中西医结合治疗小儿毛细支气管炎20例临床观察

Clinical observation on 20 cases of children with bronchiolitis treated with combined Chinese and Western medicine

目的观察中西医结合治疗小儿毛细支气管炎的临床疗效。方法选取我院收治的毛细支气管炎患儿60例,按照随机平行对照法分为布地奈德吸入组、电脑中频治疗组和联合治疗组,各20例。3组均给予常规治疗,在此治疗方法的基础上,布地奈德吸入组给予布地奈德雾化吸入治疗,电脑中频治疗组给予电脑中频+中药液湿润理疗贴片治疗,联合治疗组给予布地奈德雾化吸入+电脑中频+中药液湿润理疗贴片治疗。3组均连续治疗6 d后,比较3组的症状、体征改善程度及临床疗效。结果联合治疗组总有效率为100.00%,显著高于布地奈德吸入组的55.00%和电脑中频治疗组的85.00%,差异有统计学意义(P<0.05)。治疗前,3组的气喘、肺部听诊、胸片检查、咳嗽、痰壅及发热(腋温)评分比较,差异均无统计学意义(P>0.05),具有可比性;治疗后3组的症状、体征评分均明显降低(P<0.05),且联合治疗组的评分明显低于布地奈德吸入组和电脑中频治疗组,差异有统计学意义(P<0.05)。结论中西医结合治疗小儿毛细支气管炎,能有效改善患儿的临床症状及体征,提高临床疗效。

Objective To observe the effect of children bronchiolitis treated with combined Chinese and Western medicine.Methods According to the randomized parallel method,60 cases of children with bronchiolitis were randomly divided into budesonide inhalation group,computer intermediate frequency treatment group and combined treatment group,20 cases in each group,The three groups were given routine treatment,and on the basis of this treatment method,budesonide inhalation group was given budesonide atomization inhalation treatment,computer intermediate frequency treatment group was given computer medium frequency+traditional Chinese medicine moisturizing physiotherapy patch treatment,and the combined treatment group was treated with budesonide atomization inhalation+computer medium frequency+traditional Chinese medicine moisturizing physiotherapy patch.After 6 days of continuous treatment in all 3 groups,the symptoms and signs were improved before and after treatment,and the effect of TCM symptom was compared.Results The total effective rate in the combined treatment group was100.00%,which was significantly higher than the 55.00%in the budesonide inhalation group and the 85.00%in the computer intermediate frequency treatment group,the difference between the 3 groups was statistically significant(P<0.05).Before treatment,there were no significant differences in asthma,pulmonary auscultation,chest X-ray examination,cough,sputum and fever(axillary temperature)scores among the three groups(P>0.05),and they were comparable.After treatment,the scores of symptoms and signs were significantly reduced compared with the same group(P<0.05),and the scores of the combined treatment group were significantly lower than the budesonide inhalation group and the computer intermediate frequency treatment group,and the difference was statistically significant(P<0.05).Conclusion Combined Chinese and Western medicine in treating children with bronchiolitis,which can effectively improve the clinical symptoms and signs of children,and the clinical efficacy.