中西医结合治疗小儿支原体肺炎痰热闭肺证的疗效观察

The therapeutic effect of the combination of traditional chinese medicine and western medicine for pediatric mycoplasma pneumonia （accumulation of phlegm -heat syndrome）

目的：探讨中西医结合治疗小儿支原体肺炎（痰热闭肺证）临床疗效。方法将连续收治的116例支原体肺炎（痰热闭肺证）患儿采用随机分组软件分为两组，治疗组58例和对照组58例，对照组采用阿奇霉素序贯疗法治疗，治疗组在阿奇霉素序贯疗法的基础上，中医辨证施治口服汤药五虎汤合葶苈大枣泻肺汤加减，同时辅以中医特色疗法：中药离子导入治疗。观察临床指标：热退时间、肺部啰音消失时间、咳嗽消失时间、肺部炎症消失时间（X线检测）。结果治疗组与对照组相比，其热退时间[（2．4±0．5）d比（4．2±0．6）d，t＝3．221，P＜0．05]、肺部啰音消失时间[（5．2±0．7）d比（7．6±1．1）d，t＝3．514，P＜0．05]、咳嗽消失时间[（9．4±1．6）d比（11．7±2．1）d，t＝3．661，P＜0．05]、肺部炎症消失时间（X线检测）[（13．2±2．3）d比（15．5±2．5）d，t＝3．101，P＜0．05]明显少于对照组；住院天数[（6．3±1．5）d比（8．6±2．8）d，t＝3．712，P＜0．01]及住院费用[（3976．4±473．5）元比（5468．1±726．6）元，t＝3．804，P＜0．01]明显优于对照组。结论中西医结合治疗小儿支原体肺炎（痰热闭肺证）较单纯西医治疗临床效果更加明显，可缩短住院天数，降低治疗费用，值得临床推广。

Objective To observe the therapeutic effect of the combination of traditional Chinese medicine and western medicine for pediatric mycoplasma pneumonia （accumulation of phlegm-heat syndrome）.Methods Consecutive 116 children treated for mycoplasma pneumonia （ accumulation of phlegm-heat syndrome ） were randomly divided into the two groups by software：the treatment group（58 cases） and control group（58 cases）.The control group accepted the sequential therapy of azithromycin ,and the treatment group accepted azithromycin sequential therapy ,in combina-tion with traditional Chinese decoction Wuhu Tingli Dazao Xiefei Tangand Chinese medicine iontophoresis thera-py.Clinical indicators were observed：antifebrile time,lung sound disappearing time,cough disappearing time,lung inflammation （X-ray） disappearing time.Results Antifebrile time[（2.4 ±0.5）d vs （4.2 ±0.6）d,t=3.221,P〈0.05],lung sound disappearing time [（5.2 ±0.7）d vs （7.6 ±1.1）d,t=3.514,P〈0.05],cough disappearing time [（9.4 ±1.6） d vs （11.7 ±2.1） d,t =3.661,P〈0.05）] and lung inflammation （ X-ray） disappearing time [（13.2 ±2.3）d vs （15.5 ±2.5）d,t=3.101,P〈0.05）] in the treatment group were shorter than those of the con-trol group;Hospital stays [（6.3 ±1.5）d vs （8.6 ±2.8）d,t=3.712,P〈0.01] and hospitalization costs [（3 976.4 ± 473.5）yuan vs （5 468.1 ±726.6）yuan,t=3.804,P〈0.01）] in the treatment group were significantly less than those of the control group .Conclusion The therapeutic effects of the combination of traditional Chinese medicine and western medicine for pediatric mycoplasma pneumonia （ accumulation of phlegm -heat syndrome ） is better than single western medicine treatment ,which can shorten hospital stays and reduce treatment costs ,deserves clinical promotion .