中西医结合治疗小儿支气管肺炎64例临床观察

梁华春 黄瑜婷

【摘 要】 目的：观察中西医结合治疗小儿支气管肺炎64例临床观察。方法：选取64例支气管肺炎患儿设为对照组，并选取同期应用中医配方治疗的64例支气管肺炎患儿设为观察组。比较两组炎性因子水平、临床症状缓解时间、临床疗效。结果：治疗后对照组的CRP、IL-6、TNF-α水平高于观察组（P<0.05）;治疗后对照组体温正常、肺部啰音消失、咳嗽缓解时间长于观察组（P<0.05）;两组不良反应发生情况对比差异无统计学意义（P>0.05），但治疗后对照组有效率低于观察组（P<0.05）。结论：采用中西医结合治疗小儿支气管肺炎能够更好地降低炎性反应，缓解临床症状，提高治疗效果的同时不会增加不良反应的发生，值得临床进一步推广应用。

【关键词】 中药穴位敷贴;麻杏石甘汤;支气管肺炎;临床效果;不良反应

【中图分类号】R563.1+2   【文献标志码】 A【文章编号】1007-8517（2021）20-0109-04

Clinical Observation on 64 Cases of InFantile Bronchopneumonia Treated with Integrated Traditional Chinese and Western Medicine

LIANG Huachun HUANG Yuting

Lianjiang Maternal and Child Health Hospital， Lianjiang 524400， China

Abstract：Objective to explore the clinical observation of 64 cases of Infantile Bronchopneumonia treated with integrated traditional Chinese and Western medicine.Methods 64 cases of children with bronchopneumonia treated with conventional western medicine in our hospital were set as the control group， and 64 cases of children with bronchopneumonia treated with traditional Chinese medicine formula in the same period were set as the observation group. The levels of inflammatory factors， clinical symptom relief time and clinical efficacy were compared between the two groups.Results after treatment， the levels of CRP， IL-6 and TNF - α in the control group were higher than those in the observation group （P<0.05）; after treatment， the temperature in the control group was normal， the rales disappeared， and the cough relief time was longer than that in the observation group （P<0.05）; there was no difference in the occurrence of adverse reactions between the two groups （P>0.05）， but the effective rate in the control group was lower than that in the observation group （P<0.05）.Conclusion in the treatment of children with bronchial pneumonia， the effect of traditional Chinese medicine acupoint application combined with Maxing Shigan decoction is ideal， which can better reduce the inflammatory reaction， relieve the clinical symptoms， improve the treatment effect without increasing the occurrence of adverse reactions， and is worthy of further clinical application.

Key words：Acupoint Application of Traditional Chinese Medicine; Maxing Shigan Decoction; Bronchopneumonia; Clinical effect; Adverse Reactions

支氣管肺炎是婴幼儿常见的呼吸道感染性疾病，其被称为小叶性肺炎，在冬春季、气候骤变时的发病率较高[1]。婴幼儿自身的防御功能发育并不是很完善，抵抗力较差，随着疾病发病原因的复杂性、多样性，导致西医抗感染治疗的效果并不是很理想，存在反复发病的现象[2]。随着中医的不断推进，其在临床各个领域的治疗中取得了满意的效果，有文献指出麻杏石甘汤在呼吸道疾病的治疗中有着较高的应用价值[3]。但是有关中药穴位敷贴联合麻杏石甘汤治疗相关的文献较少，笔者采用中西医结合治疗小儿支气管肺炎，取得较好的效果，现报道如下。

1 资料与方法

1.1 一般资料 将在我院应用常规西医治疗的64例支气管肺炎患儿设为对照组，并将同期应用中医配方治疗的64例支气管肺炎患儿设为研究组，对照组64例，研究组64例。

对照组男34例，女30例，年龄0.5～9.5岁，平均年龄（5.0±1.5）岁，病程3～5d，平均病程（3.5±1.6）d。观察组男35例，女29例，年龄0.8～10.0岁，平均年龄（5.3±1.0）岁;病程3～5d，平均病程（3.4±1.5）d，两组一般资料比较差异具有统计学意义（P>0.05），具有可比性。