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中西医结合治疗小儿过敏性咳嗽风痰恋肺证41例临床观察 被引量:3

Clinical observation on 41 cases of allergic cough in children with wind-phlegm lingering lung syndrome treated by combined Chinese and Western medicine
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摘要 目的观察中西医结合治疗小儿过敏性咳嗽风痰恋肺证的临床疗效。方法将82例过敏性咳嗽风痰恋肺证患儿随机分为对照组和治疗组,各41例。对照组口服氯雷他定片和氨溴特罗口服液抗过敏、止咳化痰,治疗组在对照组治疗方法的基础上加自拟祛风清肺汤治疗,2组均治疗1周后统计疗效。结果治疗前2组咳嗽、咳痰、咽痒等临床症状评分比较,差异均无统计学意义(P>0.05),具有可比性;治疗后2组临床症状评分均较同组治疗前显著下降,差异有统计学意义(P<0.05),且治疗组下降更显著(P<0.05)。治疗前2组第1秒用力呼气容积(FEV1)、用力肺活量(FVC)及最大呼气流量(PEF)水平比较,差异均无统计学意义(P>0.05),具有可比性;治疗后2组上述指标水平均较同组治疗前显著升高,差异有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。治疗组总有效率为90.24%(37/41),显著高于对照组的75.60%(31/41),2组比较,差异有统计学意义(P<0.05)。结论在西药抗过敏、止咳化痰的治疗基础上,加用自拟祛风清肺汤治疗小儿过敏性咳嗽风痰恋肺证,能有效改善患儿的临床症状,改善肺功能,疗效显著,值得临床推广应用。 Objective To observe the clinical efficacy of combined Chinese and Western medicine in the treatment of allergic cough(AC)in children with wind-phlegm lingering lung syndrome.Methods Eighty-two cases of AC in children with wind-phlegm lingering lung syndrome were divided into control group and treatment group randomly,with 41 cases in each.The control group was given oral loratadine tablets and ambroxol oral liquid to resist allergy,relieve cough and sputum,on this basis,the treatment group was added self-made Qufeng Qingfei Tang(祛风清肺汤).We kept statistics after both groups were treated for 1 week.Results Before treatment,the difference was not statistically significant in clinical symptoms of cough,expectoration and a tickling cough between the 2 groups(P>0.05),and they were comparable;after treatment,the clinical symptom score of the 2 groups decreased significantly compared with the same group before treatment,and the difference was statistically significant(P<0.05),moreover,the treatment group decreased more significantly(P<0.05).Before treatment,the difference was not statistically significant in the levels of forced expiratory volume in 1s(FEV1),forced vital capacity(FVC)and peak expiratory flow(PEF)between the 2 groups(P>0.05),and they were comparable.After treatment,the abovementioned indicatrix significantly increased in the 2 groups compared with that in the same group before treatment,and the difference was statistically significant(P<0.05),moreover,the treatment group increased more significantly(P<0.05).The total effective rate of the treatment group was 90.24%(37/41),which was significantly higher than 75.60%(31/41)of the control group,and the difference was statistically significant between the 2 groups(P<0.05).Conclusion It can effectively improve the clinical symptoms and the lung function with marked efficacy to add self-made Qufeng Qingfei Tang based on the treatment of Western medicine resisting allergy,relieving cough and sputum in the treatment of AC in children with wind-phlegm lingering lung syndrome,which is worthy of clinical promotion and application.
作者 许明霞 XU Mingxia(Department of Pediatrics,Zhejiang Provincial Tongde Hospital,Hangzhou,Zhejiang,310012,China)
出处 《中医儿科杂志》 2020年第5期49-52,共4页 Journal of Pediatrics of Traditional Chinese Medicine
关键词 小儿过敏性咳嗽 风痰恋肺证 祛风清肺汤 中西医结合 临床观察 allergic cough(AC)in children wind-phlegm lingering lung syndrome Qufeng Qingfei Tang(祛风清肺汤) combined Chinese and Western medicine clinical observation
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