祛痰散热汤联合经皮理疗治疗小儿支气管肺炎的疗效观察

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• Title:祛痰散热汤联合经皮理疗治疗小儿支气管肺炎的疗效观察

• 卷期:2023年21卷24期

• 作者:胡江海

• 上饶市妇幼保健院（儿童医院）药剂科 江西上饶 334000

• Author(s):HU Jianghai

• Department of pharmacy, Shangrao Maternal and Child Healthcare Hospital (children’s Hospital)), Shangrao 334000, Jiangxi

• 关键词儿童；支气管肺炎；痰热闭肺证；祛痰散热汤；经皮理疗

• Keywords:children; bronchial pneumonia; phlegm-heat obstructing the lung syndrome; expectorant cooling soup; percutaneous physiotherapy

• 摘要:目的  探讨祛痰散热汤联合经皮理疗治疗小儿支气管肺炎痰热闭肺证的疗效。方法 选取2019年4月~2020年4月间收治的小儿支气管肺炎痰热闭肺证患儿86例，按照随机数字表法分成两组，对照组43例仅行经皮理疗治疗，观察组43例联合经皮理疗与祛痰散热汤治疗，对比两组患儿的临床疗效。结果 观察组治疗总有效率为97.67%，高于对照组的83.72%（P<0.05）；治疗后观察组中医证候积分低于对照组（P<0.05）。治疗后观察组咳嗽、气促、异常呼吸音及发热症状消失时间均短于对照组（P<0.05）。治疗前两组患者血清淋巴细胞亚群、炎症因子水平无统计学意义（p>0.05）；治疗后观察组CD4+显著高于对照组，CD8+、CRP、IL-6及TNF-α水平均显著低于对照组（P<0.05）。结论 祛痰散热汤联合经皮理疗治疗小儿支气管肺炎痰热闭肺证可快速消除症状及机体炎症反应，改善免疫功能，提升疗效。                                                                                                                                                                                

• Abstract:To explore the curative effect of Qutan Cool Decoction combined with percutaneous physiotherapy in the treatment of bronchial pneumonia with phlegm-heat closed lung syndrome. Methods A total of 86 children with bronchopneumonia with phlegm-heat obstructed lung syndrome from April 2019 to April 2020 were selected and divided into two groups according to a random number table. 43 cases in the control group received only percutaneous physiotherapy, and 43 cases in the observation group Combined transdermal physiotherapy and Qutan Cool Decoction treatment to compare the clinical efficacy of the two groups of children. Results The total effective rate of treatment in the observation group was 97.67%, which was higher than 83.72% in the control group (P<0.05); after treatment, the score of TCM syndromes in the observation group was lower than that in the control group (P<0.05). After treatment, the disappearance time of cough, shortness of breath, abnormal breathing sounds and fever in the observation group was shorter than that in the control group (P<0.05). 

  支气管肺炎是儿科常见的肺部感染性疾病，气候变化、环境污染及饮食不卫生等因素有关，临床表现为咳嗽、气喘、发热等。西医治疗多采用抗病毒、抗菌为主，但整体疗效不尽理想[1]。近年来，中医药治疗小儿支气管肺炎中积累了丰富的临床经验，传统医学将该症归为“肺炎喘嗽”范畴，病因乃肺气郁闭，累及脾脏，窜及心肝。