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小儿肺咳颗粒在支气管肺炎患儿中的应用效果

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目的 探讨小儿肺咳颗粒联合硫酸特布他林雾化液雾化吸入对支气管肺炎患儿心肌酶与血小板参数的影响.方法 将2020年2月-2022年6月南京江北医院收治的支气管肺炎患儿86例按随机数字表法分为对照组和试验组,各43例.2组均给予常规治疗,对照组在此基础上给予硫酸特布他林雾化吸入用溶液进行治疗,试验组在对照组的基础上给予小儿肺咳颗粒进行治疗,2组均连续治疗1周.比较2组治疗1周后的临床疗效,症状恢复情况,治疗前和治疗1周后的炎症指标、心肌酶指标及血小板参数.结果 治疗1周后的总有效率试验组(90.70%)高于对照组(74.42%)(P<0.05).试验组咳嗽咳痰缓解、肺部湿啰音消退、体温恢复和胸部X线片病变吸收时间均短于对照组(P<0.05).治疗1周后,2组血清白细胞介素-4(IL-4)、白细胞介素-13(IL-13)、干扰素-γ(IFN-y)、肌酸激酶同工酶MB(CK-MB)、乳酸脱氢酶(LDH)、肌酸激酶(CK)水平及全血血小板计数(PLT)、血小板分布宽度(PDW)与治疗前比较均降低,试验组更低(P<0.05);2组全血平均血小板体积(MPV)升高,试验组更高(P<0.05).结论 小儿肺咳颗粒联合硫酸特布他林雾化液雾化吸入可有效调节支气管肺炎患儿血小板参数,减轻机体炎症及心肌损伤,进而有利于促进患儿症状恢复,提高疗效.
Effect of Xiaoerfeike granules in the treatment of children with bronchopneumonia
Objective To expolre the effect of Xiaoerfeike granules combined with nebulized inhalation of terbutaline sulfate solution on myocardial enzyme and platelet parameters in children with bronchopneumonia.Methods 86 children with bronchopneumonia admitted to Nanjing Jiangbei Hospital from February 2020 to June 2022 were selected and divided into the control group(43 cases)and the experiment group(43 cases)according to random number table method.Both groups received routine treatment.On the basis of the treatment,the control group received nebulized inhalation of terbutaline sulfate solution for treatment,and the experiment group was treated with Xiaoerfeike granules on the basis of the treatment of the control group.Both groups received continuous treatment for 1 week.The clinical efficacy and symptom recovery after 1 week of treatment,and the levels of inflammation indicators and myocardial enzyme indicators,and platelet parameters changes before treatment and after 1 week of treatment between two groups were compared.Results After 1 week of treatment,the total effective rate in the experiment group(90.70%)was higher than that in the control group(74.42%)(P<0.05).The time for relief of cough and phlegm,the disappearance of moist rales in the lungs,the recovery of body temperature,and the absorption of chest X-ray lesions in the experiment group was shorter than that in the control group(P<0.05).After 1 week of treatment,the levels of serum interleukin 4(IL-4),IL-13,interferon-γ(IFN-γ),creatine kinase isozyme MB(CK-MB),lactate dehydrogenase(LDH)and creatine kinase(CK),and whole blood platelet count(PLT)and platelet distribution width(PDW)in both groups were lower than those before treatment,and the experiment group was lower than the control group(P<0.05).After 1 week of treatment,compared with before treatment,the whole blood mean platelet volume(MPV)in two groups increased,and the experiment group was higher than the control group(P<0.05).Conclusion The combination of Xiaoerfeike granules and nebulized inhalation of terbutaline sulfate solution can effectively regulate platelet parameters,reduce inflammation and myocardial damage in children with bronchopneumonia,and thereby promote symptom recovery and improve therapeutic effect.

bronchopneumoniaXiaoerfeike granulesterbutaline sulfatemyocardial enzymeplatelet parameters

胡清、王玉蓉、沈虹、徐金生

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南京江北医院检验科,南京 210044

南京江北医院儿科,南京 210044

支气管肺炎 小儿肺咳颗粒 硫酸特布他林 心肌酶 血小板参数

2022年度皖南医学院校级科研项目

JXYY202248

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(1)
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