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 (3): 188-190.doi: 10.3969/j.issn.1674-3865.2017.03.002

• 临床论著 • 上一篇    下一篇

千金苇茎汤合麻杏石甘汤联合阿奇霉素治疗肺炎支原体肺炎疗效观察

黄文娴，何薇，罗光亮，张俊绮   

  1. 518000 广东 深圳，深圳市福田区中医院儿科
  • 收稿日期:2016-10-20 出版日期:2017-06-25 上线日期:2017-06-25
  • 通讯作者: 黄文娴，E-mail：489344240@qq.com
  • 作者简介:黄文娴（1979-），女，主治医师。研究方向：小儿呼吸系统、消化系统、肾脏疾病的诊治
  • 基金资助:
    深圳市福田区卫生公益性科研项目(FTWS2015063)

Observation on the curative effect of Qianjin Weijing decoction and Maxing Shigan decoction combined with azithromycin in the treatment of children with Mycoplasma pneumoniae pneumonia

HUANG Wenxian，HE Wei，LUO Guangliang，ZHANG Junqi   

  1. Department of Pediatrics of Hospital of Traditional Chinese Medicine of Shenzhen，Shenzhen 518000，China
  • Received:2016-10-20 Published:2017-06-25 Online:2017-06-25
  • Contact: HUANG Wenxian，E-mail：489344240@qq.com

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摘要：
目的：观察千金苇茎汤合麻杏石甘汤联合阿奇霉素对肺炎支原体肺炎治疗效果。方法：2015年5月至2016年5月深圳市福田区中医院儿科收治住院的肺炎支原体肺炎患儿50例，随机分为观察组与对照组各25例。对照组单用阿奇霉素治疗4个周期，观察组采用千金苇茎汤合麻杏石甘汤联合阿奇霉素治疗4个疗程，观察两组治疗效果及咳嗽、咳痰、病灶消失时间、治疗后发热持续时间、不良反应发生率。结果：观察组治疗总有效率为96.0%（24/25），显著高于对照组76.0%（19/25），差异有统计学意义（P<0.05）；观察组患儿咳嗽、咳痰、病灶消失时间、治疗后发热持续时间均较对照组短，差异有统计学意义（P<0.05）；观察组治疗后不良反应发生率为12.0%（3/25），显著低于对照组36.0%（9/25），差异有统计学意义（P<0.05）。结论：千金苇茎汤合麻杏石甘汤联合阿奇霉素治疗肺炎支原体肺炎效果显著，可缩短症状改善时间，也能抵消阿奇霉素所致不良反应，是一种安全性且有效的治疗方案，值得临床推广。

关键词: 肺炎支原体肺炎, 千金苇茎汤, 麻杏石甘汤, 阿奇霉素, 儿童

Abstract:
Objective：To explore the curative effect of Qianjin Weijing decoction and Maxing Shigan decoction combined with azithromycin in the treatment of children with Mycoplasma pneumoniae pneumonia.Methods：Fifty cases of children with Mycoplasma pneumoniae pneumonia in our hospital from May 2015 to May 2016 were selected as the research objects and were randomly divided into the observation group and the control group with 25 cases in each group. Patients in the control group were treated with azithromycin for 4 cycles, while patients in the observation group were treated with Qianjin Weijing decoction and Maxing Shigan decoction combined with azithromycin for 4 cycles. The extinction time of cough, expectoration, and focus, duration of fever after treatment and the incidence of adverse reactions in children in two groups were observed.Results：The extinction time of cough, expectoration and focus, and duration of fever after treatment in the observation group were shorter than those in the control group and the difference was statistically significant (P<0.05). The incidence of adverse reactions in the observation group was 12.0%(3/25),and compared with 36.0%(9/25) in the control group, the difference was statistically significant (P<0.05).Conclusion：Qianjin Weijing decoction and Maxing Shigan decoction combined with azithromycin in the treatment of Mycoplasma pneumoniae pneumonia has significant effect. This treatment can not only shorten the time of symptom improvement, but also offset the adverse reaction caused by azithromycin, which is safe and effective and worthy of promotion.

Key words: Mycoplasma pneumoniae pneumonia, Qianjin Weijing decoction, Maxing Shigan decoction, Azithromycin, Child