Clinical Effect Of Jianer Anti-flu Decoction On Repeated RespiratoryTract Infections Of Pulmonary And Spleenic Qi Asthenia Syndrome In Children

Objective:This study observed the clinical efficacy of Jianer anti-flu decoction in treating children with recurrent respiratory tract infections of pulmonary and spleenic qi asthenia syndrome,and observed the improvements of TCM syndrome,number of respiratory infections,course,the use time of antibiotic and diseases,and analysed the clinical and advantage.Methods:A total of 60 children who met the inclusion criteria were randomly divided into treatment group and control group with 30 cases each.The control group was treated with splenic aminopeptide,while the treatment group was treated with Jianer anti-flu decoction combined with splenic aminopeptide.The two groups were treated for 2 monhs and followed up for 6 months,followed up regularly and recorded in detail the’TCM syndrome points and disease conditions of the children,and analysed and evaluated them.Results:(I)In terms of TCM syndromes:There was statistically significant difference in TCM symptom score(voice,complexion,sweat,appetite,food-intake,shit,lack of energy,shortness of breath,cough,aversion to wind,lip color light)between the two groups before and after treatment(P<0.01).The treatment group was better than control group(P<0.01).After treatment,the total effective rate of TCM syndrome improvement in the treatment group was 96.67%,and that in the control group was 83.33%,with statistically significant difference(P<0.01).(2)In terms of condition(the frequency of respiratory tract infection,duration of antibiotic use and coarse of disease):There was no statistical difference in the frequency of pneumonia before and after treatment in both groups(P>0.05),but there was statistically significant dif’f erence in the other aspects before and after treatment in both groups(P<0.01).There was no statistical difference in the frequency of upper respiratory tract infection and pneumonia after two groups of treatment(P>0.05),but there was statistically significant difference in the other aspects after two groups of treatment(P<0.01).The comparision of frequency of upper respiratory tract infection,the frequency of tracheobronchial bronchitis,the average course of disease of upper respiratory tract infection,the average course of tracheobroncholitis,the average course of disease within six months and the average usage time of antibiotics in upper respiratory tract infection after the two groups of treatment was statistically significant diference(P<0.01).There was a statistical difference in the mean course of pneumonia after treatment in both groups(P<0.05).After treatment,there was no statistical dif ference in the frequency of pneumonia,frequency of onset within half a year,the average use time of antibiotics in tracheobronchial bronchitis,the average use time of antibiotics in pneumonia,and the average use time of antibiotics in half a year between the two groups before and after treatment.There was no statistical difference(P>0.05).(3)In terms of disease efficacy,the total effective rate of the treatment group was 93.33%,and that of the control group was 83.33%,with statistically signif-icant difference(P<0.01).Conclusion:The clinical effecacy of Jianer anti-flu decoction on the basis of spleen aminopeptide in the treatment of children with recurrent respiratory tract infections is more obvious.The treatment group can significantly improve the TCM syndrome and reduce the frequency,course of respiratory tract infection and the abuse of antibiotics.