首页|益气健脾化痰法治疗小儿肺炎恢复期肺脾气虚证的效果

益气健脾化痰法治疗小儿肺炎恢复期肺脾气虚证的效果

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目的 探讨益气健脾化痰法治疗小儿肺炎恢复期肺脾气虚证的效果.方法 将 78 例小儿肺炎恢复期肺脾气虚证患儿随机分为对照组和观察组,每组 39 例.对照组使用常规西医治疗,观察组在此基础上使用益气健脾化痰法治疗.对比两组的临床疗效、中医证候积分、炎性因子、细胞免疫指标.结果 观察组治疗总有效率为 94.87%,明显高于对照组的 74.36%(P<0.05);观察组治疗后气短懒言、咳嗽、自汗、纳差、面色晄白积分分别为(0.86±0.14)、(0.90±0.15)、(0.82±0.13)、(0.92±0.16)、(0.94±0.15)分,均低于对照组的(1.47±0.20)、(1.51±0.23)、(1.49±0.24)、(1.45±0.21)、(1.56±0.23)分(P<0.05);观察组治疗后C反应蛋白(CRP)、白细胞介素-4(IL-4)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平分别为(2.69±0.82)mg/L、(30.69±5.87)ng/ml、(7.04±1.69)ng/L、(21.65±4.42)μg/L,均低于对照组的(4.31±1.04)mg/L、(38.43±6.64)ng/ml、(11.82±2.09)ng/L、(27.38±5.10)μg/L(P<0.05);观察组治疗后免疫球蛋白(IgM)(1.78±0.21)g/L、IgG(12.24±1.31)g/L、IgA(1.57±0.23)g/L高于对照组的(1.23±0.17)、(9.89±1.16)、(1.18±0.19)g/L,IgE(302.54±60.73)g/L低于对照组的(381.84±72.46)g/L(P<0.05).结论 益气健脾化痰法治疗小儿肺炎恢复期肺脾气虚证的效果显著,能有效抗炎,调节免疫,促进症状缓解及病情康复.
Effect of Yiqi Jianpi Huatan method on lung-spleen deficiency syndrome in the recovery period of children with pneumonia
Objective To explore the effect of Yiqi Jianpi Huatan method on lung-spleen deficiency syndrome in the recovery period of children with pneumonia.Methods 78 children with lung-spleen deficiency syndrome in the recovery period of pneumonia were randomly divided into a control group and an observation group,with 39 cases in each group.The control group was treated with routine Western medicine.On this basis,the observation group was treated with Yiqi Jianpi Huatan method.The clinical efficacy,traditional Chinese medicine syndrome score,inflammatory factors and cellular immune indexes of the two groups were compared.Results The total effective rate of 94.87%in the observation group was significantly higher than 74.36%in the control group(P<0.05).After treatment,the scores of shortness of breath and lazy speech,cough,spontaneous sweating,poor appetite and pale expression were(0.86±0.14),(0.90±0.15),(0.82±0.13),(0.92±0.16)and(0.94±0.15)points in the observation group,which were lower than(1.47±0.20),(1.51±0.23),(1.49±0.24),(1.45±0.21)and(1.56±0.23)points in the control group(P<0.05).After treatment,the levels of C-reactive protein(CRP),interleukin-4(IL-4),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)were(2.69±0.82)mg/L,(30.69±5.87)ng/ml,(7.04±1.69)ng/L and(21.65±4.42)μg/L in the observation group,which were lower than(4.31±1.04)mg/L,(38.43±6.64)ng/ml,(11.82±2.09)ng/L and(27.38±5.10)μg/L in the control group(P<0.05).After treatment,the observation group had immunoglobulin(Ig)M of(1.78±0.21)g/L,IgG of(12.24±1.31)g/L and IgA of(1.57±0.23)g/L,which were higher than(1.23±0.17),(9.89±1.16)and(1.18±0.19)g/L in the control group;IgE of(302.54±60.73)g/L in the observation group was lower than(381.84±72.46)g/L in the control group(P<0.05).Conclusion Yiqi Jianpi Huatan method has a remarkable effect on the treatment of lung-spleen deficiency syndrome in the recovery period of children with pneumonia,which can effectively anti-inflammation,regulate immunity,and promote symptom relief and rehabilitation.

Pneumonia in childrenRecovery periodLung-spleen deficiency syndromeYiqi Jianpi Huatan methodEffect

王勇军

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331300 新干县中医医院

小儿肺炎 恢复期 肺脾气虚证 益气健脾化痰法 效果

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(22)