豉翘清热汤联合西药治疗风热犯肺型儿童急性支气管炎临床研究
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R725.6

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Clinical Study on Chiqiao Qingre Decoction Combined with Western Medicine for Children with Acute Bronchitis of Wind-Heat Invading the Lung Type
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    摘要:

    目的:观察豉翘清热汤联合西药治疗风热犯肺型儿童急性支气管炎的临床疗效。方法:纳入 240 例风热犯肺型急性支气管炎患儿,按照随机数字表法分为对照组和试验组各120 例。2 组均予小儿氨酚黄 那敏颗粒、利巴韦林颗粒治疗,试验组加予豉翘清热汤治疗。2 组均治疗7 d。治疗前后检测血清炎性因子指 标[超敏C-反应蛋白(hs-CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β) 和 白细胞介素-8 (IL-8) ],记录支气管炎相关症状的改善情况,比较2 组的临床疗效与不良反应发生率。结 果:治疗后,试验组临床疗效总有效率高于对照组(P<0.05)。试验组咳嗽消失时间、肺部啰音消失时间及完 全退热时间均较对照组缩短,开始退热时间较对照组提前,差异均有统计学意义(P<0.05)。2 组血清IL-6、 TNF-α、hs-CRP、IL-1β 及IL-8 水平均较治疗前下降(P<0.05)。试验组血清IL-6、TNF-α、hs-CRP、 IL-1β 及IL-8 水平均低于对照组(P<0.05)。2 组不良反应发生率比较,差异无统计学意义(P>0.05)。结 论:采用豉翘清热汤联合西药治疗风热犯肺型儿童急性支气管炎,能有效抑制炎症反应、提高临床疗效,加快 缓解临床症状、缩短病程,安全性好。

    Abstract:

    Abstract:Objective:To observe the clinical curative effect of the therapy of Chiqiao Qingre Decoction combined with western medicine on children with acute bronchitis of wind- heat invading the lung type. Methods:A total of 240 children with acute bronchitis of wind-heat invading the lung type were included and divided into the control group and the trial group according to random number table method, with 120 cases in each group. The two groups were treated with Pediatric Paracetamol Atificial Cow-bezoar and Chlorphenamine Maleate Granules and Ribavirin Granules,and the trial group was additionally treated with Chiqiao Qingre Decoction. Both groups were treated for 7 days. The levels of serum inflammatory factors, including hypersensitive C- reactive protein (hs- CRP), interleukin- 6 (IL- 6), tumor necrosis factor- α (TNF-α),interleukin-1β (IL-1β) and interleukin-8 (IL-8),were detected before and after treatment,and the improvement of bronchitis- related symptoms was recorded. The clinical effects and incidence of adverse reactions were compared between the two groups. Results:After treatment,the total effective rate in the trial group was higher than that in the control group (P<0.05). The disappearance time of cough, the disappearance time of lung rales and the disappearance time of fever in the trial group were shorter than those in the control group,and the onset time of reducing fever was earlier than that in the control group, differences being significant (P<0.05). Serum levels of IL-6,TNF-α,hs-CRP,IL-1β and IL-8 in the two groups were decreased when compared with those before treatment (P<0.05). Serum levels of IL- 6, TNF-α,hs-CRP,IL-1β and IL-8 in the trial group were lower than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: The combination of Chiqiao Qingre Decoction and western medicine for children with acute bronchitis of wind- heat invading the lung type, can effectively inhibit inflammation, improve clinical effect,accelerate the relief of clinical symptoms,shorten the course of disease,and have great safety.

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卓超.豉翘清热汤联合西药治疗风热犯肺型儿童急性支气管炎临床研究[J].新中医,2024,56(4):98-101

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  • 在线发布日期: 2024-02-28
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