Clinical Observation On The Therapeutic Effect Of Heat Sensitive Moxibustion Combined With Massage In Children With Cough Variant Asthma

Objective:The children with Cough variant asthma(CVA)were selected as the research subjects.Therapeutic effects were compared by thermosensitive moxibustion combined with pediatric massage therapy and nebulized inhaled budesonide suspension combined with oral montelukast sodium chewable tablets.The main symptoms of cough,symptoms and signs of traditional Chinese medicine in the two groups were objectively evaluated to evaluate the clinical efficacy and feasibility of combined heat-sensitive moxibustion combined with pediatric massage in the treatment of pediatric cough variant asthma,and to provide a new treatment for this disease.Methods:From February 2019 to January 2020,65 children with cough variant asthma were selected from the Department of moxibustion / pediatric inpatient department of Jiangxi University of traditional Chinese Medicine Affiliated Hospital.Five of them were excluded and 60 of them finally participated in the whole process of the trial.According to the random number table,randomly divided into the experimental group and the control group.The experimental group was treated with heat sensitive moxibustion combined with children’s massage,the control group was treated with inhalation of budesonide suspension plus oral montelukast sodium chewable tablets;the two groups were treated for 30 days,and the cough,expectoration symptoms,TCM syndrome score and curative effect ofthe two groups were observed respectively on the 15 th and 30 th day of treatment,Observe whether there are adverse reactions,follow-up one month after the treatment,and observe whether there are recurrence and side effects.The adverse events occurred during the test shall be recorded in detail.Finally,spss25.0 is used to analyze all the data.Results:1.Comparison of cough symptoms between the two groups before treatment,on the 15 th day and the 30 th day of treatment,the scores of cough and expectoration symptoms in the experimental group were significantly improved(P < 0.01)and those in the control group were significantly improved(P < 0.05).There was no significant difference in the scores of cough and expectoration symptoms between the two groups(P > 0.05);)The scores of cough and expectoration symptoms were statistically different between the two groups(P < 0.05).2.The TCM symptom score of the experimental group was significantly improved in cough,expectoration,nasal congestion and runny nose,sneezing,chest tightness and shortness of breath,pharyngeal itching,sweating,poor appetite,hand and foot temperature and defecation before treatment(P < 0.01).In the control group,the symptoms of cough and expectoration were significantly improved.(P<0.01)。 However,there was no significant improvement in sneezing,sweating,poor appetite and defecation(P > 0.05).3.The cough and expectoration symptoms of the two groups were significantly improved,but the effect of the experimental group was more significant than that of the control group(P < 0.01).From the analysis of the total effective rate of the two groups,the total effective rate of the experimental group was 96.67%,which was significantly higher than that of the control group(86.67%)(P < 0.05).4.The recurrence rate of the two groups was 13.33% lower than that of the control group(36.67%)(P < 0.05).5.Adverse event: no adverse event occurred during the test.Conclusion:1.Heat sensitive moxibustion combined with infantile massage can effectively alleviate the clinical cough and expectoration symptoms of children with cough variant asthma,and improve the daily TCM accompanying symptoms of children with cough,such as nasal obstruction and runny nose,sneezing,pharyngeal itching,spontaneous sweating and night sweating,poor appetite,mental fatigue,limb temperature,etc.,which is conducive to the improvement of children’s physical fitness;2.The combination of heat sensitive moxibustion and infantile massage is a pure external treatment of traditional Chinese medicine,safe and effective,non-toxic side effects,easy to operate,high compliance and cooperation of children and their families,which is worthy of clinical application.