%0 Journal Article %T 自拟温肺化瘀定喘汤治疗小儿病毒性喘息性支气管炎临床疗效及安全性观察 %T Curative effect and safety of self-made Chinese Medicine Lung Warming, Stasis Transforming and Panting Stabilizing Decoction on treatment of viral bronchitis in children %A 黄玲玲,陈转红 %A HUANG,Ling ling %A CHEN,Zhuan hong %J 中国临床新医学 %J CHINESE JOURNAL OF NEW CLINICAL MEDICINE %@ 1674-3806 %V 11 %N 11 %D 2018 %P 1138-1141 %K 温肺化瘀定喘汤;小儿支气管炎;临床疗效 %K Lung Warming, Stasis Transforming and Panting Stabilizing Decoction;Child bronchitis;Curative effect %X [摘要] 目的 观察自拟温肺化瘀定喘汤在治疗小儿病毒性喘息性支气管炎的临床疗效及安全性。方法 选取2016-11~2017-11收治的病毒性喘息性支气管炎,中医分型属风寒闭肺型小儿患者纳入研究,按照治疗方法分为温肺化瘀定喘汤治疗组43例,利巴韦林对照组32例。观察并比较两组的临床症状体征缓解时间、住院时间、治疗效果。 结果 治疗组患儿体温恢复正常时间、气促、咳嗽缓解时间、腹泻改善时间均短于对照组(P<0.05),听诊体征湿啰音减轻、消失时间与喘鸣音消失时间、痰鸣音减轻时间短于对照组(P<0.05),住院时间短于对照组(P<0.05)。治疗组显效29例,有效12例,无效2例。对照组显效14例,有效11例,无效7例。治疗组疗效优于对照组(P<0.05)。治疗组不良反应发生率为11.63%,低于对照组的31.25%(P<0.05)。结论 温肺化瘀定喘汤治疗小儿病毒性喘息性支气管炎安全有效,值得临床推广使用。 %X [Abstract] Objective To observe the curative effect and safety of self-made Chinese Medicine Lung Warming, Stasis Transforming and Panting Stabilizing Decoction on treatment of viral bronchitis in children. Methods 75 children with viral bronchitis belonging to cold and closed lung type of Chinese Medicine were collected from November 2016 to November 2017, and were divided into the treatment group(n=43) and the control group(n=32) according to different treatment methods. The treatment group received self-made Chinese Medicine Lung Warming, Stasis Transforming and Panting Stabilizing Decoction, and the control group was treated with ribavirin. The time of relieving the symptoms and signs, the time of hospitalization and the curative effect were compared between the two groups. Results The recovery time of body temperature and shortness of breath, cough relief time, diarrhea improvement time in the treatment group were significantly shorter than those in the control group(P<0.05). The reduced time of moist rales, the rales disappearance time and wheezing rale disappearance time, and the wheezy phlegm and wheezy sound in the lungs were significantly shorter than those in the control group(P<0.05). The hospitalization time in the treatment group was significantly shorter than that in the control group(P<0.05). In the treatment group, 29 cases were cured, 12 effective and 2 ineffective. In the control group, 14 cases were cured, 11 effective and 7 ineffective. The effective rate in the treatment group was significantly higher than that in the control group(P<0.05), and the incidence of adverse reactions in the treatment group(11.63%) was significantly lower than that in the control group(31.25%)(P<0.05). Conclusion  The self-made Chinese Medicine Lung Warming, Stasis Transforming and Panting Stabilizing Decoction is safe and effective in treatment of viral bronchitis in children. %R 10.3969/j.issn.1674-3806.2018.11.20 %U http://www.zglcxyxzz.com/ch/reader/view_abstract.aspx %1 JIS Version 3.0.0