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孟鲁司特钠联合止嗽散治疗小儿慢性咳嗽的临床疗效

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目的:探索孟鲁司特钠联合止嗽散加减治疗小儿慢性咳嗽的临床疗效。方法:选取安阳市中医院2021年10 月至 2023 年 8 月期间 80 例慢性咳嗽患儿为研究对象,随机分为对照组和观察组,各 40 例。对照组患儿行孟鲁司特钠治疗,观察组患儿在对照组基础上增加止嗽散加减治疗,比较两组患儿的临床疗效、肺通气指标、炎症因子水平、免疫功能。结果:观察组患儿治疗总有效率为90。00%,高于对照组的72。50%,差异具有统计学意义(P<0。05);观察组患儿治疗1个月后用力肺活量(FVC)、最大呼气流量(PEF)、第1秒用力呼气容积(FEV1)水平高于对照组,差异具有统计学意义(P<0。05);观察组患儿治疗 1 个月后血清肿瘤坏死因子-α(TNF-α)、钙素原基因相关肽(CGRP)、嗜酸性粒细胞阳离子蛋白(ECP)水平低于对照组,差异具有统计学意义(P<0。05);观察组患儿治疗1个月后外周血簇分化抗原(CD)4+、CD3+水平、CD4+/CD8+比值高于对照组,差异具有统计学意义(P<0。05)。结论:孟鲁司特钠联合止嗽散加减治疗慢性咳嗽患儿可降低炎症因子水平,调节免疫功能,改善肺通气指标,提高临床疗效。
Clinical Effect of Montelukast Sodium Combined with Zhisou San on Chronic Cough in Children
Objective To explore the clinical effect of Montelukast sodium combined with Zhisou San in the treatment of chronic cough in children.Methods 80 children with chronic cough from Anyang Hospital of Traditional Chinese Medicine from October 2021 to August 2023 were selected as the study objects,and randomly divided into control group and observation group,with 40 cases in each group.The control group was treated with montelukast sodium,and the observation group was treated with Zhisou San on the basis of the control group.The clinical efficacy,pulmonary ventilation index,inflammatory factor level and immune function of the two groups were compared.Results The total effective rate of observation group was 90.00%,higher than that of control group 72.50%,the difference was statistically significant(P<0.05).Forced vital capacity(FVC),maximum expiratory flow(PEF)and forced expiratory volume at the first second(FEV1)in observation group were higher than those in control group one month after treatment,and the differences were statistically significant(P<0.05).The serum levels of tumor necrosis factor-α(TNF-α),procalcitonin gene-related peptide(CGRP)and eosinophilic cationic protein(ECP)in the observation group were lower than those in the control group after 1 month of treatment,and the differences were statistically significant(P<0.05).The levels of peripheral blood of differentiation antigen(CD)4+,CD3+and CD4+/CD8+in the observation group were higher than those in the control group after 1 month of treatment,and the differences were statistically significant(P<0.05).Conclusion Montelukast sodium combined with Zhisou San can reduce the level of inflammatory factors,regulate immune function,improve pulmonary ventilation index and improve clinical efficacy in children with chronic cough.

Chronic coughZhisou SanMontelukast sodiumChildren

李琳、王瑞娟、黄俊雷、靳艳霞、张晔、华蒙蒙

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安阳市中医院,河南 安阳 455000

慢性咳嗽 止嗽散 孟鲁司特钠 儿童

安阳市科技发展计划

2022C01SF012

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(12)