首页|槐杞黄颗粒联合阿奇霉素治疗肺炎支原体肺炎患儿的效果

槐杞黄颗粒联合阿奇霉素治疗肺炎支原体肺炎患儿的效果

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目的:观察槐杞黄颗粒联合阿奇霉素治疗肺炎支原体肺炎患儿的效果.方法:选取 2020 年 1 月至 2022 年 12 月该院收治的 80 例肺炎支原体肺炎患儿进行前瞻性研究,按随机数字表法将其分为对照组与研究组各 40 例.对照组采用阿奇霉素治疗,研究组在对照组基础上联合槐杞黄颗粒治疗,比较两组临床疗效,治疗前后中医证候积分、肺功能指标[第 1 秒用力呼气量(FEV1)、用力肺活量(FVC)、呼气峰值流速(PEF)]水平、免疫功能指标[Toll样受体(TLR)7、TLR9、白细胞介素-6(IL-6)、γ干扰素(IFN-γ)]水平,以及不良反应发生率.结果:研究组治疗总有效率为95.00%(38/40),高于对照组的80.00%(32/40),差异有统计学意义(P<0.05);治疗后,两组发热、咳嗽、胸痛憋喘、厌食等中医证候积分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组FEV1、FVC、PEF水平均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);两组TLR7、TLR9、IL-6 水平均低于治疗前,且研究组低于对照组,两组IFN-γ水平均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:槐杞黄颗粒联合阿奇霉素治疗肺炎支原体肺炎患儿可提高治疗总有效率和肺功能指标水平,改善免疫功能指标水平,降低中医证候积分,其效果优于单纯阿奇霉素治疗.
Effects of Huaiqihuang granules combined with Azithromycin in treatment of children with mycoplasma pneumoniae pneumonia
Objective:To observe effects of Huaiqihuang granules combined with Azithromycin in treatment of children with mycoplasma pneumoniae pneumonia.Methods:A prospective study was conducted on 80 children with mycoplasma pneumoniae pneumonia admitted to this hospital from January 2020 to December 2022.According to the random number table method,they were divided into control group and study group,40 cases in each group.The control group was treated with Azithromycin,while the study group was treated with Huaiqihuang granules on the basis of that of the control group.The clinical efficacy,the TCM syndrome scores,the lung function indexes[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),peak expiratory flow(PEF)]levels and the immune function indexes[Toll-like receptor(TLR)7,TLR9,interleukin-6(IL-6),interferon-γ(IFN-γ)]levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 95.00%(38/40),which was higher than 80.00%(32/40)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as fever,cough,chest pain,asthma and anorexia in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of FEV1,FVC and PEF in the two groups were higher than those before the treatment,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The levels of TLR7,TLR9 and IL-6 in the two groups were lower than those before the treatment,and those in the study group were lower than those in the control group;the levels of IFN-γ in the two groups were higher than those before the treatment,and those in the study group were higher than those in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Huaiqihuang granules combined with Azithromycin in the treatment of the children with mycoplasma pneumoniae pneumonia can improve the total effective rate of treatment and the levels of lung function indexes,improve the levels of immune function indexes,and reduce the scores of TCM syndrome.Moreover,it is superior to simple Azithromycin treatment.

Huaiqihuang granulesAzithromycinMycoplasma pneumoniae pneumoniaLung functionImmune functionTCM syndrome score

王雅敏

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济源市妇幼保健院新生儿科,河南 济源 459000

槐杞黄颗粒 阿奇霉素 肺炎支原体肺炎 肺功能 免疫功能 中医证候积分

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(18)