摘要
目的分析中医辨证论治痰湿蕴肺型小儿肺炎喘嗽的临床疗效并探讨小儿肺炎喘嗽证治。方法选取医院2016年3月—2018年6月收治的痰湿蕴肺型肺炎喘嗽患儿100例,按随机数字表法分为对照组及观察组,各50例。对照组患儿给予常规西医治疗,观察组患儿在对照组的基础上给予麻杏二三汤加减治疗,两组均连续治疗10 d。比较两组患儿临床症状、体征及呼吸困难、肺功能改善情况,统计两组患儿临床疗效。结果与治疗前比较,治疗后两组患儿主症、次症积分及SGRQ评分、MRC评分均显著降低,且观察组显著低于对照组(P<0.05或P<0.01);治疗后两组患儿1秒用力呼气容积及最大气流量均显著升高,且观察组高于对照组(P<0.01);与对照组比较,观察组患儿气促、发热、咳嗽、肺部罗音等临床症状、体征消失时间均显著缩短(P<0.01);治疗后观察组临床总有效率为94.00%(47/50),较对照组的78.00%(39/50)显著升高(P<0.05)。结论辨证论治痰湿蕴肺型小儿肺炎喘嗽临床疗效显著,可有效改善患儿临床症状,恢复其肺功能。
Objective To analyze the effect of TCM syndrome differentiation and treatment of phlegm-dampness aggregating lung type of asthma children with pneumonia, and explore the treatment of asthma children with pneumonia. Methods A total of 100 cases phlegm-dampness aggregating lung type of asthma children with pneumonia in our hospital were selected from Mar. 2016 to Jun. 2018 and divided into control group and observation group according to random number table, 50 cases in each group. Children in control group were treated with conventional western medicine treatment and those in observation group were treated with Maxing Ersan Decoction(麻杏二三汤) on the basis of control group. Two groups were treated for 10 d continuously. The improvement of clinical symptoms and signs, dyspnea and pulmonary function of children in two groups were compared. The clinical curative effect of two groups was analyzed. Results Compared with those before treatment, the primary and secondary symptoms scores, SGRQ scores and MRC scores were decreased significantly after treatment, and the observation group’s were lower than those of the control group(P<0.05 or P<0.01). The forced expiratory volume in 1 second and the max air flow of children in two groups were increased significantly after treatment, and the observation group’s was higher than that of the control group(P<0.01). Compared with those of the control group, the disappearing time of shortness of breath, fever, cough and lung sounds of children in the observation group was shortened significantly(P<0.01). The clinical effective rate in the observation group after treatment was 94.00%(47/50), which was higher than 78.00%(39/50) in the control group significantly(P<0.05). Conclusion The effect of TCM syndrome differentiation and treatment of phlegm-dampness aggregating lung type of asthma children with pneumonia is remarkable, which can improve the clinical symptoms and restore their lung function of children.
作者
王升强
李薇
陈蔼平
WANG Shengqiang;LI Wei;CHEN Aiping(Dongguan Hospital Affiliated to Jinan Universily,Binliaiwan Central Hospital of Dongguan,Dongguan 523905,Guangdong,China)
出处
《中华中医药学刊》
CAS
北大核心
2021年第8期212-214,共3页
Chinese Archives of Traditional Chinese Medicine
基金
广东省中医药局科研项目(20201370)
广东省科技计划(2011B020800008)。
关键词
痰湿蕴肺
肺炎喘嗽
辨证论治
疗效
呼吸困难
肺功能
phlegm-dampness aggregating lung
asthma children with pneumonia
syndrome differentiation and treatment
curative effect
dyspnea
lung function
