目的:观察小青龙汤治疗GINA方案中部分控制哮喘儿童的临床疗效。方法:将164例病情属轻-中度、中医辨证为寒性的部分控制哮喘儿童采用随机数字表法分为两组,治疗组82例在原有哮喘治疗基础上加用小青龙汤(麻黄、细辛、干姜、五味子、姜半...目的:观察小青龙汤治疗GINA方案中部分控制哮喘儿童的临床疗效。方法:将164例病情属轻-中度、中医辨证为寒性的部分控制哮喘儿童采用随机数字表法分为两组,治疗组82例在原有哮喘治疗基础上加用小青龙汤(麻黄、细辛、干姜、五味子、姜半夏、桂枝、生芍药、甘草)颗粒剂,每日1剂,分2次开水冲服;对照组82例按照GINA方案中≥6岁儿童的哮喘分级治疗方法,给予布地奈德雾化液(轻度持续哮喘使用量为500μg/d,中度持续哮喘使用量为1 000μg/d)加入生理盐水2 m L中,压缩雾化吸入治疗,每日1次。两组均以7 d为1个疗程,治疗1个疗程后判定疗效。结果:治疗组脱落4例,对照组脱落5例。治疗组完全控制61例,部分控制8例,未控制9例,完全控制率为78.21%;对照组完全控制55例,部分控制8例,未控制14例,完全控制率为71.43%。两组对比,差别无统计学意义(P>0.05)。治疗组在激素不加量使用的基础上能有效改善患儿咳嗽、咳痰、喘憋、鼻煽等临床表现(P<0.01),且改善咳嗽、咳痰方面要优于GINA方案升级治疗对照组(P<0.01)。结论:小青龙汤可以改善部分控制哮喘患儿咳嗽、喘息、咳痰等临床症状,可以替代GINA方案的升级治疗,减少激素的使用剂量。展开更多
Objective:To observe and evaluate a method that is effective and practical for treatment of cerebral palsied(CP)children in China.Method:The patient's age and disease type and individual specific conditions were c...Objective:To observe and evaluate a method that is effective and practical for treatment of cerebral palsied(CP)children in China.Method:The patient's age and disease type and individual specific conditions were considered in choosingtherapy methods accordingly:Chinese herbs,acupuncture,auricnlar seed pressure,point finger pressing,massage,orthopedichand manipulation,physiotherapy,occupational therapy,language therapy,etc.Meanwhile we created a new CP treatment modelthat combines hospitalized treatment with family therapy.Results:The majority of CP patients improved greatly in motor andsocial adaptation capacities after treatment.Wilcoxon paired rank sum test analysis showed that there were significant differencesbetween the data before and after treatment(P<0.01).Conclusion:This combined therapy method,based on traditional Chinesemedicine and western medicine plus family supplemental therapy,is an effective and practical treatment strategy for CP children inChina.展开更多
文摘目的:观察小青龙汤治疗GINA方案中部分控制哮喘儿童的临床疗效。方法:将164例病情属轻-中度、中医辨证为寒性的部分控制哮喘儿童采用随机数字表法分为两组,治疗组82例在原有哮喘治疗基础上加用小青龙汤(麻黄、细辛、干姜、五味子、姜半夏、桂枝、生芍药、甘草)颗粒剂,每日1剂,分2次开水冲服;对照组82例按照GINA方案中≥6岁儿童的哮喘分级治疗方法,给予布地奈德雾化液(轻度持续哮喘使用量为500μg/d,中度持续哮喘使用量为1 000μg/d)加入生理盐水2 m L中,压缩雾化吸入治疗,每日1次。两组均以7 d为1个疗程,治疗1个疗程后判定疗效。结果:治疗组脱落4例,对照组脱落5例。治疗组完全控制61例,部分控制8例,未控制9例,完全控制率为78.21%;对照组完全控制55例,部分控制8例,未控制14例,完全控制率为71.43%。两组对比,差别无统计学意义(P>0.05)。治疗组在激素不加量使用的基础上能有效改善患儿咳嗽、咳痰、喘憋、鼻煽等临床表现(P<0.01),且改善咳嗽、咳痰方面要优于GINA方案升级治疗对照组(P<0.01)。结论:小青龙汤可以改善部分控制哮喘患儿咳嗽、喘息、咳痰等临床症状,可以替代GINA方案的升级治疗,减少激素的使用剂量。
文摘Objective:To observe and evaluate a method that is effective and practical for treatment of cerebral palsied(CP)children in China.Method:The patient's age and disease type and individual specific conditions were considered in choosingtherapy methods accordingly:Chinese herbs,acupuncture,auricnlar seed pressure,point finger pressing,massage,orthopedichand manipulation,physiotherapy,occupational therapy,language therapy,etc.Meanwhile we created a new CP treatment modelthat combines hospitalized treatment with family therapy.Results:The majority of CP patients improved greatly in motor andsocial adaptation capacities after treatment.Wilcoxon paired rank sum test analysis showed that there were significant differencesbetween the data before and after treatment(P<0.01).Conclusion:This combined therapy method,based on traditional Chinesemedicine and western medicine plus family supplemental therapy,is an effective and practical treatment strategy for CP children inChina.
