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Clinical efficacy observation of comprehensive ying needling therapy for mumps
综合刺营疗法治疗流行性腮腺炎临床疗效观察
TIAN Hai-yan (田海燕)1 XU Meng-bo (徐梦博)2
1. Acupuncture-moxibustion Department of the Third Affiliated Hospital of Nanchang University, Nanchang 330008, Jiangxi Province, China; 2. Moxibustion School of Jiangxi University of Traditional Chinese Medicine，Nanchang 330004, Jiangxi Province, China (1.南昌大学第三附属医院针灸科，江西南昌 330008，中国；2.江西中医药大学灸学院，江西南昌 330004，中国)
ABSTRACT Objective To compare the clinical efficacy difference between comprehensive ying needling therapy and intramuscular injection with ribavirin for mumps. Methods One hundred patients with mumps were randomly divided into comprehensive ying needling therapy group (group A, 52 cases) and western medicine group (group B, 48 cases), then 8 cases were eliminated and drop out from group A and 4 cases were eliminated and drop out from group B respectively, actual inclusion 44 cases in group A 44 cases in group B. Point bloodletting was performed at parotid gland (腮腺Sāixiàn) and Threeshang acupoints of the patients in group A for once every other day, treatment for 7 days was considered as 1 course of treatment, and 2 courses were needed. Intramuscular injection with ribavirin was given to the patients in group B for twice a day, treatment for 7 days was considered as 1 course, and 2 courses were needed. The parotid gland swelling score, fever score, orifice parotid duct swelling score, score of difficulty in opening mouth and the clinical efficacy of the patients in the two groups were compared before and after treatment. Results The cured and markedly effective rate in group A was 90.9% (40/44), which was superior to 68.2% in group B (30/44) (P＜0.05). The symptom scores were all improved significantly in the two groups after treatment (all P＜0.05), and the improvement in group A was superior to that in group B (all P＜0.05). Conclusion The curative effect of comprehensive ying needling therapy for treatment of mumps was superior to that of conventional western medicine therapy.
KEY WORDS: mumps；comprehensive ying needling therapy；ribavirin injection；randomized controlled trial
[摘要] 目的：比较综合刺营疗法与肌肉注射利巴韦林治疗流行性腮腺炎的临床疗效差异。方法：将100例流行性腮腺炎患者随机分为综合刺营疗法组（52例）和西药组（48例），观察过程中两组分别剔除和脱落8例和4例。实际完成情况为：综合刺营疗法组（44例）和西药组（44例）。综合刺营疗法组予腮腺穴、三商穴点刺出血治疗，隔日治疗一次，7天为一疗程，共治疗2个疗程；西药组肌肉注射利巴韦林，每日2次，7天为一疗程，共治疗2个疗程。比较治疗前后两组患者腮腺肿胀评分、发热评分、腮腺管口红肿评分、张口困难评分及临床疗效。结果：综合刺营疗法组的愈显率为90.9%（40/44），优于西药组的68.2%（30/44）（P＜0.05）。两组治疗后各症状积分较治疗前均明显改善（均P＜0.05），且综合刺营疗法组优于西药组（均P＜0.05）。结论：综合刺营疗法治疗流行性腮腺炎疗效优于常规西医疗法。
[关键词] 流行性腮腺炎；综合刺营疗法；利巴韦林注射液；随机对照试验
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