摘要
目的观察麻杏石甘汤加味治疗小儿支气管肺炎的临床疗效。方法选取该院2015年1月—2016年1月收治的2~12岁之间的支气管肺炎患儿136例,证属肺热外感,将136例患儿随机分为治疗组和对照组各68例,治疗组患儿选用麻杏石甘汤加味治疗,对照组患儿选用头孢地尼、头孢克肟、阿奇霉素口服,严重者用头孢曲松、头孢呋辛、阿奇霉素静脉给药,或者加炎琥宁,痰稠不易咯出者加沐舒坦,高热惊厥者加赖氨匹林、地塞米松入壶。观察两组的总有效率和临床症状。结果治疗组患儿68例,治愈47例,显效18例,无效3例;总有效率为95.59%(65/68)。对照组患儿68例,治愈,35例,显效21例,无效12例,总有效率82.35%(56/68。治疗组患儿的治愈率均优于对照组,差异有统计学意义(P<0.05);该治疗组患儿退热时间、肺部啰音持续时间、白细胞计数恢复正常时间均优于对照组,差异有统计学意义(P<0.05)。结论麻杏石甘汤加味治疗小儿支气管肺炎,证属肺热外感证疗效显著,且无不良反应。
Objective To observe the cl inical curative effect of modified maxing shigan decoction in treatment of 136 cases of children with bronchopneumonia. Methods 136 cases of children with bronchopneumonia aged from 2 to 12 admitted and treated in our hospital from January 2015 to January 2016 were selected and randomly divided into two groups with 68 cases in each, the treatment group were treated with modified maxing shigan decoction, while the con-trol group took the cefdinir, cefixime and azithromycin orally, and the severe patients adopted the intravenous medica-tion of ceftriaxone, cefuroxime and azithromycin or andrographolide, the patients with sticky sputum and not easy to spit added the mucosolvan, and the febrile convulsion patients added the aspirin-dl- lys ine and dexamethasone, and the to-tal effective rate and cl inical symptoms of the two groups were observed. Results In the treatment group, 4 7 cases were cured, 18 cases were markedly effective, 3 cases were ineffective and the total effective rate was 95.59%（65/68） , in the control group, 35 cases were cured, 21 cases were markedly effective, 12 cases were ineffective and the total effective rate was 82.35%（56/68） , and the cure rate in the treatment group was better than that in the control group, and the difference was statistically significant （P〈0.05） , and the fever subsidence time, lung rale duration, white cel l count re-covery time in the treatment group were better than those in the control group, and the differences were statistically significant （P〈0.05） . Conclusion The curative effect of modified maxing shigan decoction in treatment of 136 cases of children with bronchopneumonia and lung heat syndrome is obvious without adverse reactions.
出处
《系统医学》
2017年第8期115-117,共3页
Systems Medicine
关键词
支气管肺炎
小儿
麻杏石甘汤
Bronchopneumonia
Children
Maxing shigan decoction
