ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (1): 5-8.doi: 10.3969/j.issn.1674-3865.2017.01.002

• 临床论著 • 上一篇    下一篇

补肾固表方合黄芩咳喘敷贴散治疗小儿反复呼吸道感染临床观察

王盘，徐万超，朱华贺，刘亚尊，薛征   

  1. 030024 太原，山西中医学院2014级研究生（王盘，刘亚尊）；200071上海，上海市中医药大学附属上海市中医医院（徐万超，朱华贺，薛征）
  • 出版日期:2017-02-25 发布日期:2017-12-18
  • 通讯作者: 薛征，E-mail：xz695@163.com
  • 作者简介:王盘（1990-），男，山西中医学院2014级硕士研究生在读。研究方向：小儿呼吸系统疾病的诊治
  • 基金资助:
    上海市科学技术委员会科研计划项目（14401930200）

Bushen Gubiao prescription combined with Huangqin Kechuan plaster powder in the treatment of children with recurrent respiratory infection: a clinical observation on the effect

WANG Pan,XU Wanchao,ZHU Huahe,LIU Yazun,XUE Zheng   

  1. Shanxi TCM College, Taiyuan 030024,China
  • Online:2017-02-25 Published:2017-12-18

PDF (PC)

174

摘要：
目的: 观察补肾固表方合黄芩咳喘敷贴散内外合治小儿反复呼吸道感染疗效。
方法: 临床收集2015年5月至7月就诊于上海市中医医院反复呼吸道感染患儿90例，随机分为内治组、外治组和内外合治组各30例。内外合治组给予补肾固表方合黄芩咳喘敷贴散内外合治；外治组于夏季三伏天予黄芩咳喘敷贴散“冬病夏治”敷贴治疗；内治组给予补肾固表方内服治疗。共治疗6周。观察治疗前后患儿日常症状积分及临床疗效；检测患儿唾液SIgA水平异常情况。
结果: 内外合治组临床治疗显效率为56.7%（17/30），显著高于外治组16.7%（5/30）和内治组23.3%（7/30），差异有统计学意义（P<0.017）。在对饮食异常和大便异常的治疗上，外治组日常症状积分高于内外合治组及内治组，差异有统计学意义（P<0.05）；在对出汗异常的治疗上，内外合治组日常症状积分均低于外治组及内治组，差异有统计学意义（P<0.05）。内外合治组唾液SIgA异常率为54.2%（13/24），显著低于外治组90.5%（19/21），差异有统计学意义（P<0.017）。
结论: 补肾固表方联合黄芩咳喘敷贴散内外合治或分开单独内治、外治对于反复呼吸道感染治疗均有效，其中内外合治疗效优于其他两者。

关键词: 反复呼吸道感染, 补肾固表方, 黄芩咳喘敷贴散, 临床观察, 儿童

Abstract:
Objective: To observe the effect of Bushen Gubiao prescription combined with Huangqin Kechuan plaster powder in the treatment of children with recurrent respiratory infection.
Methods: A total of 90 children with recurrent respiratory infection, who visited  Shanghai TCM Hospital between May and July of 2015, were collected and they were randomly divided into 3 groups: internal treatment group(A), external treatment group(B) and combined internal and external treatment group(C), 30 children in each group. Group C was given Bushen Gubiao prescription combined with Huangqin Kechuan plaster powder for treatment; group B was treated with Huangqin Kechuan plaster powder in summer; group A was given Bushen Gubiao prescription for internal taking. The treatment lasted for 6 weeks. Observe the daily symptom scores of the children before and after treatment and the clinical effect; detect the sIgA level abnormalities in the saliva of children.
Results: The clinical effective rate was 56.7%(17/30) in group C, which was significantly higher than that in group B(16.7%,5/30) and group A(23.3%,7/30), with statistical difference(P<0.017). In the treatment of abnormal diet and abnormal bowel movement, the daily symptom scores of group B were higher than those of group C and group A, with statistical difference(P<0.05); in the treatment of abnormal sweating, the scores of group C were lower than group A and B, and there was statistical difference(P<0.05). The rate of abnormal saliva sIgA in group C was 54.2%(13/24), significantly lower than that of group B(90.5%,19/21), the difference being significantly statistical(P<0.017).
Conclusion: Internal treatment with Bushen Gubiao prescription, external treatment with Huangqin Kechuan plaster powder, and the combined treatment of the above two are all effective in recurrent respiratory infection, and the combined therapy is better than the other two therapies

Key words: Recurrent respiratory infection, Bushen Gubiao prescription, Huangqin Kechuan plaster powder, Clinical observation, Chidren