小儿肺热咳喘颗粒联合西药治疗小儿痰热壅肺型喘息性支气管炎临床研究
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Clinical Study on Xiao'er Feire Kechuan Granules Combined with Western Medicine for Children with Asthmatic Bronchitis of Phlegm-Heat Obstructing the Lung Type
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    摘要:

    目的:观察小儿肺热咳喘颗粒联合吸入用布地奈德混悬液与吸入用复方异丙托溴铵溶液治疗痰热 壅肺型喘息性支气管炎患儿的效果。方法:纳入110 例痰热壅肺型喘息性支气管炎患儿,根据随机数字表法分 为干预组和对照组,每组55 例。2 组均在止咳、抗感染和吸氧的基础上予吸入用布地奈德混悬液、吸入用复 方异丙托溴铵溶液雾化吸入治疗,干预组加予小儿肺热咳喘颗粒治疗,2 组均治疗7 d。治疗前后检测肺功能 指标[第1 秒用力呼气量(FEV1)、用力肺活量(FVC)、1 秒率(FEV1/FVC)、呼气峰流速值(PEF)] 和炎 症指标[白细胞介素(IL) -4、IL-6、IL-10、干扰素-γ(IFN-γ)];评定2 组的临床疗效。结果:治疗7 d 后,干预组临床疗效总有效率96.36%,对照组总有效率81.82%,2 组比较,差异有统计学意义(P<0.05)。 2 组治疗后FEV1、FVC、FEV1/FVC、PEF 水平与治疗前比较均上升,差异均有统计学意义(P<0.01);干预组 各项指标值均高于对照组,差异均有统计学意义(P<0.01)。2 组IL-4、IL-6、IL-10 水平均较治疗前下降, IFN-γ 均较治疗前升高,差异均有统计学意义(P<0.01);干预组IL-4、IL-6、IL-10 水平均低于对照组, IFN-γ 水平高于对照组,差异均有统计学意义(P<0.01)。结论:在雾化吸入吸入用布地奈德混悬液与吸入用 复方异丙托溴铵溶液的基础上联合小儿肺热咳喘颗粒治疗痰热壅肺型喘息性支气管炎可以提高临床治疗效果, 减轻患儿的炎症和提升机体的免疫功能,促进肺功能的恢复。

    Abstract:

    Abstract:Objective:To observe the curative effect of Xiao'er Feire Kechuan Granules combined with Budesonide Suspension for Inhalation and Ipratropium Bromide Solution for Inhalation for children with asthmatic bronchitis of phlegm- heat obstructing the lung type. Methods:A total of 110 cases of children with asthmatic bronchitis of phlegm- heat obstructing the lung type were enrolled and divided into the intervention group and the control group according to the random number table method,with 55 cases in each group. Based on measures for relieving cough, anti- infection and oxygen inhalation, both groups were treated with Budesonide Suspension for Inhalation and Ipratropium Bromide Solution for Inhalation; the intervention group was additionally treated with Xiao'er Feire Kechuan Granules. Both groups were treated for seven days. Before and after treatment, lung function indexes including forced expiratory volume in the first second(FEV1),forced vital capacity(FVC),FEV1/FVC and peak expiratory flow(PEF),and inflammatory indexes including interleukin(IL) -4,IL-6,IL-10 and interferon-γ(IFN-γ) in the two groups were evaluated. The clinical effects in the two groups were evaluated. Results: After seven- day treatment,the total effective rate was 96.36% in the intervention group and 81.82% in the control group, the difference being significant(P<0.05). After treatment,the levels of FEV1,FVC,FEV1/FVC and PEF in the two groups were increased when compared with those before treatment, the difference being significant(P<0.01);the indexes in the intervention group were higher than those in the control group,the difference being significant(P<0.01). The levels of IL-4,IL-6 and IL-10 in the two groups were decreased when compared with those before treatment,and the levels of IFN-γ were increased,differences being significant(P<0.01). The levels of IL-4,IL-6 and IL-10 in the intervention group were lower than those in the control group,and the level of IFN-γ was higher,differences being significant(P<0.01). Conclusion: Bases on aerosol inhalation with Budesonide Suspension for Inhalation and Ipratropium Bromide Solution for Inhalation,the additional application of Xiao'er Feire Kechuan Granules for asthmatic bronchitis of phlegmheat obstructing the lung type can improve the clinical effect, reduce the inflammation of children, enhance the immune function of body,and promote the recovery of lung function.

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陈卡蒙.小儿肺热咳喘颗粒联合西药治疗小儿痰热壅肺型喘息性支气管炎临床研究[J].新中医,2022,54(24):128-132

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  • 在线发布日期: 2023-01-01
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