| 陈欣欣 袁敬敬.清肺化痰健脾方治疗小儿毛细支气管炎的临床研究[J].实用中西医结合临床,2021,21(6):4-6,64 |
| 清肺化痰健脾方治疗小儿毛细支气管炎的临床研究 |
| Clinical Study of Infantile Bronchiolitis Treated by Qingfeihuatanjianpi Recipe |
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| DOI： |
| 中文关键词: 毛细支气管炎 小儿 清肺化痰健脾方 潮气呼吸肺功能 |
| 英文关键词: Bronchiolitis %Children %Qingfeihuatanjianpi%recipe %Tidal%breathing%lung%function |
| 基金项目: |
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| 摘要点击次数: 407 |
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| 中文摘要: |
| 目的：观察清肺化痰健脾方治疗小儿毛细支气管炎的疗效，及治疗前后患儿潮气呼吸肺功能变化。 方法：选取 2017 年
11 月 ~2019 年 11 月在聊城市人民医院儿科住院治疗的 120 例毛细支气管炎患儿，采用随机数字表法分为治疗组和对照组，每组
60 例。对照组在西医雾化干扰素、布地奈德、特布他林、吸痰等治疗基础上加用麻杏石甘汤加减治疗，治疗组在西医雾化干扰素、布
地奈德、特布他林、吸痰等治疗基础上加用清肺化痰健脾方治疗。 观察两组临床疗效，发热、咳嗽、气喘、哮鸣音、水泡音消失时间，
治疗前后潮气呼吸肺功能。 结果：治疗组脱落 2 例，对照组脱落 3 例，最终治疗组纳入 58 例，对照组 57 例。 治疗组和对照组总有效
率分别为 94.8% 和 82.5% ，治疗组高于对照组，差异有统计学意义（ P ＜0.05 ）。 治疗组发热、咳嗽、气喘、哮鸣音、水泡音消失时间均
明显短于对照组（ P ＜0.05 ）。 治疗后两组达峰时间比、达峰容积比、吸呼比、每公斤体质量重潮气量显著高于治疗前，且治疗组显著
高于对照组，差异均有统计学意义（ P ＜0.05 ）。 结论：清肺化痰健脾方能够缩短毛细支气管炎患儿发热、咳嗽、气喘、哮鸣音、水泡音
消失时间，改善肺功能，提高临床疗效。 |
| 英文摘要: |
| Objective:%To%observe%the%curative%effect%of%Qingfeihuatanjianpi%recipe%on%children%with%bronchiolitis%and%the%changes%of%
tidal% breathing% lung% function% indexes% before% and% after% treatment.% Methods:% From% November% 2017% to% November% 2019,% 120% cases% of%
bronchiolitis%inpatients%in%the%pediatric%department%of%Liaocheng%People's%Hospital%were%divided%into%treatment%group%and%control%group%by%
random%number%table%method,%with%60%cases%in%each%group.%The%control%group%was%treated%with%modified%Maxingshigan%decoction%on%the%
basis%of%western%medicine%atomized%interferon,%budesonide,%terbutaline%and%sputum%suction,%while%the%treatment%group%was%treated%with%
Qingfeihuatanjianpi%recipe%on%the%basis%of%western%medicine%atomized%interferon,%budesonide,%terbutaline%and%sputum%suction.%The%clinical%
efficacy%and%disappearance%time%of%fever,%cough,%asthma,%wheezing,%blister%sound%were%observed%in%the%two%groups.%Observed%the%changes%
in%tidal%breathing%lung%function%indexes%before%and%after%treatment%in%both%groups.%Results:%2%cases%of%shedding%in%the%treatment%group%and%3%
cases%in%the%control%group.%Finally,%58%cases%were%included%in%the%treatment%group%and%57%cases%in%the%control%group.%The%total%effective%
rates%of%the%treatment%group%and%the%control%group%were%94.8%%and%82.5%,%the%treatment%group%was%higher%than%the%control%group,%the%
difference%was%statistically%significant% ( P ＜0.05).%The%disappearance%time%of%fever,%cough,%asthma,%wheezing%and%blister%sound%in%the%
treatment%group%were%significantly%shorter%than%those%in%the%control%group( P ＜0.05).%After%treatment,%the%peak%time%ratio,%peak%volume%
ratio,%respiration%ratio,%tidal%volume%per%kg%body%weight%in%both%groups%were%significantly%higher%than%before%treatment,%and%the%treatment%
group% was% significantly% higher% than% the% control% group,% and% the% differences% were% statistically% significant% ( P ＜0.05).% Conclusion:%
Qingfeihuatanjianpi% recipe% can% shorten% the% disappearance% time% of% fever,% cough,% asthma,% wheezing,% blister% sound% in% children% with%
bronchiolitis,%improve%lung%function%and%clinical%efficacy. |
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