[目的]探讨中医药治疗小儿肺炎支原体(MP)肺炎恢复期因气道高反应导致的迁延咳嗽的疗效.[方法]以服用中药的依从性为标准将69例病例进行分组,试验组33例,根据中医四诊辨证分型,阴虚燥咳型者予以沙参麦冬汤加减,肺脾气虚型者予以六君子汤加减;对照组36例,予以口服白三烯受体拮抗剂(孟鲁司特钠咀嚼片).[结果]治疗后,两组呼吸峰流速(PEF)实测值占预计值百分比均较治疗前有显著的提高(P＜0.05),PEF变异率均较治疗前有显著的降低(P＜.05).[结论]中药干预手段能明显提高PEF和降低PEF的变异率,对小儿MP感染所致的气道高反应有较理想的疗效,为MP感染后的气道高反应治疗提供了多一种选择.%[Objective]To discuss the effect of TCM on refractory cough caused by BHR in children MP pneumonia recovery period.[Method]Divide 69 cases into groups at TCM dependence; test group 33 cases administered with Shashen Maidong Decoction for dry cough over Yin deficiency, Liujunzi Decoction for Qi deficiency of lung and spleen; 36 in control group, take leukotriene receptor antagonist.[Result]After treatment, both PEF values are raised much, the variation rate is much reduced; the cure effect is familiar between groups; so as cough-relieving time.[Conclusion]TCM intervening can markedly improve PEF and its variance rate, is very good to children MP infected BHR, and offers another choice for such disease.
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