平喘汤联合氧气驱动雾化吸入治疗儿童支气管哮喘急性发作临床研究  

Clinical Study on Pingchuan Tang Combined with Oxygen-Driven Atomization Inhala⁃tion for Acute Exacerbation of Bronchial Asthma in Children

作　　者：周皋理 周文初 ZHOU Gaoli;ZHOU Wenchu

机构地区：[1]杭州市富阳区妇幼保健院儿科,浙江杭州311400

出　　处：《新中医》2022年第13期108-111,共4页New Chinese Medicine

摘　　要：目的:观察平喘汤联合氧气驱动雾化吸入治疗儿童支气管哮喘急性发作的临床疗效。方法:采用随机数字表法将60例支气管哮喘急性发作期患儿分为对照组及治疗组各30例。对照组给予氧气驱动雾化吸入治疗,治疗组在对照组基础上加用平喘汤治疗。比较2组临床疗效、症状消失时间及不良反应发生情况;比较2组治疗前后肺功能指标、中医证候评分。结果:治疗组总有效率为93.33%,高于对照组76.67%(P<0.05)。治疗后,2组用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、呼气流量峰值(PEF)水平均较治疗前升高(P<0.05),且治疗组上述指标均高于对照组(P<0.05)。治疗后,2组咳嗽、气喘、喉间哮鸣、咳痰中医证候评分均较治疗前降低(P<0.05),且治疗组中医证候评分及咳嗽、喘息、呼吸困难、肺部哮鸣音等症状消失时间均少于对照组(P<0.05)。治疗组不良反应发生率低于对照组(P<0.05)。结论:平喘汤联合氧气驱动雾化吸入治疗儿童支气管哮喘急性发作疗效确切,可有效改善患者临床症状和肺功能,安全性较高。Objective:To observe the clinical effect of Pingchuan tang combined with oxygen-driven atomization inhalation for acute exacerbation of bronchial asthma in children.Methods:A total of 60 cases of children with bronchial asthma at acute exacerbation were divided into the control group and the treatment group according to the random number table method,with 30 cases in each group.The control group was treated with oxygen-driven atomization inhalation,and the treatment group was additionally treated with Pingchuan tang based on the treatment of the control group.The clinical effects,the disappearance time of symptoms and the incidence of adverse reactions in the two groups were compared.Before and after treatment,the indexes of lung function and Chinese medicine syndrome scores in the two groups were compared.Results:The total effective rate was 93.33%in the treatment group,higher than that of 76.67%in the control group(P<0.05).After treatment,the levels of forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1))and peak expiratory flow(PEF)in the two groups were increased when compared with those before treatment(P<0.05),and the above indexes in the treatment group were higher than those in the control group(P<0.05).After treatment,the Chinese medicine syndrome scores of cough,gasp,laryngeal wheezing and expectoration in the two groups were decreased when compared with those before treatment(P<0.05),and the Chinese medicine syndrome score and the disappearance time of symptoms including cough,gasp,dyspnea and pulmonary wheezing in the treatment group were lower and shorter than those in the control group(P<0.05).The incidence of adverse reactions in the treatment group was lower than that in the control group(P<0.05).Conclusion:Pingchuan tang combined with oxygen-driven atomization inhalation for acute exacerbation of bronchial asthma in children has a definite curative effect,and can effectively improve clinical symptoms and lung function with high safety.

关 键 词：儿童支气管哮喘 急性发作期 平喘汤 雾化吸入 第1秒用力呼气容积 

分 类 号：R256.12[医药卫生—中医内科学]