[1]方万红,刘杨,冯粉玲.五味消毒饮加减治疗水痘疗效及对患儿PCT、CRP的影响研究*[J].陕西中医,2019,(11):1586-1589.
 FANG Wanhong,LIU Yang,FENG Fenling..Effect of Wuwei Xiaodu decoction on children with varicella and changes of PCT and CRP[J].,2019,(11):1586-1589.
点击复制

五味消毒饮加减治疗水痘疗效及对患儿PCT、CRP的影响研究*

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年11期
页码:
1586-1589
栏目:
临床研究
出版日期:
2019-11-05

文章信息/Info

Title:
Effect of Wuwei Xiaodu decoction on children with varicella and changes of PCT and CRP
文章编号:
DOI:10.3969/j.issn.10007369.2019.11.027
作者:
方万红1刘杨2冯粉玲1
1.西安市祈康中西医结合医院儿科(西安 710119);2.河南省南阳市中医院儿二科(南阳 473100)
Author(s):
FANG WanhongLIU YangFENG Fenling.
Department of Pediatrics,Qikang Integrated Traditional Chinese and Western Medicine Hospital(Xi’an 710119)
关键词:
水痘五味消毒饮炎症因子降钙素原C反应蛋白
Keywords:
Key words VaricellaWuwei Xiaodu decoctionInflammatory factorsAdverse reactionsProcalcitoninCreactionprotein
分类号:
R725.1
文献标志码:
A
摘要:
摘要目的:观察五味消毒饮加减对水痘患儿的治疗效果,及对降钙素原(PCT)、C反应蛋白(CRP)的影响。方法:选取接受治疗的水痘患儿为研究对象,并随机分为对照组和观察组,两组患者均给予常规抗病毒药物治疗,观察组在此基础上给予五味消毒饮加减治疗。观察两组患儿的疗效和不良反应发生情况,比较两组患儿治疗前后PCT、CRP水平的差异。结果:观察组患儿的治疗有效率为97.50%,明显高于对照组患者的82.50%,差异有统计学意义(χ2=5.000,P=0.025);两组患者治疗前PCT、CRP水平无差别,观察组患者治疗后的PCT、CRP水平分别为(5.13±1.14)mg/L、(4.14±1.36)ng/ml,差异有统计学意义(P<005);观察组患儿退热时间、皮疹结痂时间、住院时间分别为(2.01±0.58)d、(4.12±0.82)d、(9.68±1.14)d,较对照组短,差异有统计学意义(P<0.001);两组患儿恶心、呕吐、白细胞下降发生率无明显差别(χ2=0.213,P=0.644)。结论:五味消毒饮加减对水痘患儿的治疗效果较好,可改善患者的PCT、CRP水平和预后,具有良好的应用效果。
Abstract:
AbstractObjective: To observe the therapeutic effect of Wuwei Xiaodu decoction on children with varicella and its effects on PCT and CRP.Methods:The children with varicella were randomly divided into the control group and the observation group.Both groups were given conventional antiviral drugs.The observation group was based on this and plus Wuwei Xiaodu decoction.The therapeutic effects and adverse reactions of the two groups were observed.The differences of PCT and CRP levels before and after treatment were compared between the two groups.Results:The effective rate of treatment was 97.50% in the observation group,which was significantly higher than 82.50% in the control group.The difference was statistically significant (χ2 =5.000,P=0.025).There was no difference in PCT and CRP levels between the two groups before treatment.The PCT and CRP levels in the observation group were (5.13±1.14)mg/L and (4.14±1.36)ng/ml,respectively,and the difference was statistically significant (P<005).The antipyretic time and rash scarring time of the observation group and hospitalization time was (2.01±0.58)d,(4.12±0.82)d,(9.68±1.14)d,which was shorter than the control group,and the difference was statistically significant (P<0.001).The incidence of nausea,vomiting and leukopenia was not obvious in the two groups (χ2 =0.213,P=0.644).Conclusion:Wuwei Xiaodu decoction has a better therapeutic effect on children with varicella,which can improve the PCT,CRP level and prognosis of patients,and has a good application effect.

参考文献/References:

[1]丰达星,吕宛玉,马雅婷,等.河南省20142016年水痘流行病学特征分析[J].中国病毒病杂志,2017,18(4):7376.
[2]魏华.研究舒适护理在小儿水痘护理中的应用效果[J].中国医药指南,2017,15(5):284284.
[3]康复笑,徐其龙,蔡安庆.加味五味消毒饮辅助治疗细菌感染临床研究[J].现代养生,2017,18(6):126127.
[4]孔东锋,谢旭,梅树江,等.深圳市20112015年水痘疫情特征及免疫接种情况分析[J].疾病监测与控制,2017,11(4):268270.
[5]林贯秋.五味消毒饮治疗小儿急性化脓性扁桃体炎60例临床观察[J].泰山医学院学报,2017,38(1):9293.
[6]赵云,李敏,姚增芸,等.济南市历城区112岁儿童水痘带状疱疹病毒抗体水平调查[J].中国疫苗和免疫,2017,18(3):298301.
[7]Gershon AA.Is chickenpox so bad,what do we know about immunity to varicella zoster virus,and what does it tell us about the future?[J].Journal of Infection,2017,74 (1):S27.
[8]沈永义.加味五味消毒饮治疗慢性化脓性骨髓炎40例效果分析[J].临床合理用药杂志,2018,18(2):6465.
[9]Chen B,Sumi A,Wang L,et al.Role of meteorological conditions in reported chickenpox cases in Wuhan and Hong Kong,China[J].Bmc Infectious Diseases,2017,17(1):538.
[10]徐海峰,齐瑞群,高兴华.miRNA与水痘带状疱疹病毒感染的关系[J].中国皮肤性病学杂志,2018,32(5):575579.
[11]王旭雯,钱红丹,修仕信,等.无锡市学校水痘病例流行特征分析[J].浙江预防医学,2017,29(12):12381239.
[12]Banadyha N,Rogalskyy I,Komorovsky R.Atypical,severe presentation of chickenpox[J].World Journal of Pediatrics,2018,14(1):615616.
[13]吴凯婷,黄凯.五味消毒饮治疗慢性创伤性股骨骨髓炎26例[J].浙江中医杂志,2017,52(1):2829.
[14]赵云,李敏,姚增芸,等.济南市历城区112岁儿童水痘带状疱疹病毒抗体水平调查[J].中国疫苗和免疫,2017,18(3):6266.
[15]丁宁,曹彦,黄达峰,等.人参五味消毒饮灌肠对脓毒血症患者血清炎症因子及疗效的影响[J].中医药导报,2017,23(2):101.
[16]李晓霞,章颖,林淑鑫,等.五味消毒饮加味治疗产后会阴伤口愈合不良症[J].中外医疗,2017,36(36):182184.
[17]吴章,吴玉泉.五味消毒饮合桃红四物汤治疗血栓性浅静脉炎46例[J].中医临床研究,2018,18(15):8384.
[18]高胜利,史卫红,查翔远,等.更昔洛韦与阿昔洛韦对水痘患者抗水痘带状疱疹病毒临床疗效的Meta分析[J].抗感染药学,2017,18(5):3135.
[19]余方宇,姚丽萍,程盈盈.加味五味消毒饮治疗下肢网状淋巴管炎52例观察[J].浙江中医药大学学报,2012,36(6):666667.
[20]刘芳,宋业强.中药消毒饮治疗寻常痤疮30例[J].光明中医,2016,31(4):530531.
[21]范淑红,李丽洁,塔娜.参芪消毒饮辅助治疗老年性带状疱疹的临床观察[J].中医药导报,2015,18(24):5153.
[22]程晶玲.五味消毒饮皮肤科应用研究[J].江西中医药大学学报,2012,24(2):3638.
[23]李金山.五味消毒饮治疗耳鼻喉科疾患三则[J].中国民间疗法,2013,21(12):40.
[24]王秀云,苗维娟,李同英,等.五味消毒饮治疗28例疖病的临床观察[J].中外健康文摘,2013,18(4):405.
[25]吴文斌.五味消毒饮临床应用体会[J].江西中医药,2013,44(1):3233.

备注/Memo

备注/Memo:
*河南省科技发展计划项目(15A320237)
更新日期/Last Update: 2019-11-15