玉屏风颗粒辅助治疗小儿慢性咳嗽临床研究
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R725.6

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Clinical Study on Yupingfeng Granules in Adjuvant Treatment of Chronic Cough in Children
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    摘要:

    目的:观察玉屏风颗粒辅助治疗小儿慢性咳嗽的临床疗效。方法:选择103 例慢性咳嗽患儿,按随机数字表法分为研究组(51 例) 和对照组(52 例),对照组常规给予抗组胺药、抗菌药、糖皮质激素或白三烯受体拮抗剂等治疗,研究组在对照组的基础上加服玉屏风颗粒治疗。治疗2 个月后评定2 组临床疗效,测定血清干扰素-γ(IFN-γ)、肿瘤坏死因子-α(TNF-α)、白细胞介素-13(IL-13)、嗜酸粒细胞计数(EOS)、嗜酸性细胞阳离子蛋白(ECP) 水平。结果:研究组总有效率为96.08%,对照组为84.62%,2 组比较,差异有统计学意义(P<0.05)。2 组中医证候总积分均较治疗前降低(P<0.05),且研究组中医证候总积分低于对照组(P<0.05)。治疗后,2 组IFN-γ 水平较治疗前高(P<0.05),TNF-α、IL-13、EOS、ECP 水平较治疗前低(P<0.05);且研究组上述各项指标改善较对照组更显著(P<0.05)。结论:玉屏风颗粒辅助治疗小儿慢性咳嗽具有良好的临床疗效,能有效缓解咳嗽症状,改善患儿体内Th1/Th2 免疫平衡,降低血清ECP、EOS 含量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Yupingfeng granules in the adjuvant treatment of chronic cough in children. Methods:A total of 103 cases of children with chronic cough were selected and divided into the study group and the control group according to the random number table method, 51 and 52 cases in each group respectively. The control group was routinely treated with antihistamine drugs, antibiotics, glucocorticoid or leukotriene receptor antagonist; the study group was additionally treated with Yupingfeng granules based on the treatment of the control group. After two months of treatment,the clinical effect in the two groups was assessed;the levels of interferon-γ(IFN-γ),tumor necrosis factor- α (TNF- α ) , interleukin-13(IL-13) , eosinophil count(EOS) and eosinophilic cationic protein(ECP) in serum were measured. Results:The total effective rate was 94.12% in the study group and 88.46% in the control group,the difference being significant(P<0.05). The total scores of Chinese medicine syndromes in the two groups were decreased when compared with those before treatment(P<0.05), and the total score in the study group was lower than that in the control group(P<0.05). After treatment,the levels of IFN- γ in the two groups were higher than those before treatment(P<0.05), and the levels of TNF- α,IL- 13,EOS and ECP were lower(P<0.05);the improvement of the above indexes in the study group was more significant than that in the control group(P<0.05). Conclusions: The adjuvant treatment of Yupingfeng granules for chronic cough in children has good clinical effect,and can effectively relieve cough,improve Th1/Th2 immune balance in children,and reduce the contents of ECP and EOS in serum.

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陈军红,张阳阳,韩思.玉屏风颗粒辅助治疗小儿慢性咳嗽临床研究[J].新中医,2021,53(9):13-16

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  • 在线发布日期: 2021-05-12
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