小儿肺热咳喘颗粒联合西医常规疗法治疗室间隔缺损修补术后肺炎疗效观察

目的:探讨小儿肺热咳喘颗粒联合西医常规疗法治疗室间隔缺损修补术后小儿肺炎的疗效观察。方法:选取2016年8月至2018年8月青岛妇女儿童医院心脏中心收治的室间隔缺损修补术后3～5 d至1个月内肺炎患儿60例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组30例。对照组进行常规药物加对症支持治疗,观察组实施小儿肺热咳喘颗粒联合常规药物加对症支持治疗,两周后比较分析2组患儿的临床疗效。结果:对照组和观察组的总有效率均为93. 3%、96. 7%,患儿发热、咳嗽、罗音、起效时间、消失时间等主要临床疗效指标及痊愈率均明显优于对照组,差异有统计学意义(P 0. 05)。结论:小儿肺热咳喘颗粒联合西医常规治疗室间隔缺损术后肺炎有较好的临床效果,在改善病情、缓解症状,缩短疗程等方面优于西医常规治疗,对术后康复起到了积极作用。

Observation on Therapeutic Effect of Xiaoer Feire Kechuan Granules Combined with Routine Western Medicine Treatment on Pneumonia after Repair of Ventricular Septal Defect

To study the therapeutic effect of Xiaoer Feire Kechuan Granules combined with routine western medicine treatment on postoperative pneumonia in children after repair of ventricular septal defect.Methods:From August 2016 to August 2018,60 children with pneumonia from 3 to 5 days to 1 month after repair of ventricular septal defect(VSD)in Qingdao Women and Children''s Hospital were divided into an observation group and a control group with 30 cases in each group according to random number table method.The control group was treated with routine drugs and symptomatic support treatment,while the observation group was treated with Xiaoer Feire Kechuan Granules combined with routine drugs and symptomatic support treatment.After 2 weeks,the clinical efficacy of the 2 groups was compared and analyzed.Results:The total effective rate of the control group and the treatment group were 93.3% and 96.7%.The main clinical therapeutic indexes-time of fever,cough,and rale disappearance time and recovery rate of the patients were significantly better than those of the control group(P<0.05).Conclusion:Xiaoer Feire Kechuan Granules combined with routine western medicine treatment has better therapeutic effect on pneumonia after repair of ventricular septal defect.It is superior to routine western medicine in improving the condition,relieving symptoms and shortening the course of treatment,and plays a positive role in rehabilitation after operation.