摘要
[目的]观察葛根芩连汤联合西药治疗小儿毛细支气管炎疗效。[方法]使用随机平行对照方法，将80例门诊患者按随机数字表法分为两组。对照组40例氧疗、糖皮质激素及雾化吸入控制喘憋，抗感染等。治疗组40例葛根芩连汤（射干、炙麻黄各5g，葛根、黄芩、黄连各8g，白芍5g，五味子6g，炙甘草3g），1剂／d，水煎50～60mL，温水分服；痰多加前胡、瓜蒌、竹沥；咳剧加桔梗、杏仁、呕吐加半夏、竹茹；热甚加山栀。西医治疗同对照组。连续治疗3d为1疗程。观测临床症状、症状改善时间、不良反应。连续治疗5疗程，判定疗效。[结果]治疗组痊愈25例，有效15例，无效0例，痊愈率62．50％。对照组痊愈15例，有效24例，无效0例，痊愈率37．50％。但痊愈率治疗组优于对照组（P〈0．05）。各项症状改善时间治疗组少于对照组（P〈0．05）。[结论]葛根芩连汤联合西医治疗小儿毛细支气管炎效果显著，值得推广。
[ Objective ] Observed Gegenqinlian combined with western medicine pediatric bronchiolitis.[Methods] Random parallel control method, 80 outpatients were randomly divided into two groups. A control group of 40 patients oxygen therapy, inhalation corticosteroids and control asthmatic, anti-infection. Treatment group of 40 patients Gegenqinlian （ Shegan, Sunburn ephedra each 5g, arrowroot, baicalin, berberine each 8g, peony 5g, Schisandra 6g, licorice 3g）, 1 Preparation / d, decoction 50- 60mL, warm water service; sputum plus Peucedanum, melon, Zhu Li; cough drama plus bellflower, almonds, vomiting plus Breit, Zhuru;heat even add Gardenia. Western medicine with the control group. 3d is a continuous course of treatment. Observation of clinical symptoms, symptoms of time, adverse reactions. 5 continuous treatment regimen to determine efficacy. [ Results ] The treatment group cured 25 cases, effective 15 cases, invalid 0 cases, total effective rate was 100%, cure rate 62.50%. The control group cured 15 cases, effective 24 cases, invalid 0 cases, total effective rate was 100%, cure rate 37.50%. The treatment group is equivalent to the control group （P=0.05）, but the cure rate of the treatment group than the control group （P〈0.05） . The symptoms improved time in treatment group was less than that of the control group （P〈0.05） . [ Conclusion ] Western Gegenqinlian combined treatment of children with bronchiolitis effect is significant, it is worth promoting.
出处
《实用中医内科杂志》
2014年第2期110-112,共3页
Journal of Practical Traditional Chinese Internal Medicine
