桑菊饮联合头孢克洛分散片治疗小儿急性支气管炎临床研究
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Clinical Study on Sangju Yin Combined with Cefaclor Dispersible Tablets for Acute Bronchitis in Children
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    摘要:

    目的:探讨桑菊饮联合头孢克洛分散片治疗小儿急性支气管炎的效果及作用机制。方法:选取急性支气管炎患儿98 例,按随机数字表法分为对照组和观察组各49 例。对照组给予头孢克洛分散片治疗,观察组在对照组基础上加用桑菊饮治疗。比较2 组的治疗效果,咳嗽、发热、咳痰、肺部啰音等临床症状消失时间,治疗前后免疫球蛋白G(IgG)、免疫球蛋白A(IgA)、白细胞介素-4(IL-4)、干扰素-γ(IFN-γ)水平及Th1/Th2。结果:观察组总有效率为97.96%,高于对照组85.71%,差异有统计学意义(P<0.05)。观察组患儿咳嗽、发热、咳痰、肺部啰音等临床症状消失时间均短于对照组,差异均有统计学意义(P<0.05)。治疗前,2 组IgG、IgA、IL-4、IFN-γ 水平及Th1/Th2 比较,差异均无统计学意义(P>0.05)。治疗后,2 组IgG、IgA、IFN-γ水平及Th1/Th2高于治疗前,IL-4水平低于治前;且观察组IgG、IgA、IFN-γ水平及Th1/Th2高于对照组,IL-4水平低于对照组;差异均有统计学意义(P<0.05)。结论:桑菊饮联合头孢克洛分散片治疗小儿急性支气管炎效果显著,可有效提高治愈率,缩短病程,增强患儿免疫功能,且安全可行,值得临床推广应用。

    Abstract:

    Abstract:Objective:To discuss the effect of Sangju yin combined with cefaclor dispersible tablets for acute bronchitis in children and its mechanism. Methods:A total of 98 cases of children with acute bronchitis were divided into the control group and the observation group according to the random number table method,49 cases in each group. The control group was treated with cefaclor dispersible tablets, and the observation group was additionally treated with Sangju yin based on the treatment of the control group. The curative effect and the disappearance time of clinical symptoms including cough,fever,expectoration and rales as well as the levels of immunoglobulin G(IgG), immunoglobulin A(IgA), interleukin- 4(IL- 4) and interferon- γ(IFN- γ) and the Th1/Th2 before and after treatment in the two groups were compared. Results: The total effective rate was 97.96% in the observation group,higher than that of 85.71% in the control group,the difference being significant(P<0.05). The disappearance time of clinical symptoms including cough, fever, expectoration and rales in the observation group was shorter than that in the control group, differences being significant(P<0.05). Before treatment,compared the levels of IgG,IgA,IL- 4 and IFN- γ and the Th1/Th2 in the two groups,there being no significance in the difference(P>0.05). After treatment,the levels of IgG,IgA and IFN-γ and the Th1/Th2 in the two groups were higher than those before treatment, and the levels of IL- 4 were lower; the levels of IgG, IgA and IFN- γ and the Th1/Th2 in the observation group were higher than those in the control group,and the level of IL-4 was lower;differences being significant (P<0.05). Conclusion:The therapy of Sangju yin combined with cefaclor dispersible tablets has significant effect in treating children with acute bronchitis,and can effectively improve cure rate and immune function and shorten the course of disease, which is safe,feasible and worthy of clinical promotion and application.

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钱铃,雷章花,陈巧俊,吴婷.桑菊饮联合头孢克洛分散片治疗小儿急性支气管炎临床研究[J].新中医,2020,52(10):33-36

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  • 在线发布日期: 2020-05-26
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