摘要
目的观察中西医结合治疗小儿哮喘缓解期肺脾气虚型的临床疗效。方法选取2016年1月至2017年12月舟山医院儿科门诊收治的哮喘缓解期肺脾气虚型患儿56例,随机分为对照组和治疗组,各28例。对照组予预防剂量的孟鲁司特钠咀嚼片治疗,治疗组在对照组治疗方法的基础上联合舟山医院自拟中药方治疗。观察2组治疗后1年内的短期疗效、治疗前后中医证候积分以及临床疗效。结果对照组治疗1年后复发15例(占71.43%),共复发29次;治疗组复发10例(占38.46%),共复发24次。2组的复发例数和复发次数比较,差异均有统计学意义(P<0.05)。治疗后2组中医证候积分均较同组治疗前明显下降,且治疗组下降更显著,差异均有统计学意义(P<0.05)。治疗组总有效率为92.9%,明显高于对照组的75.0%,2组比较,差异有统计学意义(P<0.05)。结论中西医结合治疗小儿哮喘缓解期肺脾气虚型疗效显著,值得在临床推广应用。
Objective To observe the clinical efficacy of combined traditional Chinese and Western medicine in the treatment of pediatric asthma with asthenia of pulmonosplenic qi type in remission stage.Methods Fifty-six cases with pediatric asthma with asthenia of pulmonosplenic qi symptom in remission stage admitted to out-patient service of Zhoushan Hospital from January 2016 to December 2017 were randomly divided into control group and treatment group,with 28 cases in each.The control group was given a preventive dose of montelukast sodium chewable tablets,and the treatment group was combined with the self-made prescription of TCM in Zhoushan Hospital based on the treatment of the control group.Shortterm efficacy within 1 year after treatment,TCM symptom scores before and after treatment,and clinical efficacy of the 2 groups were observed.Results Fifteen cases(71.43%)recurred in the control group after one year of treatment,totally 29 times of recurrence.Ten cases(38.46%)recurred in the treatment group,totally 24 times of recurrence.There were significant differences in the number of recurrence cases and recurrence times between the two groups(P<0.05).After treatment,the TCM symptom scores of the 2 groups decreased significantly compared with the same group before treatment and the decrease in the treatment group was more significant,there was statistically significant difference(P<0.05).The total effective rate of the treatment group was 92.9%,which was significantly higher than 75.0%of the control group,there was statistically significant difference between the two groups(P<0.05).Conclusion The combined traditional Chinese and Western medicine in the treatment of pediatric asthma with asthenia of pulmonosplenic qi type in remission stage has significant clinical efficacy.It is worthy of clinical promotion and application.
作者
甘婷婷
杜春晖
邹小卫
GAN Tingting;DU Chunhui;ZOU Xiaowei(Department of Pediatrics,Zhoushan Hospital,Zhoushan,Zhejiang,316021,China)
出处
《中医儿科杂志》
2019年第3期39-41,共3页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
哮喘
缓解期
肺脾气虚型
小儿
中西医结合
临床观察
asthma
remission stage
asthenia of pulmonosplenic qi type
children
combined traditional Chinese and Western medicine
clinical observation
