摘要
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 .
出处
《中国基层医药》
CAS
2015年第6期879-882,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
支原体肺炎
痰热闭肺证
中西医结合治疗
Mycoplasma pneumonia
Accumulation of phlegm -heat syndrome
Combined treatment of tradi-tional chinese medicine and western medicine