Analysis Of Mild To Moderate Effect Of Acute Cerebral Infarction In Children With Bronchial Asthma Treated By

Background:Children bronchial asthma, is a common pediatric respiratory disease, clinically occurs in children with recurrent cough, wheezing and breathing difficulty, accompanied by airway hyperresponsiveness reversible obstructive airways disease. Much longer its duration, the incidence rate increased year by year, seriously affecting the quality of children’s lives.As for the children and the family and society, they are all suffering heavy financial burden. So to research patient-centered, family therapy-based treatment model is significant. Western medicine treatment of bronchial asthma majorly focus on symptomatic remission, however, there are certain side effects and adverse reactions,and easily repeated after drug withdrawal. The disease has long been documented in traditional Chinese medicine, and it has already formed a unique theoretical system, with clinical safety and other certain advantages. Throughout the course of medical treatment, pediatrician always attach much importance in the internal treatment and nursing, rather than external treatment and emergent aid. Professor Xu proposed "Xu’s Relieving Asthma Massage",after years of study,using light friction to treat acute exacerbation of children bronchial asthma, can immediately relieve the symptom of asthma. To further explore the internal validity and the best treatment time of "Xu’s Relieving Asthma Massage",we presumed touching as a control to observe the change of PEF and FEV1.Objective:To provide the"Xu’s Relieving Asthma Massage" with clinical efficacy evidence,and explore the best treatment time.Methods:The 68 subjects were selected in accordance with the inclusion criteria and were all diagnosed as children bronchial asthma and TCM diagnosis is asthma (exacerbation) during August 2012 to December 2014 at pediatric department, Dongzhimen Hospital. They were divided according to a random number table into two groups, which is treatment group(31) and control group(37). Treatment group was interfered by "Xu’s Relieving Asthma Massage", the control group was given a simple touch as the intervention measures. The two groups were also divided into 3 subgroups according to different time, which were I group (10 minutes), II group (20 minutes), III group (30 minutes). If skin discomfort appears or exacerbations occurs, the treatment would be stopped. Record the case history, collect PEF and FEV1 values before and after the intervention.Results:1. Basic information by comparing the two groups:in terms of gender, age, severity of illness, etc., two groups of children were comparable, with no no significant differences (p> 0.05).2. The total comparison of the efficacy2.1 Both "Xu’s Relieving Asthma Massage" and genuine touch have positive effect on improve PEF, FEV1 in acute asthma, the difference between before and after the intervention were statistically significant (p<0.05)2.2 "Xu’s Relieving Asthma Massage" improved PEF, FEV1 greater than touch,and the difference between the two groups was significantly different (p <0.05)2.3The time longer, the effect better within 30 minutes’ intervention, with 10min group and 20min group was statistically significant (p<0.05),20min and 30min was no significant difference (p>0.05)3. Relation between intervention time and PEF changing values.Whether by "Xu’s Relieving Asthma Massage" or merely touch, intervention time and PEF were proportional improvement and there are linear relationship within 30 minutes intervention. They are y=1.058x-1.706, and y=0.646x-3.645. The slope of "Xu’s Relieving Asthma Massage" 1.058>0.646 (slope of touch group), so "Xu’s Relieving Asthma Massage" can betterr improve PEF values.4.3.3 Drug SafetyDuring the trials,no palpitations, chest pain, and other symptoms of exacerbations were found, only few individual suffered from skin redness after the intervention. Not given special treatment, they relieved after a short break and no obvious adverse reactions happened during the test.Conclusion:1. Both "Xu’s Relieving Asthma Massage" and simple touch can improve lung function of acute exacerbation of bronchial asthma in various degrees.2. "Xu’s Relieving Asthma Massage"acts better than touching in terms of PEF and FEV1 changing magnitude.3. The longer the time intervenes, the more obvious improvement in lung function within 30 minuts.4. "Xu’s Relieving Asthma Massage" is safe and well tolerated.