中西医结合治疗小儿支气管哮喘临床分析

Treatment of Children Bronchial Asthma by Combining Chinese and Western Medicine

目的探讨小儿支气管哮喘有效治疗途径。方法小儿支气管哮喘90例随机分为中西医结合治疗组(A组)45例,单纯西医治疗组(B组)45例。观察治疗前后患儿临床症状、体征、近期疗效和远期疗效。结果两组治疗后咳嗽、咳痰、喘息、肺部哮鸣音等症状及体征较治疗前有明显改善(B组:t=2.911,P<0.01;t=2.212,t=2.315,t=2.432,P<0.05;A组:t=2.981,P<0.01;t=2.352,t=2.425,t=2.472,P<0.05)A组在控制咳嗽、咳痰作用优于B组(t=2.302,t=2.292,P均<0.05);两组近期总有效率比较无显著性差异(χ2=2.78,P>0.05);A组远期总有效率高于B组(χ2=3.98,P<0.05)。结论中西医结合治疗哮喘可明显缓解哮喘发作频率,延长其缓解期,中医药具有抗炎或协同抗炎作用。

Objective To explore the effective therapy for bronchitis asthma in children. Methods We divided 90 cases of children bronchial asthma randomly into two groups： Chinese and Western medicine therapy group （Group A ,45 cases）and Western medicine therapy group（Group B,45 cases）,and observed the clinical symptoms, signs, short-term and long-term curative effects in children bronchial asthma before and after treatment. Results The symptoms and signs of cough, sputum, wheezing and chest wheezing after treatment were significantly improved compared with those before treatment in the two groups（Group B： t=2.911 ,P〈0.01 ; t=2.212, t=-2.315, t=2.432,P〈0.05 ; Group A ： t==2.981, P〈0.01 ; t=2.352, t=2.425, t=2.472,P〈0.01 ）. Group A was superior to Group B in controlling cough and sputum （ t= 2.302, t=-2.292, P all〈0.05）. There was no significant difference in the short-term total effective rate between the two groups（ X^2=2.78, P〉0.05 ）; The long-term total effective rate of Group A was higher than that of Group B （ X^2=3.98, P〈0.05 ）. Conclusion The treatment of children bronchial asthma by combining Chinese and Western medicine can remarkably decrease the attack frequency of asthma, prolong its remission stage and has a anti-inflammatory or synergistic anti-inflammatory effect.