桑白皮汤加减治疗小儿类百日咳综合征的优良效果分析

Analysis of the curative effect of modified Sangbaipi decoction on pertussis-like syndrome in children

目的探究对小儿类百日咳综合征患儿施行桑白皮汤加减治疗的效果。方法选择2017年1月至2019年12月我院收治小儿类百日咳综合征患儿40例,随机分为对照组和观察组各20例。对照组施行阿奇霉素治疗,观察组在对照组基础上施行桑白皮汤加减治疗。对比两组治疗总有效率、炎性因子水平、肺功能指标、主要症状消失时间、血常规恢复正常时间、住院时间。结果观察组治疗总有效率为95.0%(19/20),高于对照组65.0%(13/20),差异有统计学意义(P<0.05)。观察组治疗后呼吸频率较对照组更低,且治疗后潮气量、吸呼比较对照组更高,差异有统计学意义(P<0.05)。观察组治疗后白细胞计数、C反应蛋白水平均较对照组更低,差异有统计学意义(P<0.05)。观察组主要症状消失时间、血常规恢复正常时间、住院时间均较对照组更短,差异有统计学意义(P<0.05)。结论对小儿类百日咳综合征患儿施行桑白皮汤加减治疗有助于增强疗效,改善患儿肺功能,减轻炎症反应,加速病情恢复。

Objective To explore the effect of modified Sangbaipi decoction on children with pertussis-like syndrome.Methods Forty cases of children with pertussis-like syndrome treated in our hospital from January 2017 to December 2019 were randomly divided into control group(20 cases,treated with azithromycin)and observation group(20 cases,treated with Sangbaipi decoction and azithrpmycin).The total effective rate,inflammatory factor level,pulmonary function index,disappearance time of main symptoms,recovery time of blood routine and hospitalization time were compared between the two groups.Results The total effective rate of the observation group(95.0%,19/20)was higher than that of the control group(65.0%,13/20)(P<0.05);the respiratory rate of the observation group after treatment was lower than that of the control group,and the tidal volume and inspiration/expiration ratio after treatment were higher than those of the control group(P<0.05);the white blood cell count and C-reactive protein level in the observation group were lower than those in the control group(P<0.05);the disappearance time of main symptoms and the recovery time of blood routine in the observation group were all lower than those in the control group(P<0.05).Compared with the control group,the hospitalization time was shorter(P<0.05).Conclusion The application of modified Sangbaipi decoction in the treatment of children with pertussis-like syndrome is helpful to enhance the curative effect,improve the lung function,reduce the inflammatory reaction and accelerate the recovery of the disease.