文章摘要

玉屏风颗粒联合复合脉冲磁疗治疗小儿肺炎恢复期肺脾气虚证的临床观察

作者: 1杜博英, 2高健, 2刘春英, 3马维维, 4秦星, 1徐素文
1 石家庄市第二医院儿科,石家庄 050051
2 石家庄市第二医院中西医结合科,石家庄 050051
3 石家庄市第二医院急诊科,石家庄 050051
4 石家庄市第二医院药房,石家庄 050051
通讯: 杜博英 Email: 2459419663@qq.com
DOI: 10.3978/j.issn.2095-6959.2016.11.010

摘要

目的:探讨玉屏风颗粒联合复合脉冲磁疗治疗小儿肺炎恢复期肺脾气虚证的临床应用价值及对免疫指标的影响。方法:将80例小儿肺炎恢复期肺脾气虚证患者随机分为对照组和治疗组各40例,其中对照组给抗生素抗感染、止咳、平喘治疗,治疗组在此基础上给予玉屏风颗粒联合复合脉冲磁疗进行治疗,观察两组治疗效果及免疫功能变化情况。结果:治疗组总有效率为97.50%;对照组总有效率为85.00%,两组比较差异有明显的统计学意义(χ2=3.9139,P=0.0479,P<0.05),治疗组患儿咳嗽消失时间(6.23±1.53) d、咳痰消失时间(5.53±1.22) d、肺部啰音消失时间(6.86±2.05) d及抗生素使用时间(6.23±1.96) d均明显短于对照组患儿(9.23±2.23)、(8.34±1.93)、(10.45±2.79)、(10.34±2.04) d,差异均有显著的统计学意义(t=7.0158,P=0.0000;t=7.7836,P=0.0000;t=6.5581,P=0.0000;t=9.1884,P=0.0000);并且治疗后治疗组IgG、IgA、IgM水平明显高于治疗前和治疗后对照组,差异均有明显的统计学意义(t=4.8069,P=0.0000;t=2.2209,P=0.0293;t=5.8174,P=0.0000;t=2.4821,P=0.0152;t=2.4826,P=0.0152;t=2.4419,P=0.0169),两组患儿均未发生明显的不良反应。结论:玉屏风颗粒联合复合脉冲磁疗在小儿肺炎恢复期肺脾气虚证的治疗中临床疗效确切,可改善临床症状及预后,提高免疫指标水平。
关键词: 玉屏风颗粒 小儿肺炎恢复期 肺脾气虚证 复合脉冲磁疗 免疫功能

The clinical observation of treating the qi deficiency of spleen and lung during infantile pneumonia convalescence with yupingfeng granule combined with complex pulse magnetic

Authors: 1DU Boying, 2GAO Jian, 2LIU Chunying, 3MA Weiwei, 4QIN Xing, 1XU Suwen
1 Department of Pediatrics, Second Hospital of Shijiazhuang, Shijiazhuang 050051
2 Department of Integrated Traditional Chinese and Western Medicine, Second Hospital of Shijiazhuang, Shijiazhuang 050051
3 Emergency Department, Second Hospital of Shijiazhuang, Shijiazhuang 050051
4 Department of Pharmacy, Second Hospital of Shijiazhuang, Shijiazhuang 050051, China

CorrespondingAuthor: DU Boying Email: 2459419663@qq.com

DOI: 10.3978/j.issn.2095-6959.2016.11.010

Abstract

Objective: To observe the clinical effect and influence on the immune function of Yupingfeng Granule combined with complex pulse magnetic therapy Qi deficiency of spleen and lung during infantile pneumonia convalescence. Methods: Randomly divided 80 patients with the syndrome of Qi deficiency of spleen and lung during infantile pneumonia convalescence into the treatment group and the control group randomly. 40 cases in each group, given antibiotic anti-infection, relieving cough and relieving asthma methods to both groups, and an extra treatment of Yupingfeng Granule combined with complex pulse magnetic in the treatment group. Observed the efficacy and the changes of immune functions in two groups. Results: The total effective rate of the treatment group is 97.50%; the total effective rate of the control group is 85.00%, and the difference is statistically significant (χ2=3.9139; P=0.0479). The resolution time of coughing (6.23±1.53) d, the resolution time of expectoration (5.53±1.22) d, the resolution time of crackles in lung (6.86±2.05) d and period of using antibiotic (6.23±1.96) d of treatment group children are significantly shorter than those of the control group children (9.23±2.23), (8.34±1.93), (10.45±2.79), (10.34±2.04) d, the difference is statistically significant (t=7.0158, P=0.0000; t=7.7836, P=0.0000; t=6.5581, P=0.0000; t=9.1884, P=0.0000); IgG, IgA and IgM level in the treatment group are significantly higher than those before the treatment and those in the control group after the treatment (t=4.8069, P=0.0000; t=2.2209, P=0.0293; t=5.8174, P=0.0000; t=2.4821, P=0.0152; t=2.4826, P=0.0152; t=2.4419, P=0.0169). There is no obvious adverse reaction observed in both groups. Conclusion: Qi deficiency of spleen and lung during infantile pneumonia convalescence with Yupingfeng Granule combined with complex pulse magnetic treatment has definitely curative effect, it can improve the clinical symptoms and prognosis, and raise the level of immune function.

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