首页|丙酸氟替卡松雾化吸入联合柴芩杏朴汤治疗小儿支气管哮喘的效果

丙酸氟替卡松雾化吸入联合柴芩杏朴汤治疗小儿支气管哮喘的效果

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目的:探讨丙酸氟替卡松吸入联合柴芩杏朴汤治疗小儿支气管哮喘的效果。方法:选择2022年9月—2023年2月龙岩人民医院收治的86例支气管哮喘患儿作为研究对象,以随机数表法分为对照组与观察组,各43例。两组均给予平喘、止咳、抗炎及平衡水电解质等基础治疗,对照组给予丙酸氟替卡松雾化吸入治疗,观察组给予丙酸氟替卡松雾化吸入联合柴芩杏朴汤治疗。比较两组哮喘控制测试(ACT)评分、肺功能指标、临床症状(肺部啰音、咳嗽)消失时间、住院时间、临床疗效及不良反应。结果:治疗后,两组ACT评分、用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、呼气峰值流速(PEF)较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0。05);观察组咳嗽消失时间、肺部啰音消失时间、住院时间短于对照组,临床疗效优于对照组,差异有统计学意义(P<0。05);观察组不良反应总发生率为13。95%,高于对照组的9。30%,但差异无统计学意义(P>0。05)。结论:丙酸氟替卡松雾化吸入联合柴芩杏朴汤治疗小儿支气管哮喘能更好地改善哮喘控制效果、肺功能,缩短临床症状消失时间、住院时间,提升临床疗效。
Effect of Fluticasone Propionate Aerosol Inhalation Combined with Chaiqin Xingpu Decoction in the Treatment of Children with Bronchial Asthma
Objective:To investigate the effect of Fluticasone Propionate aerosol inhalation combined with Chaiqin Xingpu Decoction in the treatment of children with bronchial asthma.Method:A total of 86 children with bronchial asthma who admitted to Longyan People's Hospital from September 2022 to February 2023 were selected as the research objects,they were divided into the control group and the observation group by random number table method,with 43 cases in each group.Two groups were given basic treatment such as relieving asthma,relieving cough,anti-inflammatory and balancing water and electrolyte,the control group was treated with Fluticasone Propionate aerosol inhalation,and the observation group was treated with Fluticasone Propionate aerosol inhalation combined with Chaiqin Xingpu Decoction.The asthma control test (ACT) score,lung function indexes,disappearance times of clinical symptoms (pulmonary rales,cough),hospitalization time,clinical efficacy and adverse reactions were compared between two groups.Result:After treatment,the ACT scores,forced vital capacity (FVC),forced expiratory volume in the first second (FEV1) and peak expiratory flow (PEF) in two groups were higher than those before treatment,and those in the observation group were higher than those in the control group,the differences were statistically significant (P<0.05);the cough disappearance time,lung rale disappearance time and hospitalization time in the observation group were shorter than those in the control group,and the clinical efficacy was better than that in the control group,the differences were statistically significant (P<0.05);the total incidence of adverse reactions in the observation group was 13.95%,which was higher than 9.30% in the control group,but the difference was not statistically significant (P>0.05).Conclusion:Fluticasone Propionate aerosol inhalation combined with Chaiqin Xingpu Decoction in the treatment of children with bronchial asthma can better improve the effect of asthma control,lung function,shorten the disappearance time of clinical symptoms,hospitalization time,and improve clinical efficacy.

ChildrenBronchial asthmaAerosol inhalationFluticasone PropionateChaiqin Xingpu DecoctionSafety

赖远禄、张月、廖爱萍、廖明惠

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龙岩人民医院 福建 龙岩 364000

小儿 支气管哮喘 雾化吸入 丙酸氟替卡松 柴芩杏朴汤 安全性

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(29)