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目的:探讨人参五味子汤加减治疗支气管哮喘患儿的效果。方法:选取2013年5月至2016年1月我院接受治疗的支气管哮喘患儿134例为研究对象,随机数字表法将患者分为对照组和研究组各67例。对照组吸入布地奈德气雾剂,研究组在对照组基础上加用给予加减人参五味子汤,观察两组治疗前后一秒用力呼气容积占预计值百分比(FEV1%)、一秒用力呼气容积比用力肺活量(FEV1/FVC)、呼气流速峰值占预计值百分比(PEF%)等肺功能指标;比较两组疗效、症状改善时间及不良反应。结果:研究组总有效率明显高于对照组,治疗后FEV1%、FEV1/FVC、PEF%均明显优于对照组,胸部X线片恢复正常时间、肺部啰音消失时间及咳痰消失时间均明显短于对照组,差异有统计学意义。两组不良反应发生率比较差异无统计学意义。结论:人参五味子汤加减治疗支气管哮喘患儿效果较佳,可快速缓解症状,改善患儿肺功能,且较安全。
Objective: To investigate the effect of Ginseng and Fructus Schisandra decoction on children with bronchial asthma. Methods: A total of 134 children with bronchial asthma who were treated in our hospital from May 2013 to January 2016 were selected as study subjects. The patients were divided into control group and study group by random number table. The control group inhaled budesonide aerosol, the study group was added on the basis of the control group to add or subtract ginseng schisandra soup, observed one second before and after forced expiratory volume accounted for the predicted percentage (FEV1%), one second force (FEV1 / FVC) and peak expiratory flow percentage (PEF%) were compared between two groups. The curative effect, symptom improvement time and adverse reaction were compared between the two groups. Results: The total effective rate in the study group was significantly higher than that in the control group. FEV1%, FEV1 / FVC and PEF% of the study group were significantly better than those of the control group. The recovery time of the chest radiographs, the disappearance of pulmonary rales and the disappearance of sputum Were significantly shorter than the control group, the difference was statistically significant. The incidence of adverse reactions between the two groups showed no significant difference. Conclusion: Ginseng and Fructus Schisandrae Decoction in children with bronchial asthma better effect, can quickly relieve symptoms, improve lung function in children, and more secure.