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桑芩化痰通络汤辅助治疗小儿肺炎支原体肺炎痰热闭肺证40例临床观察

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目的 观察桑芩化痰通络汤辅助治疗小儿肺炎支原体肺炎(MPP)痰热闭肺证的临床疗效。方法 选取2022年5月至2023年5月在南阳医学高等专科学校第三附属医院内科收治的MPP痰热闭肺证患儿80例,采用随机数字表法分为治疗组和对照组,各40例。对照组予阿奇霉素干混悬剂治疗,治疗组在对照组治疗方法的基础上予桑芩化痰通络汤治疗。2组均治疗2个疗程后统计临床疗效,比较治疗前后的中医证候总积分、肺功能指标[呼气流量峰值(PEF)、第1秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)比值]、血清炎症因子[白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)]水平变化。结果 治疗组总有效率为97。50%(39/40),显著高于对照组的85。00%(34/40),2组比较,差异有统计学意义(P<0。05)。治疗前2组PEF、FEV1、FEV1/FVC指标水平比较,差异无统计学意义(P>0。05),具有可比性;治疗后2组上述各指标值均显著升高,与同组治疗前比较,差异有统计学意义(P<0。05),且治疗组升高更显著(P<0。05)。治疗前2组中医证候总积分和血清IL-6、IL-8、TNF-α、CRP水平比较,差异无统计学意义(P>0。05),具有可比性;治疗后2组上述各指标水平均显著下降,与同组治疗前比较,差异有统计学意义(P<0。05),且治疗组降低更显著(P<0。05)。结论 桑芩化痰通络汤辅助治疗小儿MPP痰热闭肺证疗效满意,可有效缓解患儿临床症状,改善肺功能,减轻机体炎症反应,值得临床推广应用。
Clinical observation on the adjuvant therapy of Sangqin Huayu Tongluo Tang(桑芩化瘀通络汤)in 40 cases of pediatric mycoplasma pneumoniae pneumonia of phlegm heat obstructing the lung pattern
Objective To observe the clinical efficacy of Sangqin Huayu Tongluo Tang(桑芩化瘀通络汤)as adjuvant therapy in pediatric mycoplasma pneumoniae pneumonia(MPP)of phlegm heat obstructing the lung pat-tern.Methods A total of 80 pediatric patients with MPP of phlegm heat obstructing the lung pattern admitted to the Department of Internal Medicine of No.3 Affiliated Hospital of Nanyang Medical College from May 2022 to May 2023 were selected and divided into a treatment group and a control group using the random number table method,with 40 patients in each group.The control group was treated with Azithromycin Dry Suspension,while the treatment group received Sangqin Huayu Tongluo Tang on the basis of the control group's treatment.After two courses of treatment,the clinical efficacy was evaluated,and comparisons were made between the two groups in terms of tradi-tional Chinese medicine(TCM)syndrome scores,lung function indicators[peak expiratory flow(PEF),forced ex-piratory volume in one second(FEV1),and FEV1/forced vital capacity(FVC)ratio],and serum inflammatory cy-tokine levels[interleukin-6(IL-6),interleukin-8(IL-8),tumor necrosis factor-α(TNF-α),and C-reactive protein(CRP)]before and after treatment.Results The total effective rate in the treatment group was 97.50%(39/40),significantly higher than the 85.00%(34/40)in the control group,with a statistically significant difference between the two groups(P<0.05).Before treatment,there were no statistically significant differences in PEF,FEV1 and FEV1/FVC levels between the two groups(P>0.05),indicating comparability.After treatment,all the above indica-tors significantly increased in both groups compared with before treatment,with statistically significant differences(P<0.05),and the increase was more significant in the treatment group(P<0.05).Before treatment,there were no statistically significant differences in serum IL-6,IL-8,TNF-α and CRP levels between the two groups(P>0.05),indicating comparability.After treatment,all the above indicators significantly decreased in both groups compared with before treatment,with statistically significant differences(P<0.05),and the decrease was more significant in the treatment group(P<0.05).Conclusion Sangqin Huayu Tongluo Tang as adjuvant therapy for pediatric MPP of phlegm heat obstructing the lung pattern pattern has satisfactory clinical efficacy,effectively alleviating symptoms,improving lung function,and reducing inflammatory responses.It is worthy of clinical promotion and application.

pediatricsmycoplasma pneumoniae pneumoniaphlegm heat obstructing the lung pattern patternSangqin Huayu Tongluo Tang(桑芩化瘀通络汤)clinical observation

张腾蛟

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南阳医学高等专科学校第三附属医院内科,河南 南阳 473000

小儿 肺炎支原体肺炎 痰热闭肺证 桑芩化瘀通络汤 临床观察

2024

中医儿科杂志
甘肃中医学院,中华中医药学会

中医儿科杂志

影响因子:0.82
ISSN:1673-4297
年,卷(期):2024.20(6)