中西医结合治疗儿童支原体肺炎临床观察

Clinical Observation on Integrated Traditional Chinese and Western Medicine in the Treatment of Mycoplasma Pneumonia in Children

目的探析中西医结合治疗儿童支原体肺炎的临床疗效。方法选取2018年12月—2019年12月中国医科大学附属盛京医院收治的60例患儿,采用随机数字表法分为观察组和对照组,各30例。对照组采用阿奇霉素序贯法治疗,观察组在对照组治疗的基础上,加用千金苇茎汤联合敷胸散治疗。比较2组患儿的临床疗效、临床症状改善情况、中医证候积分、住院天数和不良反应发生率。结果观察组患儿的治疗总有效率为86.67%(26/30),高于对照组的56.67%(17/30),差异有统计学意义(P<0.05);观察组患儿的啰音消失时间、咳嗽减轻时间、气促减轻时间早于对照组,差异有统计学意义(P<0.05);观察组患儿神疲倦怠、鼻塞流涕、呼吸急促和咳嗽的中医证候积分低于对照组,差异有统计学意义(P<0.05);观察组患儿的住院天数短于对照组,不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论中西医结合治疗儿童支原体肺炎的临床疗效较好,患儿住院天数少、安全性高,值得推广。

Objective To explore the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of mycoplasmal pneumonia in children.Methods Sixty children in Shengjing Hospital Affiliated to China Medical University from December 2018 to December 2019 were randomly divided into an observation group and a control group using a random number table,with 30 cases in each group.The control group was treated with azithromycin sequential method,and the observation group was treated with Qianjin Weijing decoction combined with Fuxiong powder on the basis of the treatment of the control group.The clinical efficacy,traditional Chinese medicine(TCM)syndrome scores,hospital stays and adverse reactions occurred in the two groups were compared.Results The total effective rate in the observation group was 86.67%(26/30),which was higher than 56.67%(17/30)in the control group,and the difference was statistically significant(P<0.05).The rale disappearance time,cough relief time and shortness of breath relief time in the observation group were earlier than those in the control group,and the difference was statistically significant(P<0.05).The scores of TCM syndromes of fatigue,nasal congestion and runny nose,shortness of breath and cough in the observation group were lower than those in the control group,and the difference was statistical significance(P<0.05);The number of days in hospital in the observation group was shorter than that in the control group,and the incidence of adverse reactions was lower than that in the control group,and the difference was statistical significance(P<0.05).Conclusion The combination of traditional Chinese medicine and western medicine is effective in treating mycoplasmal pneumonia in children,with fewer hospitalization days and high safety,which is worthy of promotion.