清热利湿开闭法治疗小儿肺炎喘嗽

Clearing heat and removing dampness and Kaibi method treatment on pediatric pneumonia asthma

目的观察清热利湿开闭法治疗小儿肺炎喘嗽(湿热闭肺型)的临床疗效。方法将60例诊断为肺炎喘嗽(湿热闭肺型)患儿随机分为2组,治疗组和对照组各30例,治疗组在基础治疗的同时加用自拟茵芩止咳颗粒口服,对照组根据致病病原体不同,予头孢美唑或喜炎平静滴,并给予对症治疗。疗程7 d,观察疗前疗后2组的主症积分、主症消失时间、临床疗效以及实验室指标改变情况。结果 2组总有效率比较差异有统计学意义(P<0.05),2组疗后主症积分较疗前显著降低,有统计学意义(P<0.05),治疗组在发热、咳嗽、咯痰、肺部罗音吸收恢复正常时间及实验室指标(CRP、ESR)改变方面优于对照组(P<0.05)。结论清热利湿开闭法治疗小儿肺炎喘嗽能有效消除机体炎症(CRP、ESR),改善临床症状,提高治愈率。

Objective To observe the effect of method of clearing heat and removing dampness and Kaibi in treatment of pneumonia asthma. Methods Dividing 60 pediatric pnemonia patients into 2 groups stochastically,treatment group and control group,30 cases respectively. Treatment group received Qingfei Particles orally. Control group received Cefmetazole or Xiyanping injection,and given symptomatic treatment 7 days for a course,the main symptoms,integral main symptoms disappeared after treatment time,clinical efficacy and laboratory indicators of change were observed after a course. Results Treatment group is better than control group（ P〈0. 05） in fever,cough,phlegm,lung auscultation disappearance durations and laboratory indicators of change（ CRP,ESR）.（ P〈0. 05）. After treatment,in the two groups rate of total efftct were also statistically significant（ P〈0. 05）. Conclusion The method of clearing heat and removing dampness and Kaibi on pediatric pneumonia asthma can eliminate the inflammation（ CRP,ESR）,improve the clinical symptoms,increase the curative rate.