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目的:观察中西医结合治疗小儿类百日咳的临床疗效。方法:将符合诊断标准的185例类百日咳患儿随机分为两组,对照组采用西医常规治疗,治疗组在对照组治疗的基础上加用中药自拟解痉止咳散治疗。结果:治疗组92例痉挛期(2~6周)患儿服中药5剂后痊愈50例、显效25例、好转14例、无效3例、总有效率96.74%,对照组93例中痊愈36例、显效25例、好转10例、无效22例、总有效率76.34%,两组比较差异有统计学意义(P<0.01);治疗组在症状体征消失时间、住院天数等方面比较也明显优于对照组(P<0.05)。结论:西医常规治疗配合中药自拟解痉止咳散是治疗小儿类百日咳的理想方法。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine treatment of children with pertussis. Methods: A total of 185 children with pertussis who meet the diagnostic criteria were randomly divided into two groups. The control group was treated routinely with Western medicine. The treatment group was treated with antispasmodic and Cough-Decoction based on the treatment of the control group. Results: In the treatment group, 92 cases of spasticity (2 ~ 6 weeks) were treated with 5 doses of Chinese medicine, 50 cases were cured, 25 cases were markedly improved, 14 cases were improved, 3 cases were ineffective, and the total effective rate was 96.74%. In the control group, 93 cases were cured Cases, markedly effective in 25 cases, improved in 10 cases, ineffective in 22 cases, the total effective rate was 76.34%, the difference between the two groups was statistically significant (P <0.01); treatment group in the disappearance of symptoms and signs of hospitalization days were also significantly better In the control group (P <0.05). Conclusion: Western conventional treatment combined with Chinese medicine self-antispasmodic cough powder is the ideal method for the treatment of whooping cough in children.