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宣肺活血法联合阿奇霉素治疗儿童支气管肺炎

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目的 探讨宣肺活血法联合阿奇霉素治疗儿童支气管肺炎的效果。方法 回顾性分析某院 2023 年 10 月~2024 年 1 月收治的102 例支气管肺炎患儿病历资料,按照治疗方法分为对照组(采用阿奇霉素治疗)与观察组(采用宣肺活血法联合阿奇霉素治疗),每组 51例,比较两组的临床疗效,中医症候积分,咳嗽情况[咳嗽程度评分(VAS)、咳嗽症状积分(CSS)、简易咳嗽程度评分(CET)]及不良反应。结果 两组比较,观察组患儿的总有效率更高(P<0。05);治疗前,中医症候积分组间比较差异无统计学意义(P>0。05);治疗后,两组中医症候积分均降低,且观察组更低(P<0。05);治疗前,两组患儿咳嗽情况相比,差异无统计学意义(P>0。05);治疗后,两组VAS、CSS、CET评分均降低,且组间相比,观察组更低(P<0。05);两组不良反应发生率对比,差异无统计学意义(P>0。05)。结论 对支气管肺炎患儿,采用宣肺活血法联合阿奇霉素治疗的效果更好,能降低中医症候积分,改善患儿症状,且安全性高。
The combination of lung promoting and blood activating therapy with azithromycin in the treatment of pediatric bronchopneumonia
Objective Exploring the effect of lung promoting and blood activating therapy combined with azithromycin in the treatment of pediatric bronchopneumonia.Methods Retrospective analysis of the medical records of 102 children with bronchopneumonia in a hospital from October 2023 to January 2024.According to the treatment method,they were divided into a control group(treated with azithromycin)and an observation group(treated with lung promoting and blood activating method combined with azithromycin),with 51 cases in each group.The clinical efficacy,traditional Chinese medicine symptom score,cough situation[cough severity score(VAS),cough symptom score(CSS),simplified cough severity score(CET)],and adverse reactions were compared between the two groups.Results Compared of the two groups,the observation group had a higher total effective rate(P<0.05);before treatment,there was no statistically significant difference(P>0.05)in the comparison of TCM syndrome scores between groups;after treatment,both groups of TCM syndrome scores decreased,and the observation group had a lower score(P<0.05);before treatment,there was no statistically significant difference in cough situation between the two groups of children(P>0.05);after treatment,two groups of VAS,the CSS and CET scores decreased,and compared between groups,the observation group had lower scores(P<0.05);there was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion For children with bronchopneumonia,the use of lung promoting and blood activating therapy combined with azithromycin has a better effect,can reduce TCM syndrome scores,improved symptoms of children,and with high safety.

BronchopneumoniaChildrenAzithromycinLung promoting and blood activating therapy

王欣、刘艳、王志华

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天津市中西医结合医院儿科,天津 300100

支气管肺炎 儿童 阿奇霉素 宣肺活血法

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(7)