| 摘要: |
| 目的：观察肺肠同治法治疗小儿急性支气管炎的疗效。方法：选取急性支气管炎患儿60例，将其随机分为治疗组与对照组，每组各30例，治疗组予中药汤剂口服，对照组予口服羧甲司坦口服溶液联合雾化吸入布地奈德，2组均治疗7 d。观察2组治疗前后中医证候积分（咳嗽、咳痰、发热、大便干结）变化，症状体征（咳嗽、咳痰、肺部啰音）消失时间，不良反应发生情况，并评价综合疗效。结果：总有效率治疗组为90.00%（27/30），对照组为76.67%（23/30），2组比较，差异有统计学意义（P＜0.05）。治疗后，2组中医证候积分较前下降，且治疗组优于对照组（P＜0.05）。2组症状体征消失时间比较，治疗组均短于对照组（P＜0.05）。2组患儿治疗期间均未发生不良反应。结论：肺肠同治法治疗小儿急性支气管炎收效良好，可有效缓解患儿的不适症状，缩短病程，安全性高，值得临床推广应用。 |
| 关键词: 急性支气管炎 小儿 肺肠同治 肺热肠实 通腑泻肺 |
| DOI： |
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| Clinical effect of lung-intestine simultaneous treatment in children with acute bronchitis：An analysis of 30 cases |
| DU Chunchun |
| (Linyi Maternity and Child Health Hospital，Linyi 276017，Shandong，China) |
| Abstract: |
| Objective：To investigate the clinical effect of lung-intestine simultaneous treatment in children with acute bronchitis.Methods：A total of 60 children with acute bronchitis were enrolled and randomly divided into treatment group and control group，with 30 children in each group.The children in the treatment group received oral administration of traditional Chinese medicine (TCM) decoction，while those in the control group received oral administration of carbocisteine oral solution and aerosol inhalation of budesonide;the course of treatment was 7 days for both groups.The two groups were observed in terms of the changes in TCM syndrome scores (cough，expectoration，pyrexia，and dry stool)，the time to disappearance of symptoms and signs (cough，expectoration，and pulmonary rales)，and adverse reactions after treatment，and overall response was assessed.Results：There was a significant difference in overall response rate between the treatment group and the control group ［90.00% (27/30) vs 76.67% (23/30)，P < 0.05］.After treatment，both groups had reductions in TCM syndrome scores，and the treatment group had better scores than the control group (P < 0.05).The treatment group had a significantly shorter time to disappearance of symptoms and signs than the control group (P < 0.05).No adverse reactions were observed in either group during treatment.Conclusion：Lung-intestine simultaneous treatment has a good clinical effect in children with acute bronchitis and can effectively alleviate symptoms and shorten the course of disease，with a favorable safety profile.Therefore，it holds promise for clinical application. |
| Key words: acute bronchitis children lung-intestine simultaneous treatment lung heat and intestine excess purging fu-organs to relieve lung stagnation |
