中西医结合治疗小儿支气管哮喘的临床观察

高清华，李新辉

（丹凤县中医医院儿科，陕西 商洛，726200）

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摘要：

目的 观察中西医结合治疗小儿支气管哮喘的临床疗效。方法 选取我院2015年6月至2016年6月收治的60例小儿支气管哮喘患者作为研究对象，将其随机均分为观察组和对照组，每组30例。对照组采用常规西医治疗，观察组在对照组的基础上进行中药治疗措施，比较两组患者治疗前后的各项指标和肺功能的变化。结果 治疗后，观察组总有效率明显高于对照组，差异有统计学意义（P<0.05）。治疗后，两组的IL-12 较治疗前明显升高，但IL-4、IgE指标较治疗前明显下降（P<0.05）。治疗后观察组IL-12、IL-4，、IgE与对照组比较，差异具有统计学意义（P<0.05）。治疗后观察组患儿FEV1、FEV1/FVC、PEF%肺功能指标较治疗前明显升高，差异具有统计学意义（P<0.05）。治疗后观察组上述肺功能指标高于对照组，但是差异无统计学意义（P>0.05）。结论 采用中西医结合治疗小儿支气管哮喘可以显著改善患儿的临床症状，疗效确切，可在临床上进行广泛推广应用。

关键词：中西医结合；小儿支气管哮喘；肺功能

中图分类号：R725.6 文献标志码：A文章编号：2096-1413(2017)20-0094-02

Clinical observation of combining traditional Chinese and western medicine treatment in children with bronchial asthma
GAO Qing-hua, LI Xin-hui
(Department of Pediatrics, Danfeng County Hospital of Traditional Chinese Medicine, Shangluo 726200, China)

ABSTRACT: Objective To observe the curative effect of integrated traditional Chinese and western medicine on bronchial asthma in children. Methods Sixty children with bronchial asthma in our hospital from June 2015 to June 2016 were selected as the study objects, and randomly divided into observation group and control group, with 30 cases in each group. The control group was treated with routine western medicine. The observation group was treated with traditional Chinese medicine on the basis of the control group. The changes of the indexes and lung function of the two groups of bronchial asthma were compared before and after the treatment. Results The total effective rate in the observation group was significantly higher than that in the control group (P<0.05). In the two groups, after treatment the level of IL-12 was significantly higher and the levels of IL-4 and IgE were lower than those before treatment (P<0.05). After treatment, levels of IL-12, IL-4 and IgE in the observation group were significantly different from those in the control group (P<0.05). The FEV1, FEV1/FVC, PEF% lung function indexes of the observation group after treatment were significantly higher than those before treatment (P<0.05), and the above-mentioned pulmonary function indexes of the observation group were higher than those of the control group after treatment, but the differences were not significant (P>0.05). Conclusion The treatment of integrated traditional Chinese and western medicine in children with bronchial asthma can significantly improve the clinical symptoms, the effect is exact, which is worthy of clinical popularization and application.
KEYWORDS: combining traditional Chinese and western medicine；bronchial asthma in children；lung function

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