中西医结合治疗小儿毛细支气管炎36例疗效观察

Clinical observation of 36 cases of pediatric capillary bronchitis treated with TCM and Western medicine combination

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:将72例毛细支气管炎患儿随机分为2组,对照组给予常规西医对症综合治疗,治疗组在对照组治疗的基础上加服定喘汤,并外敷平喘贴。2组治疗7 d后,观察患儿的症状、体征及胸片结果并统计疗效。结果:治疗组中治愈27例(占75.00%),好转6例(占16.67%),总有效率为91.67%;对照组中治愈18例(占50.00%),好转9例(占25.00%),总有效率为75.00%。2组总有效率比较,差异有统计意义(P<0.05)。治疗组在止咳时间、平喘时间、啰音消失时间以及住院时间方面与对照组比较,差异有高度统计意义(P<0.01)。结论:中西医结合治疗小儿毛细支气管炎疗效显著,值得临床推广应用。

Objectived： To observe the effect of TCM and Western medicine combination in the treatment of pediatric capillary bronchitis. Methods： Randomly put 72 cases of capillary bronchitis patients into 2 groups. The control group was treated with routine Western medicine and external use of Pingchuantie on the basis of Western Treatment group was treated with Dingchuan Decoction medicine treatment. 7 days after the treatment, observedthe symptoms, signs, and X film, then made statistical analysis. Results： In the treatment group, 27 cases were cured, accounting for 75.00% , 6 cases got better, for 16. 667% , with a 91.67% total effective rate; while in the control group, 18 cases were cured, for 50.00% , 9 cases got better, for 25.00%, with a 75.00% total effective rate. The difference between the 2 groups had statistic significance （ P〈0.05 ）. The difference has high statistic significance in cough-ceasing, asthma-ceasing, rales-disappearing time and hospitalized time （P〈0.01}. Conclusion： The clinical effect of TCM and Western medicine is obvious in the treatment of pediatric capillary bronchitis and deserving generalization.