小青龙汤透皮疗法治疗风寒闭肺型小儿毛细支气管炎临床研究
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R725.6


ClinicalStudyonPenetrationTherapywithModifiedXiaoqinglongTangforChildren BronchiolitisofWind-ColdFetteringLungType
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    摘要:

    目的:观察小青龙汤透皮治疗对风寒闭肺型小儿毛细支气管炎的临床疗效。方法:将风寒闭肺型毛细支气管炎患儿98 例按随机数字表法分成对照组和观察组各 49 例。对照组给予综合对症治疗,观察组在对照组的基础上给予小青龙汤透皮治疗。治疗 2 周后,比较 2 组治疗前后中医证候积分、血清免疫球蛋白 A(IgA)、血清免疫球蛋白 G(IgG)、血清免疫球蛋白 M(IgM)及炎症因子白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)水平。结果:治疗后,2 组咳嗽、泛吐痰涎、咽赤口干、喘憋气促、烦躁发热等证候积分均较治疗前降低(P<0.05),且观察组各项积分低于对照组(P<0.05)。治疗后,2 组 IgA、IgG 水平均较治疗前升高(P<0.05),且观察组IgA、IgG水平高于对照组(P<0.05);而2组IgM水平治疗前后变化不大(P>0.05)。治疗后,2组IL-6、IL-8、TNF-α 水平均较治疗前降低(P<0.05),且观察组各项指标低于对照组(P<0.05)。结论:小青龙汤透皮治疗风寒闭肺型小儿毛细支气管炎,可有效改善患儿发热、咳喘等临床症状,增加机体免疫力,改善炎症因子水平。

    Abstract:

    Abstract:Objective:ToobservetheclinicaleffectofpenetrationtherapywithmodifiedXiaoqinglongtangforchildren bronchiolitisofwind-coldfetteringthelungtype. Methods:Atotalof 98 casesofchildrenwithbronchiolitisofwind-cold fetteringthelungtypeweredividedintothecontrolgroupandtheobservationgroupaccordingtotherandomnumbertable method,49 casesineachgroup.Thecontrolgroupwastreatedwithcomprehensiveandsymptomatictreatment,andthe observationgroupwasadditionallytreatedwithpenetrationtherapywithmodifiedXiaoqinglongtangbasedonthetreatment ofthecontrolgroup.Aftertwo-weektreatment,ChinesemedicinesyndromescoresandlevelsofimmunoglobulinsA(IgA), immunoglobulinsG(IgG),immunoglobulinsM(IgM)beforeandaftertreatmentwerecomparedbetweenthetwogroups. Levelsofinflammatorycytokines,namely,interleukin-6(IL-6),interleukin-8(IL-8)andtumornecrosisfactor-α(TNF-α) beforeandaftertreatmentwerecomparedbetweenthetwogroups. Results:Aftertreatment,syndromescoresofcough, excessiveexcretionofphlegmanddrool,rednessofpharynxanddrymouth,asthmaandpanting,andagitationandfeverin thetwogroupsweredecreasedwhencomparedwiththosebeforetreatment(P<0.05),andeachscoreintheobservation groupwaslowerthanthatinthecontrolgroup(P<0.05).Aftertreatment,levelsofIgAandIgGinthetwogroupswere increasedwhencomparedwiththosebeforetreatment(P<0.05),andthetwolevelsintheobservationgroupwerehigher thanthoseinthecontrolgroup(P<0.05);levelsofIgMinthetwogroupsdidnotchangemuchbeforeandaftertreatment(P> 0.05).Aftertreatment,levelsofIL-6,IL-8 andTNF-α inthetwogroupsweredecreasedwhencomparedwiththosebefore treatment(P<0.05),andeachindexintheobservationgroupwaslowerthanthatinthecontrolgroup(P<0.05). Conclusion: Inthetreatmentofchildrenbronchiolitisofwind-coldfetteringthelungtype,penetrationtherapywithmodifiedXiaoqinglong tangcaneffectivelyimproveclinicalsymptoms,suchasfeverandcough,enhancechildren'simmunity,andimprovelevels ofinflammatoryfactors.

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杨虎明,袁晴丹,毕美芬.小青龙汤透皮疗法治疗风寒闭肺型小儿毛细支气管炎临床研究[J].新中医,2021,53(8):26-29

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  • 在线发布日期: 2021-04-29
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