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[目的]观察葛根芩连汤联合西药治疗小儿毛细支气管炎疗效。[方法]使用随机平行对照方法,将80例门诊患者按随机数字表法分为两组。对照组40例氧疗、糖皮质激素及雾化吸入控制喘憋,抗感染等。治疗组40例葛根芩连汤(射干、炙麻黄各5g,葛根、黄芩、黄连各8g,白芍5g,五味子6g,炙甘草3g),1剂/d,水煎50~60mL,温水分服;痰多加前胡、瓜蒌、竹沥;咳剧加桔梗、杏仁、呕吐加半夏、竹茹;热甚加山栀。西医治疗同对照组。连续治疗3d为1疗程。观测临床症状、症状改善时间、不良反应。连续治疗5疗程,判定疗效。[结果]治疗组痊愈25例,有效15例,无效0例,痊愈率62.50%。对照组痊愈15例,有效24例,无效0例,痊愈率37.50%。但痊愈率治疗组优于对照组(P<0.05)。各项症状改善时间治疗组少于对照组(P<0.05)。[结论]葛根芩连汤联合西医治疗小儿毛细支气管炎效果显著,值得推广。
[Objective] To observe the therapeutic effect of Gegen Qinlian Decoction combined with Western medicine on bronchiolitis in children. [Method] Using randomized parallel method, 80 outpatients were divided into two groups according to random number table method. Control group of 40 cases of oxygen therapy, glucocorticoid inhalation and asthma control, anti-infection. Treatment group, 40 cases of Gegen Qinlian Decoction (Shegan, Sunburn each 5g, Pueraria, skullcap, Coptis 8g, white peony root 5g, Schisandra 6g, Zhigancao 3g), 1 / d, decoction 50 ~ 60mL, ; Sputum and more before the first Hu, Gu Lu, bamboo leek; Campanulaceae Campanulaceae, almonds, vomiting and Pinellia, Zhuru; heat plus Canadian Gardenia. Western medicine treatment with the control group. Continuous treatment of 3d for a course of treatment. Observation of clinical symptoms, symptoms, time to improve, adverse reactions. Continuous treatment of 5 courses to determine the efficacy. [Results] In the treatment group, 25 cases were cured, 15 cases were effective, 0 was ineffective and the cure rate was 62.50%. The control group cured 15 cases, effective in 24 cases, 0 cases, cure rate was 37.50%. However, the cure rate in the treatment group was better than that in the control group (P <0.05). The symptom improvement time was lower in the treatment group than in the control group (P <0.05). [Conclusion] Gegen Qinlian Decoction combined with Western medicine is effective in treating bronchiolitis in children and is worth promoting.