清热化痰运脾消积法治疗小儿急性支气管炎痰热夹滞证30例

目的 观察清热化痰、运脾消积法治疗小儿急性支气管炎痰热夹滞证的临床疗效。方法 将60例急性支气管炎痰热夹滞证患儿随机分为治疗组与对照组，每组各30例。治疗组采用清金化痰汤加运脾之品临证化裁治疗，对照组予小儿消积止咳口服液治疗，连续治疗7 d。结果 治疗组临床疗效明显优于对照组（P＜0.05）。治疗组在改善咳嗽、咳痰、肺部啰音、不思乳食、腹胀腹痛、口干口渴、口臭、大便不调和脉象方面明显优于对照组（P<0.05）。两组治疗后主症积分、次症积分、症状总积分均较治疗前明显降低（P＜0.05），治疗组治疗后主症积分、次症积分、症状总积分下降值显著大于对照组（P＜0.05）。结论 清热化痰、运脾消积法治疗小儿急性支气管炎痰热夹滞证疗效确切。

Clinical Efficacy of Heat-clearing, Phlegm-resolving, Spleen-activating, and Food Stagnation-removing Therapy in Treatment of Acute Bronchitis with Syndrome of Phlegm-heat and Food-stagnation in Children: A Study of 30 Patients

Objective To observe the clinical efficacy of heat-clearing, phlegm-resolving, spleen-activating, and food stagnation-removing therapy (HPSFT) in the treatment of acute bronchitis with syndrome of phlegm-heat and food-stagnation in children. Methods Sixty children with acute bronchitis and syndrome of phlegm-heat and food-stagnation were randomly and equally divided into treatment group and control group. Patients in the treatment group were treated with Qingjin Huatan Decoction and spleen-activating herbs, while patients in the control group were given Xiaoer Xiaoji Zhike oral liquid. The treatment lasted for 7 consecutive days. Results The treatment group had significantly superior clinical outcomes over the control group (P<0.05). The treatment group also had significant improvements in cough, expectoration, rales, no thought of food and milk, abdominal distension and pain, dry mouth and thirst, bad breath, abnormal stool, and pulse manifestation compared with the control group (P<0.05). Both groups had significantly reduced scores for main symptoms and secondary symptoms and total score for symptoms after treatment (P<0.05). The decreases in the scores for main symptoms and secondary symptoms and the total score for symptoms after treatment were significantly larger in the treatment group than in the control group (P<0.05). Conclusion HPSFT has definitive efficacy in the treatment of acute bronchitis with syndrome of phlegm-heat and food-stagnation in children.