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目的:观察土茯苓汤治疗肺脾气虚型儿童咳嗽变异型哮喘的临床疗效。方法:对20例患儿在基础护理的基础上应用土茯苓汤治疗,2周为1疗程,共治疗2疗程。观察临床疗效及治疗前后嗜酸性粒细胞(EOS)、IgA、IgE、IgG等指标的变化。结果:临床痊愈2例,显效13例,有效4例,无效1例,总有效率为95%。治疗后患儿血液EOS计数下降,与治疗前比较,差异有显著性意义(P<0.05)。治疗后患儿血清IgA、IgG、IgE水平与治疗前比较,差异均无显著性意义(P>0.05)。结论:土茯苓汤治疗肺脾气虚型儿童咳嗽变异型哮喘临床疗效满意,并可降低患儿血液EOS计数。
Objective: To observe the clinical efficacy of Tufuling Decoction in treating children with cough variant asthma of lung, spleen and qi deficiency. Methods: 20 cases of children in the basic nursing based on the application of Tu Fu Ling soup, 2 weeks for a course of treatment, a total of 2 courses of treatment. To observe the clinical efficacy and eosinophils (EOS), IgA, IgE, IgG and other indicators before and after treatment changes. Results: 2 cases were clinically cured, 13 cases were markedly effective, 4 cases were effective and 1 case was ineffective. The total effective rate was 95%. After treatment, the blood count of EOS decreased, compared with before treatment, the difference was significant (P <0.05). Serum IgA, IgG and IgE levels in children after treatment had no significant difference between before and after treatment (P> 0.05). Conclusion: Tufuling Decoction is effective in treating children with cough variant asthma with deficiency of lung, spleen and qi, and can reduce blood EOS count in children.