首都医科大学学报 ›› 2012, Vol. 33 ›› Issue (3): 311-314.doi: 10.3969/j.issn.1006-7795.2012.03.006

• 中西医结合临床与基础 • 上一篇    下一篇

李贵教授中西医结合治疗小儿迁延性难治性支原体肺炎的经验总结

刘晓红, 崔红, 韩伟娟   

  1. 首都医科大学附属北京友谊医院儿科, 北京 100050
  • 收稿日期:2012-01-10 修回日期:1900-01-01 出版日期:2012-06-21 发布日期:2012-06-21
  • 通讯作者: 刘晓红

Summary of Professor Li Gui's experience in using integration of traditional and western medicine to treat pediatric persistent refractory mycoplasma pneumoniae pneumonia

LIU Xiao-hong, CUI Hong, HAN Wei-juan   

  1. Department of Pediatrics, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2012-01-10 Revised:1900-01-01 Online:2012-06-21 Published:2012-06-21

摘要: 目的 比较李贵教授中西医结合方法和西医方法治疗小儿迁延性难治性支原体肺炎的效果。方法 对照组以阿奇霉素注射液静脉滴注,每日1次,疗程7 d,如效果不满意间隔4 d再用3 d,之后再加用甲泼尼龙静脉滴注,3~5 d同时口服易坦静。治疗组以阿奇霉素静脉点滴7 d,效果不满意者停西药,按辩证分型加用不同方剂中药治疗。结果 治疗组发热减轻和消退时间、咳嗽减轻和消退时间明显短于对照组,差异有统计学意义(P<0.01);治疗组湿啰音、哮鸣音减少和消失时间明显短于对照组,差异有统计学意义(P<0.05)。治疗组用药后住院天数明显少于对照组,差异有统计学意义(P<0.05)。结论 中药与西药联合治疗小儿迁延性难治性支原体肺炎效果明显优于组间均治疗组调痰、瘀、闭、虚是该类肺炎的病因病机。

关键词: 难治性支原体肺炎, 中医中药, 中西医结合

Abstract: Objective To compare the curative effect of integrating traditional and western medicine methods of Professor Li Gui and that of the western medicine on children with persistent refractory mycoplasma pneumoniae pneumonia.Methods The control group was treated with azithromycin injection i.v. once per day for seven days. The patients without satisfying effect were given three more days of the treatment after a four-day-interval. After that, the patients in the control group was given methylprednisolone i.v. for three to five days. Meanwhile, they were given Yi Tan Jing, a compound solution of clenbuterol hydrochloride and ambroxol hydrochloride, from the day they came to hospital. The treatment group was treated with azithromycin injection i.v. once per day for seven days. Those without satisfying effect were treated with different types of Chinese traditional medicine instead of western medicine.Results Time for the treatment group to relief fever and cough was significantly shorter than that of the control group (P<0.01). And time for the treatment group to disappearance of the moist rale and wheezing rale was also significantly shorter than that of the control group (P<0.05 and 0.01). After being given the Chinese traditional medicine, the treatment group stayed in hospital for significantly fewer days than the control group (P<0.05). The total time for the treatment group to stay in hospital was also shorter than that of the control group, but the difference was not statistically significant.Conclusion The effect of the combination of Chinese traditional medicine with the effect of clearing heat and detoxication, quickening the blood and transform stasis, fortifying the spleen and boosting qi and western medicine on the children with persistent refractory mycoplasma pneumoniae pneumonia was much better than that of the control group.

Key words: persistent refractory mycoplasma pneumoniae pneumonia, traditional medicine, integration of traditional and western medicine

中图分类号: