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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

小青龙汤加减治疗小儿咳嗽变异性哮喘的临床疗效

康永平

(陕西省宝鸡市凤翔县中医医院儿科,陕西 宝鸡,721400)

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摘要:

目的 观察小青龙汤加减治疗小儿咳嗽变异性哮喘的临床疗效。方法 选取120例在我院就诊的咳嗽变异性哮喘患儿, 随机分为观察组(小青龙汤加减治疗)和对照组(孟鲁司特钠片治疗),各60例。对比两组患儿的治疗效果。结果 观察组总有效率为91.67%,明显高于对照组的76.67%(P<0.05)。观察组患儿的FEV1、PEF明显高于对照组(P<0.05)。治疗前,两组患儿的症状积分、咳嗽和咯痰积分比较,无显著差异(P>0.05);治疗后,两组的症状积分、咳嗽和咯痰积分均有所降低,且观察组的症状积分、咳嗽和咯痰积分均低于对照组(P<0.05)。结论 小青龙加减治疗小儿咳嗽变异性哮喘的临床疗效显著,可以改善肺通气功能,缓解患儿中医症候,值得临床推广。

关键词:咳嗽变异性哮喘;小青龙加减;孟鲁司特钠

中图分类号:R272文献标志码:A文章编号:2096-1413(2017)14-0121-02

    Clinical effect Xiaoqinglong decoction on children cough variant asthma
    KANG Yong-ping
    (Department of Pediatrics, Traditional Chinese Medicine Hospital of Fengxiang County, Baoji 721400, China)

    ABSTRACT: Objective To observe the clinical effect of Xiaoqinglong deco ction on children cough variant asthma.Methods One hundred and twenty cases of children with cough variant asthma in our hospital were selected and randomly divided into observation group (received the Xiaoqinglong decoction) and control group (received montelukast sodium tablets), with 60 cases in each group. The clinical effects of two groups were compared. Results The total effective rate of the observation group was 91.67%, which was significantly higher than 76.67% of the control group (P<0.05). The FEV1 and PEF of the observation group were significantly higher than those of the control group (P<0.05). Before treatment, there were no significant differences on the symptom scores, cough and sputum scores in the two groups (P >0.05). After treatment, the symptom scores, cough and sputum scores in the two groups decreased, the symptom scores, cough and sputum scores in the observation group were lower than those in the control group (P<0.05). Conclusion Xiaoqinglong decoction in the treatment of children cough variant asthma has good clinical effect, which can improve the children`s pulmonary ventilation function, relive children`s traditional Chinese medicine symptoms, it is worthy of clinical application.

    KEYWORDS: cough variant asthma; Xiaoqinglong decoction; montelukast sodium

    参考文献:
    [1] 邹秋贤.小青龙汤加减治疗小儿咳嗽变异性哮喘35例临床观察 [J].临床和实验医学杂志,2012,11(18):1480,1482.
    [2] 邹秋贤.小青龙加减治疗小儿咳嗽变异性哮喘35例临床观察[J]. 内蒙古中医药,2012,31(15):53,54.
    [3] 陈裕斌.小青龙汤加减联合孟鲁司特治疗小儿咳嗽变异性哮喘40例临床观察[J].中国民族民间医药,2013,22(21):38,39.
    [4] 宣兆三.小青龙汤治疗小儿咳嗽变异性哮喘疗效观察[J].中国现代医生,2008,46(21):136,138.
    [5] KOH YY,CHAE SA,MIN KU.Cough variant ashtma is associated with a higher wheezing threshold than classic asthma[J].Clin Exp Allergy,1993,23(8):696-701.
    [6] 宗建,张辉.小青龙汤加减治疗小儿咳嗽变异性哮喘临床研究[J]. 内蒙古中医药,2014,33(13):22.
    [7] 段培芹,杜洁.小青龙汤加减治疗小儿咳嗽变异性哮喘临床分析[J].包头医学院学报,2015,31(7):102-103.
    [8] 程瑾.加减小青龙汤治疗小儿咳嗽变异性哮喘的疗效观察[J].当代医学,2015,21(27):151-152.
    [9] 郭震浪,王俊月,苏振宁,等.小青龙汤治疗小儿咳嗽变异性哮喘的Meta分析[J].中国实验方剂学杂志,2015,21(24):181-185.
    [10] 魏萍.小青龙汤对咳嗽变异性哮喘患者气道敏感性及反应性的影响探讨[J].中外医疗,2013,32(28):136,138.

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