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 ›› 2020, Vol. 12 ›› Issue (3): 246-249.doi: 10.3969/j.issn.1674-3865.2020.03.018

• 临床研究 • 上一篇    下一篇

中西医结合治疗小儿呼吸道感染后脾虚综合征临床疗效评价

刘芳，张新光，张蕾，赵宇华，虞坚尔   

  1. 200123 上海，上海市东方医院(同济大学附属东方医院)儿科（刘芳，赵宇华）；200071 上海，上海市中医医院儿科（张新光，虞坚尔）；201200 上海，上海市浦东新区人民医院儿科（张蕾）
  • 出版日期:2020-06-25 发布日期:2021-05-17
  • 通讯作者: 刘芳，E-mail：liufangsh30@163.com
  • 作者简介:刘芳（1973-），女，医学博士，主任医师，硕士研究生导师。研究方向：中西医结合治疗小儿呼吸系统疾病
  • 基金资助:
    上海市科学技术委员会项目（16401933500）；上海市浦东新区卫生系统重要薄弱学科建设项目（PWZbr201723）

Evaluation of the clinical curative effect of integrated traditional Chinese and western medicine on spleen deficiency syndrome after respiratory tract infection in children

  • Online:2020-06-25 Published:2021-05-17

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摘要： 目的 评价中西医结合治疗小儿呼吸道感染后脾虚综合征的临床疗效。 方法 2017年10月至2018年12月上海市东方医院南院儿科收治的呼吸道感染后脾虚综合征患儿104例，随机分为对照组和观察组各52例。对照组用益生菌培菲康治疗，观察组在此基础上加用中药自拟健益方治疗。两组疗程均为1个月。观察并比较两组治疗前后主证积分变化及实验室检查指标。 结果 观察组治疗总有效率为94.2%（49/52），高于对照组80.8%（42/52），差异有统计学意义(P<0.05)。观察组能更快更好地改善患儿临床症状和体征，增加血红蛋白含量，升高微量元素铁、锌值，降低血铅值。 结论 中西医结合对治疗小儿呼吸道感染后脾虚综合症疗效确切，值得临床推广应用。

关键词: 脾虚综合征, 呼吸道感染, 中西医结合, 益生菌, 健益方, 儿童

Abstract: Objective To evaluate the clinical curative effect of integrated traditional Chinese and western medicine on spleen deficiency syndrome after respiratory tract infection in children. Methods From October 2017 to December 2018, 104 children with spleen deficiency syndrome after respiratory tract infection were treated in Shanghai East Hospital, and they were randomly divided into experimental group(52 cases) and control group(52 cases). The control group(western medicine group) was treated with probiotics Bifico, and the experimental group(integrated Chinese and western medicine group) was treated with probiotics and traditional Chinese medicine(selfdesigned Jianyi formula). The course of treatment in both groups was one month. Observe and compare the changes in main syndrome score and laboratory examination indexes before and after treatment in the two groups. Results The total effective rate of the experimental group was 94.2%(49/52), which was higher than that of the control group(80.8%,42/52), and the difference was significant(P<0.05). The clinical symptoms and signs of the children were improved faster and better in the experimental group, the hemoglobin content was increased, the value of trace elements(iron and zinc) was increased, and the value of blood lead was decreased. Conclusion The combination of traditional Chinese and western medicine is effective in the treatment of spleen deficiency syndrome after respiratory tract infection in children, which is worth to be used clinically.

Key words: Spleen deficiency syndrome, Respiratory tract infection, Integrated traditional Chinese and western medicine, Probiotics, Jianyi formula, Children