麻杏石甘汤加味联合西药治疗小儿肺炎支原体肺炎的疗效观察

Observation of Efficacy of Maxingshigan Decoction Combined with Western Medicine in Treatment of Children with Mycoplasma Pneumonia

目的:探讨经方麻杏石甘汤加味联合西药治疗小儿肺炎支原体肺炎的临床优势。方法:将120例肺炎支原体肺炎患儿,按照入院的前后顺序随机分为观察组和对照组各60例。对照组患儿给予常规对症处理并联合阿奇霉素治疗;观察组患儿在常规治疗基础上给予麻杏石甘汤加味口服治疗,疗程为2周。对比观察2组患儿的咳嗽消失时间、退热时间、肺部罗音消失时间、住院时间等。结果:观察组患儿退热、咳嗽消失、肺部罗音消失时间及住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组患儿总有效率为90.00%(54/60),明显优于对照组的75.00%(45/60),差异有统计学意义(P<0.05)。结论:麻杏石甘汤加味联合阿奇霉素治疗儿童支原体肺炎,疗效明显优于单纯西药治疗。

OBJECTIVE：To probe into the clinical curative effect of maxingshigan decoction combined with western medicine in treatment of children with mycoplasma pneumonia. METHODS：According to the admission sequence, 120 cases of children with mycoplasma pneumoniae pneumonia were randomly divided into observation group and control group with 60 cases in each group. The control group was given routine symptomatic treatment combined with azithromycin; the observation group, based on the treatment in control group, received the treatment of maxingshigantangjiawei oral, treatment course was 2 weeks. The two groups were observed abatement time of fever, cough disappeared time, pulmonary rales disappearance time and hospitalization time etc. RESULTS：In the observation group, abatement time of fever, cough disappeared time and the length of hospital stay were significantly shorter than that of control group, the difference was statistically significant（P〈0. 05）. As for the total effective rate in the observation group, it was 90. 00%（ 54/60 ） which significantly higher than that of the control group of 75. 00%（ 45/60 ） with statistically significant difference（P〈0. 05）. CONCLUSIONS：Maxingshigan decoction combined with western medicine in treatment of children with mycoplasma pneumonia has a better efficacy than pure western medicine.