小儿急性喘息性支气管炎的临床探讨

Clinical Study of Acute Asthmatic Bronchitis in Children

目的针对小儿喘息性支气管炎的临床治疗方法和治疗效果进行探讨。方法选2017年1月至2018年7月间我院门诊部收治的、经过诊断确诊为急性喘息性支气管炎的小儿患者302例作为研究对象。对照组患儿结合临床病症予以西医治疗。实验组患儿在这个基础上实施中药辩证治疗。结果经过一个疗程的治疗,实验组痊愈患儿共130例,治疗有效患儿10例,总有效率为93.33%,显著超过治疗总有效率为88.16%的对照组患儿;两组患儿喘息缓解时间不具有统计学意义(P> 0.05)。但是实验组患儿咳嗽消失时间、啰音消失时间、哮鸣音消失时间均显著低于对照组患儿。各项指标差异显著(P<0.05);对照组患儿在治疗过程中一共出现4例不良反应,而实验组患儿只出现1例不良反应。结论对于小儿喘息性支气管炎而言,有效的中西医结合治疗具有较高的临床治疗效果,适合推广应用。

Objective To explore the clinical treatment and therapeutic effect of asthmatic bronchitis in children. Methods A total of 302 pediatric patients diagnosed with acute asthmatic bronchitis admitted by the outpatient department of our hospital from July 2017 to July 2018 were selected as subjects. The control group was treated with western medicine combined with clinical symptoms. On this basis, the children in the experimental group were treated with traditional Chinese medicine dialectical therapy. Results After one course of treatment, a total of 130 cases were cured in the experimental group, and 10 cases were treated effectively. The total effective rate was 93.33%, significantly higher than that of the control group, where the total effective rate was 88.16%. The time of respite remission in the two groups was not statistically significant（P〉 0.05）. However, the duration of cough disappeared, the duration of rumbling disappeared and the duration of wheezing disappeared were all significantly lower than those of the control group. Significant differences in various indexes（P〈 0.05）; There were a total of 4 adverse reactions in the control group during the treatment, while only 1 adverse reaction occurred in the experimental group. Conclusion For children with asthmatic bronchitis, effective combined Chinese and western medicine has high clinical treatment effect and is suitable for popularization and application.