首页|清瘟败毒饮加减联合奥司他韦治疗甲型流感儿童气营两燔证疗效观察

清瘟败毒饮加减联合奥司他韦治疗甲型流感儿童气营两燔证疗效观察

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目的 探究清瘟败毒饮加减联合奥司他韦治疗甲型流感儿童气营两燔证疗效。方法 随机选取宜宾市中医医院普儿病区自2023 年 2 月 24 日~4 月 29 日所收治 74 例甲流患儿作为研究对象,按照随机数字表法分为A组(西医组)与B组(中西结合组),两组各37 例。A组给予奥司他韦治疗,B组给予清瘟败毒饮加减联合奥司他韦治疗。观察两组症状持续时间、临床效果、中医症候积分、炎症因子及不良反应发生情况。结果 与A组对比,B组扁桃体红肿、鼻塞流涕、发热、咳嗽持续时间均明显缩短(P<0。05)。A组治疗有效率70。27%,B组治疗有效率 94。59%,相较于A组,B组明显升高(P<0。05)。治疗后,两组鼻塞流涕、恶寒、发热、咳嗽、全身乏力、头痛分值均明显降低,且相较于A组,B组明显降低(P<0。05)。治疗后,两组CRP、IFN-γ/IL-4、IFN-γ水平均明显降低,且相较于A组,B组明显降低(P<0。05)。A组不良反应发生率为 24。32%,B组不良反应发生率为 5。41%,差异有统计学意义(P<0。05)。结论 清瘟败毒饮加减联合奥司他韦治疗儿童甲型流感气营两燔证可取得满意疗效,明显改善中医症候,抑制炎症因子,且具有较高的安全性。
Clinical observation on modified Qingwen Baidu Decoction combined with oseltamivir in the treatment of children with influenza A with Vigorous Heat of Qi and Ying Type
Objective To explore the curative effect of modified Qingwen Baidu Decoction combined with oseltamivir on children with influenza A with Vigorous Heat of Qi and Ying Type.Methods Seventy-four children with influenza A admitted to the general paediatric ward of Yibin Hospital of Traditional Chinese Medicine from 24 February 2023 to 29 April 2023 were randomly selected for the study,and were divided into 37 cases each in group A(western medicine group)and group B(combined western and Chinese medicine group)according to the method of random number table.The children in group A were given oseltamivir treatment,and the children in group B were given modified Qingwen Baidu Decoction or minus plus combined with oseltamivir treatment.The duration of symptoms,clinical effects,TCM symptom scores,inflammatory factors and adverse reactions were observed.Results Compared with group A,the duration of tonsillar redness,nasal congestion and runny nose,fever and cough was significantly shorter in group B.The treatment efficiency was 70.27%in group A,and 94.59%in group B,which was significantly higher compared with that in group A(P<0.05).After treatment,nasal congestion and runny nose,malignant cold,fever,cough,general malaise and headache scores were significantly lower in both groups,and compared with those in group A,the scores in group B were significantly reduced(P<0.05).After treatment,CRP,IFN-γ/IL-4 and IFN-γlevels were significantly reduced in both groups,and compared with those in group A,the scores in group B were significantly reduced(P<0.05).The incidence rate of adverse reactions was 24.32%in group A,and 5.41%in group B,the difference was statistically significant(P<0.05).Conclusion Modified Qingwen Baidu Decoction combined with oseltamivir can achieve satisfactory curative effect in treating children with influenza A syndrome with Vigorous Heat of Qi and Ying Type,obviously improve TCM symptoms,inhibit inflammatory factors,and have high safety.

Modified Qingwen Baidu DecoctionOseltamivirInfluenza AVigorous Heat of Qi and Ying TypeTherapeutic efficacy

覃玉芳

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宜宾市中医医院,四川宜宾 644000

清瘟败毒饮加减 奥司他韦 甲型流感 气营两燔证 疗效

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(9)