was 90% in the observation group and 72% in the control group,the difference being significant(P< 0.05). The antipyretic time,the recovery time of consciousness and the disappearance time of convulsion in the observation group were shorter than those in the control group,the difference being significant(P< 0.05). After treatment, the levels of NSE, NPY and BDNF in the two groups were decreased when compared with those before treatment(P<0.05),and the levels of NSE,NPY and BDNF in the observation group were lower than those in the control group(P<0.05). After treatment,the SF levels in the two groups were increased when compared with those before treatment,and the levels of HMGB1 and IL-6 were decreased,the difference being significant(P<0.05). After treatment,the SF level in the observation group was higher and the levels of HMGB1 and IL-6 were lower than that in the control group,the difference being significant(P<0.05). After treatment, the levels of lgG, lgM and lgA in the two groups were decreased when compared with those before treatment(P<0.05), and the above three levels in the observation group were lower than those in the control group(P<0.05). The recurrence rate was 4% in the observation group and 26% in the control group, the difference being significant(P<0.05). Conclusion: The therapy of modified Jinsu Pellets combined with acupuncture and moxibustion for febrile convulsion in children has a significant clinical effect, which can effectively reduce the inflammatory responses and improve the levels of immunoglobulin.

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葛禾佳,陈俊国,应勤来,吴鸣.加味金粟丹联合针灸治疗小儿热性惊厥临床研究[J].新中医,2023,55(1):62-66

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  • 在线发布日期: 2023-01-17
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