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[Cupping treatment combined with antibiotics for bacterial pneumonia in children: a randomized controlled trial]
Yan Xu1, Sheng-Tao Cui2, Li-Ying Bai2
1College of TCM, Changchun University of CM, Changchun 130117, Jilin Province, China.
Insights
Cupping therapy combined with antibiotics effectively treats pediatric bacterial pneumonia by reducing fever duration and improving lung symptoms. This integrated approach shows comparable overall efficacy to antibiotics alone.
Area of Science:
- Pediatric Pulmonology
- Integrative Medicine
- Traditional Chinese Medicine (TCM)
Background:
- Bacterial pneumonia is a common respiratory infection in children.
- Antibiotics are the standard treatment, but symptom relief can be slow.
- Complementary therapies are being explored to enhance treatment outcomes.
Purpose of the Study:
- To compare the clinical effectiveness of cupping therapy combined with antibiotics versus antibiotics alone for childhood bacterial pneumonia.
- To evaluate the impact on fever duration, TCM syndrome scores, and the Canadian Acute Respiratory Illness Flu Scale (CARIFS).
Main Methods:
- A randomized controlled trial involving 72 children with bacterial pneumonia.
- Control group received intravenous cefodizime sodium for 7 days.
- Observation group received cefodizime sodium plus cupping therapy on the back's bladder meridian for 7 days.
Main Results:
- The observation group showed a significantly shorter duration of fever reduction compared to the control group (P<0.05).
- Both groups exhibited reduced TCM syndrome and CARIFS scores post-treatment (P<0.05).
- The observation group had significantly lower scores for cough, expectoration, and lung auscultation (TCM), and cough, runny nose, and sore throat (CARIFS) compared to the control group (P<0.05).
Conclusions:
- Cupping therapy combined with antibiotics offers similar overall efficacy to antibiotics alone in treating pediatric bacterial pneumonia.
- The integrated approach demonstrates superior effectiveness in shortening fever duration and ameliorating pulmonary symptoms.
Objective:
To compare the clinical efficacy of cupping treatment combined with antibiotics and antibiotics alone for bacterial pneumonia in children.
Methods:
A total of 72 children with bacterial pneumonia were randomly divided into an observation group (36 cases, 1 case dropped off) and a control group (36 cases). The children in the control group were treated with intravenous drip of cefodizine sodium [80 mg/(kg•d)] for 7 days. Based on the treatment of the control group, the children in the observation group were treated with cupping treatment on the bladder meridian of the back on the first day and the fourth day of antibiotic treatment; each cupping treatment was given for 5-10 min; the treatment of observation group was given for 7 days. The days for complete fever reduction, TCM syndrome scores and Canadian acute respiratory illness flu scale (CARIFS) scores before and after treatment were observed, and the clinical efficacy was evaluated.
Results:
The days for complete fever reduction in the observation group were shorter than that in the control group (P<0.05). After treatment, the TCM syndrome scores and CARIFS scores in the two groups were reduced (P<0.05), and the cough score, expectoration score, lung auscultation score of TCM syndrome and cough score, runny nose score and sore throat score of CARIFS in the observation group were lower than those in the control group (P<0.05). The cured rate in the observation group was 97.1% (34/35), which had no significant difference with 91.7% (33/36) in the control group (P>0.05).
Conclusion:
Cupping treatment combined with antibiotics has similar efficacy with antibiotics alone for bacterial pneumonia in children, but shows better effect in shortening the duration of fever and improving pulmonary symptoms.
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