中西医结合治疗儿童哮喘100例疗效观察  

Clinical efficacy of integrated traditional Chinese and Western medicine therapy for pediatric asthma: a study of 100 patients

作　　者：李吾菲[1,2] 李东雅[1] 吴涛 李爱琼[2] 

机构地区：[1]湖南中医药大学护理学院,湖南长沙410208 [2]邵阳医学高等专科学校,湖南邵阳422000 [3]湖南省邵阳市中心医院,湖南邵阳422000

出　　处：《湖南中医杂志》2015年第9期13-15,共3页Hunan Journal of Traditional Chinese Medicine

基　　金：湖南省邵阳市科技计划资助项目(编号:2014NK62)

摘　　要：目的:观察中西医结合治疗儿童哮喘的临床疗效及对患儿生命质量的影响。方法:将儿童哮喘患者100例随机分为两组各50例,对照组应用糖皮质激素制剂(布地奈德气雾剂)治疗,治疗组在对照组治疗基础上加用中药脱敏止喘方治疗,观察比较两组的临床疗效,并在治疗开始前及疗程结束后分别应用儿科生命质量问卷(PAQLQ)对患儿进行测评,观察两组治疗前后哮喘患儿生命质量的变化。结果:总有效率治疗组为92.0%,对照组为70.0%,组间比较,差异有统计学意义(P<0.05);治疗组的PAQLQ活动受限、症状、情感3个维度的得分及总分治疗前后组内比较及治疗后与对照组比较,差异均有统计学意义(P<0.05)。结论:中西医结合治疗儿童哮喘较单纯西医治疗能取得更好的疗效,并能显著提高患儿的生活质量。Objective： To observe the clinical efficacy of integrated traditional Chinese and Western medicine therapy for pediatric asthma and its impacts on the quality of life in patients. Methods： One hundred children with asthma were randomly and equally divided into treatment group and control group. The control group was treated with glucocorticoid（ budesonide aerosol）,while the treatment group was treated with Tuomin Zhichuan prescription（ for desensitization and reliving asthma） in addition to the budesonide aerosol. The clinical outcomes were compared between the two groups. The patients were surveyed before and after treatment using the Pediatric Asthma Quality of Life Questionnaire（ PAQLQ） to evaluate the changes in the quality of life in the two groups after treatment. Results：The overall response rate was significantly higher in the treatment group than in the control group（ 92. 0% vs70. 0%,P〈0. 05）. According to the results of PAQLQ,there were significant differences in the overall score and individual scores for activity limitation,symptoms,and emotional function before and after treatment in the treatment group as well as between the two groups after treatment（ P〈0. 05）. Conclusion： Compared with Western medicine therapy alone,integrated traditional Chinese and Western medicine therapy can achieve better outcomes in the treatment of pediatric asthma,and substantially improve the quality of life in patients.

关 键 词：儿童哮喘 中西医结合疗法 脱敏止喘方 

分 类 号：R259.622.5[医药卫生—中西医结合]