摘要
目的 探讨麻杏石甘汤联合银翘散对肺炎喘嗽风热闭肺证患儿FEV1、PEF水平的影响。方法 选取涡阳县涡阳中医院2020年3月—2021年3月收治的62例肺炎喘嗽风热闭肺证患儿,按随机数字表法分为对照组(31例)和观察组(31例)。对照组患儿使用盐酸头孢甲肟、头孢哌酮治疗,观察组患儿在对照组基础上使用麻杏石甘汤联合银翘散治疗。2组均连续治疗7 d。比较2组患儿治疗后中医证候积分、主要症状改善时间、不良反应发生情况及治疗前后肺功能改善情况。结果 治疗后,观察组患儿发热、气喘、咳痰、肺部湿啰音积分、不良反应发生率(6.45%)较对照组(25.81%)处于更低水平;发热、气喘、咳痰、肺部湿啰音症状改善时间较对照组更短;相较于治疗前,治疗后,2组患儿FEV1、PEF水平均呈升高趋势,且观察组患儿较对照组处于更高水平。结论麻杏石甘汤联合银翘散可改善肺炎喘嗽风热闭肺证患儿肺功能,改善发热、气喘、咳痰、肺部湿啰音症状,促进恢复,减少不良反应。
Objective To investigate the effects of Maxing Shigan decoction combined with Yinqiao powder on FEV1 and PEF levels in children with asthmatic pneumonia with wind-heat closure syndrome.Methods A total of 62 children with asthmatic pneumonia with windheat closing lung syndrome admitted to Guoyang Hospital of Traditional Chinese Medicine from March 2020 to March 2021 were divided into control group(31 cases) and observation group(31 cases) according to random number table method. The children in the control group were treated with cefmenoxime hydrochloride and cefoperazone, while the children in the observation group were treated with Maxing Shigan decoction combined with Yinqiao powder on the basis of the control group. Both groups were treated continuously for 7 days. The traditional Chinese medicine(TCM) syndrome score, improvement time of main symptoms, occurrence of adverse reactions and improvement of lung function before and after treatment were compared between the two groups.Results After treatment, the incidence of fever, asthma,expectoration, lung rales and adverse reactions in the observation group(6. 45%) was lower than that in the control group(25. 81%). The improvement time of fever, asthma, expectoration and lung rales was shorter than that of the control group. Compared with before treatment,the levels of FEV1and PEF in both groups showed an increasing trend after treatment, and the observation group was at a higher level than the control group.Conclusion Maxing Shigan decoction combined with Yinqiao powder can improve the lung function of children with asthmatic pneumonia with wind-heat closing lung syndrome, improve the symptoms of fever, wheezing, expectoration and rale of wet lung,promote recovery and reduce adverse reactions.
作者
王晓
WANG Xiao(Pediatrics Department,Guoyang Hospital of Traditional Chinese Medicine,Anhui Province,Guoyang 233600,China)
出处
《光明中医》
2022年第11期1980-1982,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
小儿肺炎喘嗽
风热闭肺证
麻杏石甘汤
银翘散
children with pneumonia cough
wind heat obstructing lung
Maxing Shigan decoction
Yinqiao powder
