中西医治疗方式控制儿童哮喘复发效果的比对研究

发布时间：2018-02-22 10:21

本文关键词： 儿童哮喘黄芪糖皮质激素间歇期治疗　出处：《现代预防医学》2012年15期 　论文类型：期刊论文

【摘要】：目的比较中医治疗方式与西医治疗方式对控制儿童哮喘复发的效果,为儿童哮喘的治疗提供理论参考。方法选择某院近两年3～7岁哮喘儿童患者179例并随机分为两组,其中中医组儿童患者在哮喘间歇期采取黄芪辅助治疗,西医组儿童患者采取糖皮质激素的方法进行辅助治疗。对治疗效果进行评价并测定IL-2及IL-4水平,利用统计学方法进行数据分析。结果在间歇期利用黄芪进行治疗的儿童患者总有效率为86%,而利用糖皮质激素进行治疗的儿童患者总有效率为90%,两组之间不存在显著差异。两组治疗前后细胞因子IL-2及IL-4的均有不同程度的变化,两组间不存在显著差异,但黄芪治疗组的细胞因子更趋向于正常。结论利用中西医方式对儿童哮喘患者在间歇期进行治疗的效果不具有显著差异,然考虑到糖皮质激素的诸多副作用及儿童成长的需要,建议对该类患者哮喘间歇期采取黄芪进行辅助治疗。
[Abstract]:Objective to compare the effects of traditional Chinese medicine (TCM) and western medicine (WM) on the control of asthma recurrence in children, and to provide a theoretical reference for the treatment of childhood asthma. Methods 179 cases of asthmatic children aged from 3 to 7 years old in a hospital were selected and randomly divided into two groups. The children in the TCM group were treated with Astragalus membranaceus during the interval of asthma, and the children in the western medicine group were treated with glucocorticoid. The therapeutic effect was evaluated and the levels of IL-2 and IL-4 were measured. Results the total effective rate of children treated with astragalus during the interval was 86%, while that of children treated with glucocorticoid was 90%. There was no significant difference between the two groups. The changes of cytokines IL-2 and IL-4 were different before and after treatment. There was no significant difference between the two groups, but the cytokines in the astragalus treatment group tended to be normal. However, considering the side effects of glucocorticoid and the need for children to grow up, it is suggested that Astragalus membranaceus should be used as adjuvant therapy in asthma interval.
【作者单位】：海南省中医院儿科;
【分类号】：R725.6

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