中西医结合治疗小儿喘息性支气管肺炎57例总结

Clinical effect of integrated traditional Chinese and Western medicine therapy in children with asthmatic bronchopneumonia: An analysis of 57 cases

目的:观察中西医结合治疗小儿喘息性支气管肺炎的临床疗效及对急性期嗜酸性粒细胞(EOS)水平的影响。方法:将喘息性支气管肺炎患儿109例随机分为治疗组57例和对照组52例。治疗组采用小青龙汤加西医常规治疗,对照组单用西医常规治疗。结果:总有效率治疗组为94. 7%,对照组为82. 7%,2组比较,差异有统计学意义(P <0. 05); 2组EOS水平治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P <0. 05); 2组平均住院天数和复发率比较,差异均有统计学意义(P <0. 05)。结论:中西医结合治疗小儿喘息性肺炎疗效显著,可有效降低急性期EOS水平、缩短住院时间、降低复发率。

Objective: To investigate the clinical effect of integrated traditional Chinese and Western medicine therapy in children with asthmatic bronchopneumonia and its effect on the level of eosinophils( EOS) in acute stage. Methods: A total of 109 children with asthmatic bronchopneumonia were randomly divided into treatment group with 57 children and control group with 52 children. The children in the treatment group were given Xiaoqinglong decoction and conventional Western medicine treatment,and those in the control group were given conventional Western medicine treatment alone. Results: There was a significant difference in overall response rate between the treatment group and the control group( 94. 7% vs 82. 7%,P < 0. 05). Both groups had a significant change in the level of EOS after treatment,and there was a significant difference in the level of EOS between the two groups after treatment( P < 0. 05). There were significant differences between the two groups in the mean length of hospital stay and recurrence rate( P < 0. 05). Conclusion: Integrated traditional Chinese and Western medicine therapy has a good clinical effect in children with asthmatic bronchopneumonia and can effectively reduce the level of EOS in acute stage,shorten the length of hospital stay,and reduce recurrence rate.