十大功劳叶、生甘草联合阿奇霉素治疗小儿支原体肺炎的疗效观察  

Curative effect observation of leatherleaf mahonia,raw licorice root combined with Azithromycin on Mycoplasma Pneumonia in children

作　　者：姚凤莉[1] 尹晓丹[1] 安育林[1] 

机构地区：[1]北京军区总医院附属八一儿童医院,北京100700

出　　处：《现代中西医结合杂志》2010年第20期2479-2480,2483,共3页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的观察十大功劳叶、生甘草联合阿奇霉素治疗小儿支原体肺炎的疗效。方法回顾性分析80例门诊、住院小儿支原体肺炎的临床资料,根据是否加服中药分为治疗组35例、对照组45例。2组西医处理方法、应用阿奇霉素相同。治疗组加服十大功劳叶5 g、生甘草2 g,总疗程2周。记录2组临床症状及辅助检查的情况。结果治疗组和对照组在性别、年龄、治疗前热程、肺部X线、胸部积液、喘息例数、白细胞、中性粒细胞、CRP方面均无显著性差异(P均>0.05)。治疗组退热时间、X线吸收时间均短于对照组,均有显著性差异(P均<0.05)。咳嗽消失时间短于对照组,但无显著性差异(P>0.05)。后遗症对照组4例,治疗组无,2组比较无显著性差异(P>0.05)。治疗组总有效率91.4%,对照组62.2%,2组比较有显著性差异(P<0.05)。结论十大功劳叶、生甘草联合阿奇霉素治疗小儿支原体肺炎疗效好,能缩短热程、咳嗽消失及X线吸收时间,减少后遗症的发生。Objective It is to observe the curative effect of leatherleaf mahonia,raw licorice root combined with Azithromycin on Mycoplasma Pneumonia in children.Methods The clinical data of 80 cases of Mycoplasma Pneumonia in children who were in outpatient department and in-patient department were retrospectively analyzed.They were divided into treatment group in which there was 35 cases and control group in which there was 45 cases according with traditional Chinese medicine treated or not.The western medical doctor processing method and Azithromycin given in the two groups were the same.The treatment group was added with 5 g of leatherleaf mahonia and 2 g of raw licorice root.The total course of treatment was two weeks.The circumstances of clinical symptoms and auxiliary examination in the two groups were recorded.Results There were no significant difference on sex,age,the course of fever before treatment,lung X-ray,hydrops in chest,gasping counts,white blood cell,neutrophilic granulocyte and C reactive protein between the two groups（all P0.05）.The pyretolysis time and X-ray absorption time in treatment group were both shorter than that in control group and there was significant difference between the two groups（both P0.05）.The cough extinction time in treatment group were shorter than that in control group but there was no significant difference（P0.05）.Four cases had sequelae in control group and zero in treatment group,and there was no significant difference between the two groups.The total effective rate of treatment group was 91.4% and that of control group was 62.2%,and there was significant difference between the two groups（P0.05）.Conclusion Leatherleaf mahonia,raw licorice root combined with Azithromycin on Mycoplasma Pneumonia in children has better curative effect and can shorten the course of fever,the cough extinction time and X-ray absorption time and decrease the occurrence of sequelae.

关 键 词：小儿 支原体肺炎 十大功劳叶 生甘草 阿奇霉素 

分 类 号：R563.1[医药卫生—呼吸系统]