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目的:观察肺咳颗粒联合盐酸氨溴索口服液治疗小儿肺炎的临床疗效。方法:选取在本院儿科治疗的400例肺炎患儿为研究对象,随机分为西医组和联合组各200例。西医组给予盐酸氨溴索口服液治疗,联合组在西医组的用药基础上采用小儿肺咳颗粒治疗,2组均治疗1周。治疗后比较2组临床疗效,观察临床症状的消失时间及治疗前后炎症因子、中医症状积分的变化。结果:联合组愈显率79.58%,高于西医组的68.23%,差异有统计学意义(P<0.05)。联合组患儿的咳嗽、咯痰、发热、肺部啰音消失时间均短于西医组,差异均有统计学意义(P<0.05)。治疗后,2组肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-10(IL-10)及高迁移率族蛋白B1(HMGB1)水平均较治疗前降低(P<0.05),联合组的4项炎症因子水平均低于西医组(P<0.05)。治疗后,2组面色淡白、气短多汗、咳嗽无力、纳差便溏、神疲乏力、四肢欠温、舌质偏淡积分均较治疗前降低(P<0.05),联合组的7项症状积分均低于西医组(P<0.05)。联合组出现轻度恶心3例,皮疹1例,西医组出现皮疹2例,上述症状均较轻微,未予特殊处理均自行缓解。结论:运用肺咳颗粒联合盐酸氨溴索口服液治疗肺炎患儿效果肯定,安全性高。
Objective: To observe the clinical effect of combination of Ambroxol Hydrochloride and Ambroxol Hydrochloride in the treatment of children pneumonia. Methods: A total of 400 children with pneumonia treated in our hospital were selected as study subjects and randomly divided into Western medicine group and combination group with 200 cases each. The western medicine group was treated with Ambroxol Hydrochloride Oral Liquid, and the combined group was treated with Xiaoerfeike Granules on the basis of the medication of Western Medicine Group. Both groups were treated for 1 week. After treatment, the clinical efficacy of two groups were compared, and the disappearance of clinical symptoms and the changes of inflammatory factors and TCM symptom score before and after treatment were observed. Results: The cure rate of the combined group was 79.58%, which was higher than that of the Western medicine group (68.23%), the difference was statistically significant (P <0.05). The combined group of children cough, expectoration, fever, pulmonary rales disappeared shorter than the Western group, the differences were statistically significant (P <0.05). After treatment, the levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), interleukin-10 (IL-10) and high mobility group box 1 (HMGB1) Before treatment, the levels of inflammatory cytokines in the combined group were lower than those in the Western medicine group (P <0.05). After treatment, the two groups were pale, shortness of breath and sweating, coughing weakness, anorexia stool, Shenpi fatigue, warmth of limbs, pale tongue score were lower than before treatment (P <0.05), the combination of seven symptoms Points were lower than Western medicine group (P <0.05). In the combined group, mild nausea occurred in 3 cases, skin rash in 1 case and western medicine group in 2 cases. The above symptoms were mild and were relieved without special treatment. Conclusion: The use of lung cough granules combined with ambroxol hydrochloride oral solution in children with positive results, safety.