健脾理肺方联合常规疗法治疗急性上呼吸道感染并发支气管哮喘所致胃肠功能障碍患儿临床研究
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R562.2

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Acute upper respiratory tract infection;Bronchial asthma;Gastrointestinal dysfunction;Syndrome of spleen deficiency with excessive dampness;Syndrome of wind-phlegm obstructing the collaterals;Integrated Chinese and western medicine therapy;Inflammatory response
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    目的:观察在常规治疗基础上应用健脾理肺方治疗急性上呼吸道感染并发支气管哮喘所致胃肠功能障碍患儿的临床效果。方法:选取80例急性上呼吸道感染并发支气管哮喘所致胃肠功能障碍患儿,按随机数字表法分为对照组、治疗组各4 0例。对照组仅给予上呼吸道感染并发支气管哮喘所致胃肠功能障碍的常规对症治疗,治疗组在对症治疗基础上给予健脾理肺方治疗。2组疗程均为2周,观察治疗前后2组患儿的疗效、胃肠功能改善情况、炎症反应指标(白细胞计数、C-反应蛋白)的变化。结果:治疗14天后,治疗组总有效率9 7.50%,对照组总有效率9 0.00%,2组比较,差异无统计学意义(P>0.05)。治疗组胃肠功能评分较治疗前下降,差异有统计学意义(P<0.05);对照组与治疗前比较,差异无统计学意义(P>0.05)。治疗组胃肠功能评分低于对照组,差异有统计学意义(P<0.05)。2组白细胞计数和C-反应蛋白均较治疗前降低,差异均有统计学意义(P<0.05);治疗组2项指标水平均低于对照组,差异均有统计学意义(P<0.05)。结论:在常规治疗基础上加用健脾理肺方在改善急性上呼吸道感染并发支气管哮喘患儿的胃肠功能障碍上具有其优势,可增加胃肠蠕动,促进胃肠功能恢复,还可减轻炎症反应。

    Abstract:

    Objective:To observe the clinical effect of Jianpi Lifei prescription on the basis of routine treatment for children with gastrointestinal dysfunction caused by acute upper respiratory tract infection complicated with bronchial asthma.M e th o d s:Selected 80 cases of children with gastrointestinal dysfunction caused by acute upper respiratory tract infection complicated with bronchial asthma,and divided them into the control group and the treatment group according to the random number table method.The control group was only received symptomatic treatment for upper respiratory tract infection complicated with bronchial asthma.Based on the symptomatic treatment.The treatment group was additionally given Jianpi Lifei prescription.The treatment of the three groups lasted for two weeks.Evaluated the clinical effect.Observed the scores of gastrointestinal function and inflammatory response indexes as the leukocyte count and C-reactive protein(CRP)of patients in the two groups before and after treatment.Results:After the 14 days of treatment,the total effective was 90.00%in the control group and was 97.50%in the treatment group,the difference being not significant(P> 0.05).Scores of gastrointestinal function in the treatment group was decreased when compared with this before treatment,differences being significant(P <0.05).There was no significant difference being found in the comparison of scores of gastrointestinal function in the control group before and after treatment(P>0.05).The scores of gastrointestinal function in the treatment group was lower than this in the control group,differences being significant(P<0.05).The leukocyte count and CRP in the two groups were decreased when compared with those before treatment,differences being significant(P < 0.05).These two indexes in the treatment group were lower than those in the control group,differences being significant(P < 0.05).Conclusion:Based on the routine treatment,the additional administration of Jianpi Lifei prescription has advantages in improving the gastrointestinal dysfunction in children with acute upper respiratory tract infection complicated with bronchial asthma,which can increase gastrointestinal peristalsis,promote the recovery of gastrointestinal function and reduce inflammatory response.

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丁鸿飞.健脾理肺方联合常规疗法治疗急性上呼吸道感染并发支气管哮喘所致胃肠功能障碍患儿临床研究[J].新中医,2018,50(6):145-148

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  • 在线发布日期: 2018-06-05
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