关键词: 中医, 中药, 温肺化瘀定喘法, 风寒袭肺型毛细支气管炎, 小儿

Abstract:

Objective This article summarizes the treatment effect of the inpatients suffering from wind-cold attacking lung type viral bronchiolitis in Department of Pediatrics, Beijing Friendship Hospital since 2010, using the method of integration of traditional and western medicine. It aimed at finding a more reasonable method of integration of traditional and western medicine to treat children with viral bronchiolitis.Methods We set up a parallel randomized controlled clinical study, dividing patients suffering from viral pneumonia and viral bronchiolitis of wind-cold attacking lung type into experimental group(28 cases) and control group(22 cases) randomly. All patients were treated with mucosolvan(ambroxol HCl) i.v., budesonide and compound Ipratropium bromide solution aerosol inhalation as basic treatment. The patients in experimental group were extra treated with lung-warming, stasis-transforming and panting-stabilizing decoction(consists of raw ephedra, apricot kernel, asarum, peach kernel, carthamus, cassia twig, shizandra berry, etc) p.o., while the patients of the control group were treated with ribavirin i.v. and procaterol HCl p.o..Results The time of anhelation subsiding, cough reducing and hospitalization of the patients in the experimental group was significantly reduced. And the duration of diarrhea of the patients in the experimental group was shorter than that of the patients in the control group, and the difference is significant(P<0.05). The time of fever abating, cough reducing, anhelation easing of the patients in the experimental group was not significantly different from that of the patients in the control group. And the time of the reduction and regression of moist rale, wheezing rale and phlegm rale of the patients in both groups was also not significantly different(P>0.05). 33 patients were detected of RSV infection, 4 were of influenza virus infection, 4 were of adenovirus infection and 5 were of parainfluenza virus infection. Thus, the majority of the patients were infected by RSV.Conclusion Comparing the treatment effects of the patients treated with lung-warming, stasis-transforming and panting-stabilizing decoction of professor Li Gui with that of the patients treated with western medicine, we can see that there is no significant toxic and side effect presenting in the patients of the experimental group. This decoction shows some effects in panting stabilizing, cough reducing, phlegm transforming and heat abating, especially in relieving paroxysmal coughing and panting. The majority of the patients involving in this study were infected by RSV, while the minority was infected by other viruses. Respiratory syncytial virus infection is still of a comparatively high incidence rate.

Key words: traditional Chinese medical science, traditional Chinese medicine, method of lung warming stasis transforming and panting stabilizing, wind-cold attacking lung type bronchiolitis, children