中醫(yī)辨證治療對小兒發(fā)熱咳喘止咳效果及血清CRP水平的影響

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摘 要 目的：研究中醫(yī)辨證治療對小兒發(fā)熱咳喘患兒止咳效果及高敏C反應(yīng)蛋白（hs-CRP）血清水平的影響。方法：將102例發(fā)熱患兒隨機(jī)分為對照組和觀察組各51例，對照組采用小兒化痰止咳顆粒聯(lián)合小兒豉翹清熱顆粒治療，觀察組根據(jù)中醫(yī)辨證結(jié)果給以中藥治療，比較兩組患兒的臨床療效。結(jié)果：觀察組患兒臨床療效總有效率和24、48 h總退熱率高于對照組（P

關(guān)鍵詞 中醫(yī) 辨證 小兒發(fā)熱 咳喘 高敏C反應(yīng)蛋白

中圖分類號：R289.5； R272 文獻(xiàn)標(biāo)志碼：A 文章編號：1006-1533（2022）05-0039-04

引用本文 石立業(yè)， 張靜， 馬彩云， 等. 中醫(yī)辨證治療對小兒發(fā)熱咳喘止咳效果及血清CRP水平的影響[J]. 上海醫(yī)藥， 2022， 43（5）： 39-42.

基金項目：2019年河南省醫(yī)學(xué)科技攻關(guān)（聯(lián)合共建）項目（LHGJ20190945）

Effect of TCM syndrome differentiation on anti-cough and hs-CRP levels in pediatric febrile asthma

SHI Liye1， ZHANG Jing2， MA Caiyun1， WANG Huiying3， SHANG Qing1（1. Department of Rehabilitation Medicine， Children’s Hospital of Zhengzhou University， He’nan Children’s Hospital， Zhengzhou Children’s Hospital， Zhengzhou 450000， China； 2. Department of Traditional Chinese Medicine， Kaifeng Children’s Hospital， Kaifeng 475099， China；

3. Department of Respiratory Medicine， Children’s Hospital of Zhengzhou University， He’nan Provincial Children’s Hospital， Zhengzhou Children’s Hospital， Zhengzhou 450000， China）

ABSTRACT Objective： To explore the effect of TCM syndrome differentiation on anticough and hypersensitive C-reactive protein （hs-CRP） levels in pediatric febrile asthma. Methods： One hundred and two febrile pediatric patients were randomly divided into a control group and an observation group with 51 cases each. The control group was treated with pediatric phlegm and cough suppressant granules combined with pediatric black bean curd and fever-clearing granules while the observation group was treated with TCM syndrome differentiation. The clinical efficacy was compared between the two groups. Results： The rates of total clinical efficacy and total fever remission at 24 and 48 h were higher while the fever and cough disappearance time， cough score， hs-CRP and blood sedimentation levels were lower in the observation group than the control group （P

KEy WORDS Chinese medicine； syndrome differentiation； pediatric fever； asthma； hs-CRP

小兒發(fā)熱咳喘是兒科常見的一種疾病，急慢性氣管炎、急慢性支氣管炎、流行性感冒、支氣管肺炎等是小兒發(fā)熱咳喘常見的原因[1]。（剩余5337字）