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 ›› 2018, Vol. 10 ›› Issue (3): 219-221.doi: 10.3969/j.issn.1674-3865.2018.03.011

• 临床研究 • 上一篇    下一篇

三黄清血饮辅助治疗儿童过敏性紫癜的临床疗效观察

杨文   

  1. 471500 河南 洛阳,河南省栾川县人民医院儿科
  • 出版日期:2018-06-25 发布日期:2018-11-19
  • 作者简介:杨文(1970-),男,主治医师。研究方向:小儿常见病的诊治,E-mail:yejiaming678@163.com

Clinical observation on Sanhuang Qingxue Yin in the treatment of Henocho-Schonlein purpura in children

YANG Wen   

  1.  People's Hospital of Luanchuan County,Luoyang 471500,China
  • Online:2018-06-25 Published:2018-11-19

摘要:
目的
观察中西医结合治疗小儿过敏性紫癜的临床疗效及安全性。
方法
选取2012年6月至2016年12月河南省栾川县人民医院儿科收治住院的过敏性紫癜患儿58例,随机分为观察组和对照组各29例。对照组采用单纯西药治疗,静脉滴注西咪替丁注射液40 mg/(kg·d),每日1次;口服氯雷他定糖浆每次5 mL,每日1次。疗程1~2周。观察组在对照组治疗基础上联合三黄清血饮口服,每日1剂,早、晚各1次分服,1周为1个疗程,用药1~2个疗程。观察两组临床疗效、临床症状体征消退时间及治疗期间并发症情况。
结果
观察组总有效率为96.5%(28/29),显著高于对照组69.0%(20/29),差异有统计学意义(P<0.05)。观察组患儿关节肿痛、皮疹及消化道症状消退时间均短于对照组,差异有统计学意义(P<0.05)。两组均有部分患儿出现肾脏损害等并发症,但发生率比较差异无统计学意义(P>0.05)。
结论
对小儿过敏性紫癜患儿采取三黄清血饮辅助治疗可有效提高临床疗效。

关键词: 过敏性紫癜, 中西医结合, 三黄清血饮, 儿童

Abstract:
Objective
To investigate and analyze the clinical efficacy and safety of integrated traditional Chinese and Western medicine in the treatment of allergic purpura in children.
Methods
A total of 58 children with allergic purpura were selected in our hospital from June 2012 to December 2016, and randomly divided into two groups. The 29 cases simply treated with western medicine were as control group, and 29 cases treated with integrated traditional Chinese and western medicine were as observation group. The control group received intravenous drip of Cimetidine injection at 40 mg/(kg.d), once a day; oral Loratadine Syrup was also used at 5 mL each time, once a day. The course of treatment was 1 to 2 weeks. Besides the treatment for control group, the observation group was given Sanhuang Qingxue Yin, one dose a day, to be taken separately in the morning and evening, which lasted for 1 to 2 courses, one week as a course. The clinical efficacy, time for symptoms to disappear and the complications during treatment of the two groups were compared.
Results
The total effective rate of the observation group was 96.5%(28/29), which was significantly higher than that of the control group(69.0%,20/29)(P<0.05). The time for swelling pain, rash and digestive tract symptoms to disappear in the observation  group was shorter than that in the control group(P<0.05).Kidney damage occurred in both groups, but the incidence of complications in both groups was not statistically difference(P>0.05).
Conclusion
The treatment for children with allergic purpura by combination of Sanhuang Qingxue Yin can effectively improve the clinical efficacy.

Key words: Allergic purpura, Integrative traditional Chinese and western medicine therapy, Sanhuang Qingxue Yin, Children