首页|温肺化痰饮加减方治疗儿童闭塞性细支气管炎临床研究

温肺化痰饮加减方治疗儿童闭塞性细支气管炎临床研究

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目的 观察温肺化痰饮加减方治疗儿童闭塞性细支气管炎的临床疗效和安全性。方法 2020年1月—2023年6月,就诊于河南中医药大学第一附属医院儿科、河南省儿童医院的轻中型阳虚证儿童闭塞性细支气管炎患儿共64例,按随机数字表分为治疗组与对照组,每组32例。治疗组予温肺化痰饮加减方联合西药常规治疗,对照组予西药常规治疗,疗程30 d。观察两组治疗前后临床症状总评分,以及各症状评分包括咳嗽、喘息、痰量等、肺部啰音消失时间、肺功能检查(FEV1、FEV1/FVC、MMEF)、经皮血氧饱和度。结果 两组最终纳入合格病例共60例,治疗组30例,对照组30例。治疗组总有效率为86。66%(26/30),对照组为总有效率76。66%(23/30),治疗组优于对照组(P<0。05)。两组均可改善患儿的咳嗽、喘息、痰量、乏力气短等,肺部啰音消失,提高经皮血氧饱和度,治疗组优于对照组(P<0。05)。安全性指标监测肝肾功、心肌酶、心电图、大便常规、小便常规等无明显异常。结论 采用温肺化痰饮加减方治疗轻中型阳虚证儿童闭塞性细支气管炎,可明显改善患儿的咳嗽、喘息、痰量等症状,肺部啰音消失,改善阻塞性通气功能障碍,提高经皮血氧饱和度,从而提高患儿的生活质量,改善疾病预后,且安全可靠,切实可以减轻患儿家庭的经济负担和精神负担,值得进一步推广应用。
Clinical study on the treatment of children's bronchiolitis obliterans with"Wenfei Huatan Yin"
Objective To observe the clinical efficacy and safety of"Wenfei Huatan Yin"in the treatment of mild and moderate yang deficiency Bronchiolitis obliterans in children.Methods From January 2020 to June 2023,a total of 64 children with mild and moderate Yang deficiency syndrome bronchiolitis obliterans who were treated at the Pediatric De-partment of the First Affiliated Hospital of Henan University of CM and Henan Children Hospital were recruited and ran-domly divided into the treatment group and the control group,with 32 cases in each group.The treatment group was treated with"Wenfei Huatan Yin"plus conventional Western medicine,while the control group was treated with conventional Western medicine for 30 days.The total scores of clinical symptoms and the symptom scores including cough,wheeze and sputum volume,the time of disappearance of Pulmonary Rales,pulmonary function tests(FEV1,FEV1FVC,MMEF)and percutaneous Oxygenation were observed before and after treatment.Results In the end,60 eligible cases were included in the two groups,30 cases in the treatment group and 30 cases in the control groupo The total effective rate was 86.66%(26/30)in the treatment group and 76.66%(23/30)in the control group.The treatment group was superior to the control group(P<0.05).The treatment group was superior to the con-trol group in improving cough,wheezing,sputum volume,fa-tigue,shortness of breath,disappearance of Rales and improve-ment of percutaneous Oxygenation in both groups(P<0.05).Conclusion The modified prescription of"Wenfei Huatan Yin"can obviously improve the clinical symptoms such as cough,wheezing and sputum Bronchiolitis obliterans,and the Pulmonary Rales disappear,it can improve the quality of life,the prognosis of the Oxygenation,and it is safe and reliable.It can reduce the economic and mental burden of the family,it is worthy of further promotion and application.

Wenfei Huatan YinPhlegmChildren's Bronchiolitis ObliteransYang deficiency syndrome

郭彦荣、张岩、赵坤、李刚、宋桂华、于素平、陈小松、李婧

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河南中医药大学第一附属医院儿科医院,河南中医药大学儿科医学院,郑州 450000

河南省儿童医院,郑州 450000

温肺化痰饮 儿童闭塞性细支气管炎 阳虚证

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(24)