首页|基于时间节律小柴胡汤加减治疗儿童变异性咳嗽对气道炎症水平的影响观察

基于时间节律小柴胡汤加减治疗儿童变异性咳嗽对气道炎症水平的影响观察

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目的:观察基于时间节律小柴胡汤加减治疗儿童肺气亏虚证变异性咳嗽(CVA)对气道炎症水平的影响.方法:选择我院 2021 年 5 月~2023 年 5 月收治的 136 例肺气亏虚证CVA患儿为研究对象,按随机数字法分为对照组(n=68)和中医组(n=68).对照组使用小儿治哮灵片治疗,中医组使用小柴胡汤加减结合 24 节气治疗,比较治疗 2周后两组临床疗效,对比治疗前、治疗 2 周后两组患儿中医症状积分和气道炎症水平变化情况,统计治疗过程中两组不良反应发生情况,观察用药结束后 3 个月内两组患儿咳嗽复发情况.结果:治疗 2 周后,中医组疗效明显高于对照组(P<0.05);两组患儿中医症状积分、IL-5、IL-8、IL-10、TNF-α水平较治疗前均有降低,且中医组中医症状积分、IL-5、IL-8、IL-10、TNF-α水平均低于同期对照组(P<0.05).治疗 2 周内,中医组不良反应总发生率低于对照组(P<0.05).用药结束后 3 个月内,两组患儿复发率比较差异无统计学意义(P>0.05).结论:基于时间节律小柴胡汤加减治疗儿童CVA的临床疗效显著,能有效降低患儿气道炎症水平,且治疗过程中不良反应发生较小,值得临床应用推广.
Influence of modified Xiaochaihu decoction based on time rhythm on airway inflammation level in children with cough variant asthma
ObjectiveTo observe the influence of modified Xiaochaihu decoction based on time rhythm on airway inflammation levels in children with cough variant asthma(CVA)of lung qi deficiency syndrome.Methods 136 children with CVA of lung qi deficiency syndrome in our hospital were selected as the research subjects from May 2021 to May 2023,and were randomly divid-ed into control group(n=68)and traditional Chinese medicine group(n=68)according to the random number table method.The control group was treated with Xiaoer Zhixiaoling tablets,while the traditional Chinese medicine group was given modified Xi-aochaihu decoction combined with 24 solar terms.The clinical efficacy after 2 weeks of treatment and TCM symptoms scores and airway inflammation level before treatment and after 2 weeks of treatment were compared.The adverse reactions were counted in the two groups during treatment,and the recurrence of cough in the two groups within 3 months after the end of medication was observed.Results After 2 weeks of treatment,the efficacy in traditional Chinese medicine group was significantly higher than that in control group(P<0.05).The scores of TCM symptoms and levels of IL-5,IL-8,IL-10 and TNF-α in the two groups were reduced compared with those before treatment,and the scores and levels were lower in traditional Chinese medicine group than those in control group(P<0.05).Within 2 weeks of treatment,the total incidence rate of adverse reactions in traditional Chinese medicine group was lower compared with that in control group(P<0.05).There was no statistical difference in the recurrence rate between the two groups within 3 months after the end of medication(P>0.05).Conclusion Modified Xiaochaihu decoction based on time rhythm has a significant clinical efficacy in the treatment of CVA in children,and it can effectively reduce the airway in-flammation level,and it has small adverse reactions during treatment.

Time rhythmXiaochaihu decoctionChildrenCough variant asthmaAirway inflammation

刘恒生、侯春光、金普放

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金川县中藏医院中医内科,四川 金川 624100

诸暨市中医院中医儿科,浙江 诸暨 311800

时间节律 小柴胡汤 儿童 变异性咳嗽 气道炎症

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(9)