中西医结合治疗小儿支气管哮喘临床剖析.docVIP

中西医结合治疗小儿支气管哮喘临床剖析 　　[摘要] 目的 探讨小儿支气管哮喘有效治疗途径。方法 小儿支气管哮喘90例随机分为中西医结合治疗组(A组)45例,单纯西医治疗组(B组)45例。观察治疗前后患儿临床症状、体征、近期疗效和远期疗效。结果 两组治疗后咳嗽、咳痰、喘息、肺部哮鸣音等症状及体征较治疗前有明显改善(B组:t=2.911,P0.05);A组远期总有效率高于B组(χ2=3.98,P0.05)。结论 中西医结合治疗哮喘可明显缓解哮喘发作频率,延长其缓解期,中医药具有抗炎或协同抗炎作用。 　　[关键词] 支气管哮喘; 中西医结合; 气雾剂治疗 　　[中图分类号] R562.2+5 [文献标识码] A [文章编号] 1673-9701(2010)05-64-02 　　 　　Treatment of Children Bronchial Asthma by Combining Chinese and Western Medicine 　　YAO Yong 　　Department of Traditional Chinese Medicine,Huizhou Central Hospital,Huizhou 516001,China 　　 　　[Abstract] ObjectiveTo explore the effective therapy for bronchitis asthma in children. MethodsWe divided 90 cases of children bronchial asthma randomly into two groups:Chinese and Western medicine therapy group(Group A,45 cases)and Western medicine therapy group(Group B,45 cases),and observedthe clinical symptoms,signs,short-term and long-term curative effects in children bronchial asthma before and after treatment. ResultsThe symptoms and signs of cough,sputum,wheezing and chest wheezing after treatment were significantly improved compared with those before treatment in the two groups(Group B:t=2.911,P0.05); The long-term total effective rate of Group A was higher than that of Group B(χ2=3.98,P0.05). ConclusionThe treatment of children bronchial asthma by combining Chinese and Western medicine can remarkably decrease the attack frequency of asthma,prolong its remission stage and has a anti-inflammatory or synergistic anti-inflammatory effect. 　　[Key words]Bronchial asthma; Integrated Chinese and Western medicine; Aerosol treatment 　　 　　支气管哮喘是小儿时期常见的气道慢性炎症性疾病,其发病率和死亡率在世界范围内呈逐年增高的趋势,引起人们广泛关注。支气管哮喘诊断不难,而如何迅速缓解病症、解除病人痛苦、减少复发次数一直是广大临床医务人员探讨和努力的目标。近年来对哮喘的认识进一步加深,制订了哮喘防治指南,同时关于中药治疗的报道很多。本文对90例小儿支气管哮喘患儿进行治疗,现报道如下。 　　1 资料与方法 　　1.1 临床病例 　　收集2006年6月～2008年8月我院住院小儿支气管哮喘患儿90例,男50例,女40例。年龄最小5岁,最大10岁,其中≤3岁发病37例,4～10岁63例:病程8年者2例;90例病例均符合入选标准(见诊断标准),排除伴有严重感染、严重肝肾功能不全或心功能不全患儿。90例随机分为中西医结合治疗组(A组)45例,西医治疗组(B组)45例。两组患者在年龄、性别、病程等方面无明显差异(P0.05)。 　　1.