首页|小青龙合小柴胡汤加减治疗大环内酯类药物无反应性肺炎支原体肺炎临床疗效

小青龙合小柴胡汤加减治疗大环内酯类药物无反应性肺炎支原体肺炎临床疗效

扫码查看
目的:探讨小青龙合小柴胡汤加减治疗儿童大环内酯类药物无反应性肺炎支原体肺炎(MUMPP)的临床疗效.方法:采用随机数表法将2023年2-12月首都医科大学石景山教学医院北京市石景山医院确诊的80例MUMPP患儿分为中药组和西药组,各40例.中药组给予小青龙合小柴胡汤加减;西药组给予阿奇霉素抗感染及对症治疗.观察并比较两组患者治疗前及治疗后中医证候积分和胸部CT的炎症病灶变化.结果:治疗后,中药组证候评分显著优于西药组(P<0.05),中药组总有效率[87.5%(35/40)]显著优于西药组[47.5%(19/40)](P<0.01),中药组影像学好转率[82.5%(33/40)]显著优于西药组[50.0%(20/40)](P<0.05).且无不良反应.结论:小青龙合小柴胡汤加减治疗MUMPP疗效确切,值得推广.
Clinical efficacy on treatment of macrolide-unresponsiv mycoplasma pneumoniae pneumonia with Xiao Qinglong and Xiao Chaihu Modifications Decoction
Objective:To explore the clinical efficacy of Xiao Qinglong and Xiao Chaihu Modifications Decoction in the treatment of children with macrolide-unresponsiv mycoplasma pneumoniae pneumonia(MUMPP).Methods:A total of 80 children with MUMPP in Shijingshan Teaching Hospital,Capital Medical University,Beijing Shijingshan Hospital from February to December,2023 were randomly divided into Chinese medicine group and Western medicine group,40 children in each group.The Chinese medicine group was given Xiao Qinglong and Xiao Chaihu Modifications Decoction,while the Western medicine group was given anti-infection and symptomatic treatment of Azithromycin.Before and after treatment,the traditional Chinese medicine(TCM)syndrome scores and the changes of inflammatory lesions on chest CT were observed and compared between the two groups.Results:After treatment,the TCM syndrome score of the Chinese medicine group was significantly better than that of the Western medicine group(P<0.05).The effective rate was 87.5%(35/40)in the Chinese medicine group,it was batter than that in the Western medicine group[47.5%(19/40)](P<0.01).The conversion rate of imaging in the Chinese medicine group[82.5%(33/40)]was significantly better than that in the Western medicine group[50.0%(20/40)](P<0.05),and there were no adverse reactions.Conclusion:Xiao Qinglong and Xiao Chaihu Modifications Decoction are effective in the treatment of MUMPPP and worth popularizing.

Macrolide-unresponsiv mycoplasma pneumoniae pneumonia(MUMPP)Xiao Qinglong and Xiao Chaihu Modifications DecoctionClinical efficacyMycoplasma pneumonia(MP)

常忠莲、韦薇

展开 >

首都医科大学石景山教学医院北京市石景山医院,北京 100043

大环内酯类药物无反应性肺炎支原体肺炎 小青龙合小柴胡汤加减 临床疗效 肺炎支原体肺炎

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(7)
  • 7