喜炎平治疗小儿肺炎的临床疗效分析  

Clinical efficacy of treatment Children with pneumonia by Xiyanping Injection

作　　者：赵小兵[1] 巩香 吴海波[1] 王辉[1] 

机构地区：[1]枣庄市妇幼保健院儿科,枣庄277102 [2]枣庄市立医院儿科,枣庄277000

出　　处：《中药药理与临床》2016年第4期110-113,共4页Pharmacology and Clinics of Chinese Materia Medica

摘　　要：目的：观察研究喜炎平治疗小儿肺炎的临床疗效。方法：选取枣庄市妇幼保健院儿科自2014年3月~2015年3月期间收治的确诊为小儿肺炎的患儿共70例,按随机数字表法分为观察组和对照组各35例,对照组给予头孢呋辛治疗,观察组在对照组的基础上给予喜炎平治疗,随访并记录两组患儿症状控制时间、呼吸频率RR、每公斤体重潮气量Vt/kg、达峰容积比v PTEF/t E肺功能和总有效率差异情况。结果：观察组患者治疗后咳嗽、发热、气喘、肺湿罗音控制时间分别为（3.26±0.52、2.57±0.40、1.85±0.32、3.01±0.47）d,均优于对照组（6.02±0.86、3.62±0.54、2.83±0.42、5.02±0.74）d。观察组患儿治疗后呼吸频率RR、每公斤体重潮气量Vt/kg、达峰容积比v PTEF/t E分别为（35±3次/min、9.72±0.68、0.55±0.05）,均明显优于对照组（46±4次/min、8.48±0.56、0.43±0.04）。3观察组患儿X线胸部阴影面积未吸收比例为2.86%,显著低于对照组22.86%。4观察组患者治疗后总有效率为94.29%,明显高于对照组74.29%。5观察组患儿治疗后转阴率为74.29%,显著高于对照组42.86%。6观察组患儿治疗过程中不良反应为5.71%,低于对照组11.43%,但差异不具有显著性。结论：喜炎平治疗小儿肺炎的临床治疗效果确切,无明显副反应,值得临床进一步研究和应用。Objective： To observe the clinical efficacy s of treatment Children with pneumonia by Xiyanping. Methods：70 eases from March 2014 to March 2015 , were randomly divided into observation group and control group, 35 cases in the control group received cefuroxime treatment observation group were given on the basis of the control group Xiyanping treatment, patients were followed up and recording symptom control time, respiratory rate RR, per kilogram of body weight tidal volume Vt / kg, the peak volume ratio vPTEF/tE and total lung function Effi- ciency discrepancy. Results： After treatment, patients cough, fever, shortness of breath, pulmonary rales control time was （3.26 ± 0.52,2.57 ± 0.40,1.85 ± 0.32,3.01 - 0.47） d, than the control group （6.02 ± 0.86, 3.62 ± 0.54,2.83 ± 0.42,5.02 ± 0.74） d, and the difference was statistically significant （ p 〈 0.05 ）. Observation group after treatment in children with respiratory rate RR, per kilo- gram of body weight tidal volume Vt / kg, the peak volume ratio vPTEF / tE respectively （35 ± 3 times/min,9.72 ±0.68,0.55 ±0.05）, than the control group （46 ± 4 times/min, 8.48 ± 0.56,0.43 ± 0.04 ）, and the difference was statistically significant （ p 〈 0.05 ）. ③ Group of children observed X-ray chest unabsorbed shaded area ratio of 2.86%, significantly lower than the control group, 22.86%, and the difference was statistically significant （ p 〈 0.05 ）. ④ patients after the observation group total effective rate was 94.29%, higher than 74. 29% , and the difference was statistically significant （ p 〈 0.05 ）. ⑤Observation group after treatment in children with negative rate was 74. 29% , significantly higher than 42.86%, the difference was statistically significant （ p 〈0.05 ）. ⑥Group of children observed adverse reac- tions during treatment was 5.71%, 11.43% lower than the control group, but the difference was not significant （p 〉 0.05 ）. Conclusion： Xiyanping clinieal treatment of children with pneumonia ex

关 键 词：喜炎平 头孢呋辛 小儿肺炎 

分 类 号：R272[医药卫生—中医儿科学]