Clinical Observation On The Treatment Of Bronchitis In Children With Phlegm-dampness In The Lung Type By Descending Qi To Resolve Phlegm

Objective: To observe the clinical effect of the method of Jiangqi Huatan(Tanshi decoction)in the treatment of bronchiolitis of accumulation of phlegm-dampness in the lung type,and to explore the effectiveness of the combination of traditional Chinese and Western medicine in the treatment of this disease,so as to provide a better treat-ment for the clinical.Methods: The case source of this study is the pediatric ward and outpatient department of Xiamen Hospital of traditional Chinese Medicine Affiliated to Fujian University of traditional Chinese medicine.From 2 months to 2 years old,68 children with bronchiolitis of phlegm dampness lung type met the inclusion criteria,.They are randomly divided into two groups.The control group is treated by conventional atomization inhalation.Observation group was treated with Tanshifang on the basis of treatment plan of control group,the above courses were all 7 days.Observe the changes of symptom score and tidal pulmonary function of two groups before treatment,on the 7th day after treatment,and compare the curative effect of the two schemes.Results: 1.Case completion: a total of 68 children in the group,3 case in the control group detached,2 in the observation group case detached,63 in the actual completed cases,31 in the control group,32 in the observation group,with a completion rate of 92.64%.2.baseline information:(1)Gender distribution,39 male children,24 female children,the rate of male and female is about 162.5:100,the incidence of bronchiolitis in male children is higher than that of female children,but there is no statistical significance in gender distribution of two groups.(2)Age distribution,the average age of the children was 7.52±4.36,the children aged 2-6 months accounted for 50.79%,and the children aged less than 1 year accounted for 79.36%.There was no statistical significance in the age distribution of the two groups.(3)There was no significant difference between the two groups in the scores of cough,asthma,throat phlegm,lung rale and the total score of disease before treatment.(4)There was no significant difference in the data of tidal lung function between the two groups before treatment.(5)There was no statistically significant difference in the distribution of the severity of illness between the two groups.It is suggested that the baseline data are uniform and the two groups have good comparability.3.The total score of main symptoms and symptoms:(1)After 7 days of treatment,there were differences in cough,asthma,phlegm between the larynx,lung rales score,and total score of the disease between the two groups of patients,the difference was statistically significant(all P <0.05),the observation group improved more.(2)After 7 days of treatment,the cough,wheezing,phlegm between the larynx,lung rales score and total disease score of the two groups were lower than before treatment,the difference was statistically significant(both P<0.05).4.Comparison of clinical efficacy: After 7 days of treatment,the clinical efficacy of the two groups was compared,the difference was statistically significant(P <0.05).The total effective rate of the control group was 83.87%,and the total effective rate of the observation group was93.75%.The total effective rate of the two groups was compared,and the difference wasn't statistically significant(P>0.05).5.Tidal lung function:(1)Comparison of tidal lung function between two groups of children after 7 days of treatment,among which TPTEF/TE,VPEF/VE,RR,Vt/kg were statistically significant(all P <0.05),In the observation group,TPTEF/TE,VPEF/VE,RR,Vt/kg improved more obviously,while Ti / Te compared P> 0.05,the difference was not statistically significant.(2)Compared with before treatment,after 7 days of treatment,TPTEF/TE,VPEF/VE,Vt/kg,Ti/Te of both groups increased,and RR decreased,the difference was statistically significant(all P <0.05).Conclusion: Based on syndrome differentiation of traditional Chinese medicine,the treatment of phlegm-dampness and bronchiolitis with the method of Jiangqi Huatan can achieve good clinical efficacy.Cough,asthma,phlegm,lung rales and lung function in the observation group improved more obviously.No obvious adverse reactions have been found in the course of clinical research,which is worthy of clinical promotion.