首页|清热化痰活血汤治疗小儿肺炎支原体肺炎的疗效及对免疫及LCR的影响

清热化痰活血汤治疗小儿肺炎支原体肺炎的疗效及对免疫及LCR的影响

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目的:探究清热化痰活血汤治疗小儿肺炎支原体肺炎(MPP)的疗效及对免疫及淋巴细胞与C反应蛋白比值(LCR)的影响.方法:选用 2023 年 1 月~12 月在本院接受治疗的支原体肺炎患儿 198 例,按照信封随机法均分为联合组(清热化痰活血汤联合孟鲁司特钠治疗,n=99 例)和对照组(孟鲁司特钠治疗,n=99 例),比较两组疗效及治疗前后主、次症评分,症状缓解时间,免疫功能[C反应蛋白(CRP)、白细胞介素-6(IL-6)、LCR、免疫球蛋白(IgM)]、肺功能[第 1s用力呼气量(FEV1)、最大呼吸峰流速(PEF)、1s用力呼气量占用力肺活量比值(FEV1/FVC)].结果:联合组治疗后总有效 41 例,总有效率 96.97%,较对照组的 84.85%高(P<0.05);联合组主症、次症各项评分均低于对照组(P<0.05);联合组症状缓解时间均短于对照组(P<0.05);联合组血清治疗后 CRP、IL-6 明显低于对照组(P<0.05),LCR、IgM高于对照组(P<0.05).两组患儿治疗后FEV1、PEF、FEV1/FVC水平均明显升高,且联合组高于对照组(P<0.05).结论:清热化痰活血汤治疗MPP,临床效果显著,可改善发热、咳嗽等临床症状,提升免疫功能,降低炎症因子水平,改善肺功能,促进疾病的康复和预后.
Efficacy of Qingre Huatan Huoxue decoction on mycoplasma pneumoniae pneumonia in children and its influence on im-munity and LCR
Objective:To investigate the efficacy of Qingre Huatan Huoxue decoction in the treatment of children with mycoplas-ma pneumoniae pneumonia(MPP)and its influence on immunity and lymphocyte to C-reactive protein ratio(LCR).Methods:A to-tal of 198children with MPP who were treated in the hospital from January 2023to December 2023were selected and divided into com-bined group(Qingre Huatan Huoxue ecoction combined with montelukast sodium,n=99)and control group(montelukast sodium,n=99)according to the random envelope method.The efficacy,and primary and secondary symptoms scores,symptom relief time,im-mune function[C-reactive protein(CRP),interleukin-6(IL-6),LCR,immunoglobulin(IgM)],pulmonary function[forced expiratory volume in 1s(FEV1),peak expiratory flow(PEF),forced expiratory volume in 1s/forced vital capacity(FEV1/FVC)]before and after treatment were compared between groups.Results:After treatment,41cases in the combined group were effective,and the total effective rate was 96.97%,which was higher than 84.85%in the control group(P<0.05).The scores of primary symp-toms and secondary symptoms in the combined group were lower than those in the control group(P<0.05).The relief times of symp-toms in the combined group were shorter than those in the control group(P<0.05).Serum CRP and IL-6in the combined group after treatment were significantly lower(P<0.05)while the LCR and IgM were higher than those in the control group(P<0.05).The FEV1,PEF and FEV1/FVC in the two groups were enhanced significantly after treatment,and the indicators were higher in the com-bined group than those in the control group(P<0.05).Conclusion:Qingre Huatan Huoxue decoction has a significant clinical effect in the treatment of MPP.It can improve clinical symptoms such as fever and cough,enhance immune function,reduce the levels of in-flammatory factors,improve the pulmonary function and promote the rehabilitation and prognosis of disease.

Qingre Huatan Huoxue decoctionMontelukast sodiumMycoplasma pneumoniae pneumonia in childrenLympho-cyteC-reactive protein

何剑、兰佳秀、邹永蓉

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威远县人民医院儿科,四川 威远 642450

雅安市人民医院儿科,四川 雅安 625000

清热化痰活血汤 孟鲁司特纳 小儿支原体肺炎 淋巴细胞 C反应蛋白

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(12)