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[目的]观察健脾益气消积汤治疗儿童哮喘并反复呼吸道感染的临床疗效。[方法]将60例哮喘并反复呼吸道感染的患儿随机分为两组,观察组30例给予健脾益气消积汤治疗,对照组30例给予布地奈德雾化吸入,治疗6个疗程,随访6个月,比较主症及次症的治疗情况。[结果]观察组患儿主症改善包括呼吸道感染、哮喘发作、发热、咳嗽明显优于对照组(P<0.05),另外免疫球蛋白水平及T细胞亚群明显高于对照组(P<0.05)。观察组患儿在次症中如气短、出汗、面色、食欲、舌象等方面较对照组患儿改善明显(P<0.05)。[结论]健脾益气消积汤可减少哮喘并反复呼吸道感染患儿主症的发作次数,提高其免疫功能,并可改善次症中的某些方面。
[Objective] To observe the clinical efficacy of “Jianpi Yiqi Xiaoji Decoction” in treating childhood asthma and repeated respiratory infection. [Methods] Sixty asthmatic children with recurrent respiratory tract infection were randomly divided into two groups. 30 cases in the observation group were given Jianpi Yiqi Xiaoji Decoction and 30 cases in the control group were given Budesonide inhalation for 6 courses , Followed up for 6 months, comparing the treatment of main and secondary symptoms. [Results] The main symptoms of children in observation group were improved respiratory tract infection, asthma attack, fever and cough significantly better than the control group (P <0.05), and the immunoglobulin levels and T cell subsets were significantly higher than those in the control group (P <0.05 ). Children in the observation group were significantly better than those in the control group in terms of shortness of breath, sweating, complexion, appetite and tongue (P <0.05). [Conclusion] Jianpi Yiqi Xiaoji Decoction can reduce the frequency of main symptoms of asthmatic children and recurrent respiratory tract infection, improve its immune function and improve some aspects of inferior disease.