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目的:观察麻杏石甘汤合银翘散保留灌肠治疗小儿肺炎的临床疗效。方法:选取104例肺炎患儿作为研究对象,采用随机数字表法分为研究组和对照组各52例,研究组患者给予麻杏石甘汤合银翘散保留灌肠治疗,对照组患者给予常规西药治疗,采用少儿生活质量问卷(ISLQ)评价生活质量,观察比较两组患儿治疗总有效率、住院时间及不良反应发生情况。结果:研究组患儿治疗总有效率为96.2%,明显高于对照组的82.7%,差异具有统计学意义(P<0.05);研究组患儿住院时间短于对照组,差异具有统计学意义(P<0.05);两组患儿均未出现明显不适;治疗后,研究组患儿的生活质量各维度得分均优于对照组,差异具有统计学意义(P<0.05)。结论:麻杏石甘汤合银翘散保留灌肠治疗小儿肺炎疗效确切,生物利用度高,可有效缩短病程,提高生活质量,值得临床推广应用。
Objective: To observe the clinical efficacy of “Maxing Shigan Decoction” and “Yinqiao Qiao San” retention enema in the treatment of children pneumonia. Methods: A total of 104 cases of children with pneumonia were selected as research objects. The random number table was divided into study group (52 cases) and control group (52 cases). The patients in study group were treated with Maxing Shigan Decoction combined with Yinqiaosan retention enema, while those in control group were given conventional western medicine , Quality of life was assessed by Children’s Quality of Life Questionnaire (ISLQ). The total effective rate of treatment, hospital stay and adverse reactions in both groups were observed and compared. Results: The total effective rate in treatment group was 96.2%, which was significantly higher than that in control group (82.7%), the difference was statistically significant (P <0.05). The hospitalization time was shorter in study group than in control group, the difference was statistically significant (P <0.05). No significant discomfort was found in both groups. After treatment, the scores of quality of life in study group were better than those in control group (P <0.05). Conclusion: Maxing Shigan Decoction combined with retention of enema to treat infantile pneumonia has definite effect and high bioavailability, which can effectively shorten the course of disease and improve the quality of life, which deserves clinical application.