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目的:观察防喘汤联合常规西药治疗儿童支气管哮喘缓解期的效果,及其对患儿临床症状的改善情况。方法:将86例肺气虚兼脾肾阳虚型支气管哮喘缓解期患儿随机分成对照组和观察组各43例。对照组给予常规治疗,观察组在对照组治疗基础上加用自拟防喘汤,2组均用药至患儿痊愈。治愈后比较2组3月内哮喘的复发率及平均复发次数,观察2组治疗前后中医证候积分的变化。结果:治疗后观察组的支气管哮喘复发率小于对照组(P<0.05),平均复发次数少于对照组(P<0.05)。治疗前,2组中医证候积分比较,差异无统计学意义(P>0.05)。治疗后,观察组的中医证候积分低于对照组和同组治疗前,差异均有统计学意义(P<0.01)。结论:防喘汤联合常规西药治疗肺气虚兼脾肾阳虚型支气管哮喘缓解期,能有效减少支气管哮喘的复发,改善患儿的临床症状。
Objective: To observe the effect of anti-asthma combined with conventional western medicine on bronchial asthma remission in children, and to improve the clinical symptoms of children. Methods: A total of 86 cases of bronchial asthma with deficiency of qi and deficiency of the spleen and kidney type were randomly divided into control group and observation group of 43 cases. The control group was given routine treatment. The observation group was treated with self-made anti-asthma decoction on the basis of the control group, and both groups were treated until the child was cured. After treatment, the recurrence rate and average number of recurrence of asthma in two groups were compared between the two groups, and the changes of TCM syndrome scores before and after treatment were observed. Results: The recurrence rate of bronchial asthma in observation group after treatment was lower than that in control group (P <0.05), and the average number of recurrence was less than that in control group (P <0.05). Before treatment, TCM syndrome scores in the two groups were not statistically different (P> 0.05). After treatment, the TCM syndrome scores of the observation group were lower than those of the control group and the same group before treatment, the difference was statistically significant (P <0.01). Conclusion: Combined anti-asthmatic decoction and conventional western medicine in the treatment of asthmatic bronchial asthma with deficiency of lung Qi and deficiency of spleen and kidney, can effectively reduce the recurrence of bronchial asthma and improve the clinical symptoms of children.