[1]王永燕,秦建文.清热止咳方治疗小儿支气管炎疗效及对患儿血气指标及细胞因子的影响[J].陕西中医,2021,(9):1215-1218.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.016]
 WANG Yongyan,QIN Jianwen.Effect of Qingre Zhike prescription on children bronchitis clinical effect and its influence on blood gas index and cytokines[J].,2021,(9):1215-1218.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.016]
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清热止咳方治疗小儿支气管炎疗效及对患儿血气指标及细胞因子的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年9期
页码:
1215-1218
栏目:
临床研究
出版日期:
2021-09-05

文章信息/Info

Title:
Effect of Qingre Zhike prescription on children bronchitis clinical effect and its influence on blood gas index and cytokines
作者:
王永燕1秦建文2
(1.成都市第一人民医院 成都市中西医结合医院,四川 成都 610016; 2.江油市第二人民医院,四川 江油 621700)
Author(s):
WANG YongyanQIN Jianwen
(Chengdu First People's Hospital,Chengdu Hospital of Integrated Traditional Chinese and Western Medicine,Chengdu 610016,China)
关键词:
支气管炎 清热止咳方 血气指标 细胞因子 小儿
Keywords:
Bronchitis Qingre Zhike prescription Blood gas index Cytokine Children
分类号:
R 562.2
DOI:
DOI:10.3969/j.issn.1000-7369.2020.09.016
文献标志码:
A
摘要:
目的:研究清热止咳方治疗支气管炎疗效及对患儿血气指标、细胞因子、免疫的影响。方法:按照随机数字表法将106例支气管炎患儿分为对照组51例和治疗组55例,对照组给予常规西药治疗,治疗组在对照组基础上给予清热止咳方治疗。比较两组患儿治疗前后中医症状积分、血气指标、细胞因子、免疫功能,并评估疗效和安全性。结果:治疗组总有效率94.55%高于对照组的82.35%(P<0.05)。治疗后,治疗组中医证候积分各项低于对照组(均P<0.05)。治疗后治疗组动脉血二氧化碳分压(PaCO2)水平低于对照组,而pH、PaO2高于对照组(均P<0.05); 治疗组干扰素γ(IFN-γ)水平显著高于对照组,SP-D、TNF-α、IL-17水平均低于对照组(均P<0.05)。治疗后治疗组IgA、IgG、IgM水平均高于对照组(均P<0.05)。两组总不良反应发生率比较,差异无统计学意义(P>0.05)。结论:清热止咳方治疗支气管炎可改善临床症状及血气指标,降低炎症反应,改善免疫功能,疗效较好。
Abstract:
Objective:To study Qingre Zhike prescription on clinical effect,blood gas indexes and cytokines in children bronchitis.Methods:According to random number table method,106 children with bronchitis were divided into control group(51 cases)and treatment group(55 cases).The control group were treated with conventional western medicine,and the treatment group additionally treated with Qingre Zhike prescription.Changes in TCM symptom scores,blood gas indexe and cytokine,immune function before and after treatment were compared between the two groups.Curative effect and safety were evaluated.Results:Total efficiency rate in the treatment group 94.55% was significantly higher than that in the control group 82.35%(P<0.05).After treatment,TCM symptom scores in the treatment group were lower than the control group(all P<0.05).The partial pressure of carbon dioxide(PaCO2)in the treatment group was lower than that in the control group,but pH,PaO2 were higher than those in the control group(all P<0.05).The level of interferon gamma(IFN-γ)in the treatment group was higher than that in the control group,but SP-D,TNF-α,IL-17 were lower than those in the control group(all P<0.05).The levels of IgA,IgG,IgM in the treatment group were higher than those in the control group(all P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Qingre Zhike prescription can improve clinical symptoms,blood gas index,and improve respiratory function,immune function and better clinical effect.

参考文献/References:

[1] 高月茹,程 航,张 英,等.2998例毛细支气管炎患儿流行病学特征及流行趋势[J].中国妇幼保健,2018,33(10):2276-2279.
[2] 张 轩,刘一玄,刘忠第,等.五运六气禀赋与支气管炎罹患倾向的关联性分析[J].中华中医药杂志,2016,31(7):2501-2506.
[3] 刘翠霞.温肺饮对慢性支气管炎急性发作患者血清IL-2、IL-33、PCT水平的影响[J].陕西中医,2018,39(3):304-306.
[4] 杨丽芸,方朝义,马金生.中医药治疗慢性支气管炎研究进展[J].解放军医药杂志,2015,27(5):103-105.
[5] 胡亚美.诸福棠实用儿科学[M].北京:人民卫生出版社,2015:1276-1277.
[6] 国家中医药管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:54-58.
[7] 国家中医药管理局.中医病症诊断疗效标准[S].北京:中国医药科技出版社,2017:8.
[8] 程 越,邱志新,李为民.慢性支气管炎发病机制研究进展[J].华西医学,2017,32(4):606-611.
[9] 杜 娟.中药小儿肺咳颗粒辅助治疗急性小儿支气管炎临床应用研究[J].中华中医药学刊,2016,34(11):2706-2708.
[10] 高丽霓,吕 健,王志飞,等.痰热清注射液治疗慢性支气管炎急性发作期的Meta分析[J].中国中药杂志,2019,44(24):5313-5321.
[11] 何 心,李丽华.利巴韦林与沙丁胺醇液雾化吸入中药治疗毛细支气管炎的临床观察[J].环球中医药,2015,8(s1):250.
[12] 白云苹,李建生,李庆磊,等.基于现代名老中医经验的慢性支气管炎病因病机及证素规律研究[J].中华中医药杂志,2017,32(11):4921-4924.
[13] 蒋 俊,郭琼英,刘 挺,等.婴幼儿毛细支气管炎中医证型分布规律及中医分型论治的应用研究[J].中华中医药学刊,2018,36(5):1169-1172.
[14] 肖旭坤,王翰华,阮洪生.枇杷叶化学成分和药理活性研究进展[J].中医药导报,2019,25(21):64-70.
[15] 左 军,尹柏坤,胡晓阳.桔梗化学成分及现代药理研究进展[J].辽宁中医药大学学报,2019,21(1):113-116.
[16] 汪 睿,张 颖,黄永坤,等.痰热清注射液辅助治疗小儿毛细支气管炎的临床疗效及对血清炎症因子水平的影响[J].药物评价研究,2018,41(2):251-254.
[17] 沈 霞,徐蓉蓉,裴丽珊,等.基于网络药理学连翘清热解毒功效的分子机制研究[J].药学学报,2018,53(11):1834-1842.
[18] 缪艳燕,徐帮会,徐 剑,等.金银花的HPLC指纹图谱建立及其抗炎作用谱-效关系研究[J].中国药房,2020,31(20):2497-2502.
[19] 胡 萍,刘红艳,甘昭平.常规药物联合匹多莫德雾化治疗慢性支气管炎疗效及患者免疫功能观察[J].陕西医学杂志,2018,47(10):1358-1360.
[20] 谢予朋,孙晓迪,李秀敏,等.清热解毒合剂中金银花-连翘药对检测方法研究[J].中医药导报,2017,23(11):54-56.

备注/Memo

备注/Memo:
基金项目:四川省江油市科技计划项目(201814)
更新日期/Last Update: 2021-09-10