小儿肺咳颗粒联合布地奈德混悬液雾化吸入治疗小儿支气管哮喘缓解期临床研究
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Clinical Study on Xiao'er Feike Granules Combined with Atomization Therapy with Budesonide Suspension for Bronchial Asthma in Children in Remission Stage
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    摘要:

    目的:观察小儿肺咳颗粒联合布地奈德混悬液雾化吸入治疗小儿支气管哮喘缓解期临床疗效及其 对血清炎症因子的影响。方法:选取140 例支气管哮喘缓解期患儿,按随机数字表法分为治疗组和对照组各 70 例。2 组入院后均给予基础治疗,对照组加用布地奈德混悬液雾化吸入治疗,治疗组在对照组的基础上加用 小儿肺咳颗粒治疗。2 组均治疗1 周为1 个疗程,治疗2 个疗程后比较临床疗效、哮喘发作次数、哮喘持续时 间、肺功能指标[第1 秒用力呼气容积(FEV1)、用力呼吸肺活量(FVC)、第1 秒用力呼气容积与用力肺活量 的比值(FEV1/FVC)] 及血清炎症因子[白细胞介素-6(IL-6)、C-反应蛋白(CRP)] 水平。结果:治疗组 总有效率为92.86%,对照组为80.00%,2 组比较,差异有统计学意义(P<0.05)。治疗期间,治疗组哮喘发 作次数、持续时间均少于对照组,差异有统计学意义(P<0.05)。治疗后,2 组FEV1、FVC、FEV1/FVC 水平 均较治疗前升高(P<0.05),且治疗组各项肺功能指标均高于对照组(P<0.05)。治疗后,2 组血清IL-6、 CRP 水平均较治疗前降低(P<0.05),且治疗组IL-6、CRP 水平均低于对照组(P<0.05)。结论:小儿肺咳 颗粒联合布地奈德混悬液雾化吸入治疗小儿支气管哮喘缓解期疗效显著,能有效减轻机体炎症反应,改善肺功 能,减少哮喘急性发作次数,缩短哮喘持续时间。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Xiao'er Feike Granules combined with atomization therapy with Budesonide Suspension on bronchial asthma in children in remission stage and its effect on serum inflammatory factors. Methods:A total of 140 patients with bronchial asthma in remission stage were selected and divided into the treatment group and the control group according to the random number table method, with 70 cases in each group. The two groups were given basic treatment after admission. The control group was additionally treated with Budesonide Suspension, and the treatment group was additionally given Xiao'er Feike Granules based on the treatment of the control group. Both groups were treated for two courses,with one week being one course. After two courses of treatment, the clinical effects, duration and onset frequency of asthma, indexes of lung function, including forced expiratory volume in one second (FEV1),forced vital capacity (FVC),and ratio of forced expiratory volume in one second and forced vital capacity (FEV1/FVC),as well as levels of serum inflammatory factors,including interleukin-6 (IL-6) and C-reactive protein (CRP),were compared between the two groups. Results:The total effective rate was 92.86% in the treatment group,and 80.00% in the control group,the difference being significant (P<0.05). During treatment, the duration and onset frequency in the treatment group were less than those in the control group, differences being significant (P<0.05). After treatment, the levels of FEV1, FVC and FEV1/FVC in both groups were increased when compared with those before treatment (P<0.05), and the above three indexes in the treatment group were higher than those in the control group (P<0.05). After treatment, the levels of IL- 6 and CRP in the two groups were decreased when compared with those before treatment (P<0.05),and the above two levels in the treatment group were lower than those in the control group (P<0.05). Conclusion: Xiao'er Feike Granules combined with atomization therapy with Budesonide Suspension has a significant curative effect on bronchial asthma in children in remission stage, which can effectively mitigate the inflammatory responses of the body, reduce the acute onset frequency of asthma, shorten the duration of asthma, and improve the lung function of children.

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张旭,章梦岚.小儿肺咳颗粒联合布地奈德混悬液雾化吸入治疗小儿支气管哮喘缓解期临床研究[J].新中医,2023,55(8):143-147

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  • 在线发布日期: 2023-04-25
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