系统评价麻杏石甘汤联合西药治疗小儿肺炎的临床研究进展
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摘要
小儿肺炎是一种常见的传染性疾病,具有明显的季节性,是目前我国婴幼儿死亡的主要原因之一。近几年,小儿肺炎临床比例不断攀升,对幼儿的身心健康产生影响。西药是既往临床治疗小儿肺炎的常用药物,包括抗生素、化痰药、抗病毒药以及止咳药等,但随着西药的广泛使用,各类药物耐药性不断增加,严重影响临床治疗效果。而近期,有学者发现,将中医联合既往西医用于小儿肺炎治疗中可以极大的提高临床疗效。基于此,本次研究通过查阅相关资料和文献,整理目前临床应用麻杏石甘汤联合西药治疗小儿肺炎的研究结果,并对此做一综述,依次为临床早期制定诊疗计划提供参考依据。
Pediatric pneumonia is a common infectious disease with obvious seasonality, which is one of the main causes of infant death in China. In recent years, the clinical proportion of pneumonia in children has been rising, which has an impact on the physical and mental health of young children. Western medicine is a commonly used drug for clinical treatment of children with pneumonia,including antibiotics, phlegm, antiviral drugs and antitussives. However, with the widespread use of western medicine, the drug resistance of various drugs is increasing, which seriously affects the clinical treatment effect. Recently, some scholars have found that the combination of traditional Chinese medicine and western medicine for the treatment of pediatric pneumonia can greatly improve the clinical efficacy. Based on this, this study reviewed the current clinical application of Maxing Shigan Tang combined with Western medicine in the treatment of children with pneumonia by reviewing relevant data and literature, and reviewed this, and provided a reference for the early development of clinical planning.
Pediatric pneumonia is a common infectious disease with obvious seasonality, which is one of the main causes of infant death in China. In recent years, the clinical proportion of pneumonia in children has been rising, which has an impact on the physical and mental health of young children. Western medicine is a commonly used drug for clinical treatment of children with pneumonia,including antibiotics, phlegm, antiviral drugs and antitussives. However, with the widespread use of western medicine, the drug resistance of various drugs is increasing, which seriously affects the clinical treatment effect. Recently, some scholars have found that the combination of traditional Chinese medicine and western medicine for the treatment of pediatric pneumonia can greatly improve the clinical efficacy. Based on this, this study reviewed the current clinical application of Maxing Shigan Tang combined with Western medicine in the treatment of children with pneumonia by reviewing relevant data and literature, and reviewed this, and provided a reference for the early development of clinical planning.
引文
[1]陈秀丽,陈光明.麻杏石甘汤治疗小儿肺炎喘嗽[J].河南中医,2016,36(9):1506-1508.
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[3]郑兵.麻杏石甘汤加减辅助治疗小儿支气管肺炎的临床观察[J].内蒙古中医药,2016,35(11):46.
[4]崔桂杰,孙爱荣.中西医结合治疗小儿肺炎28例的疗效观察[J].中西医结合心血管病电子杂志,2016,4(6):106-107.
[5]李代程.头孢曲松联合氨溴索治疗小儿支气管肺炎效果及对血清炎性因子水平的影响观察[J].基层医学论坛,2017,21(5):567-568.
[6]郑丽娜.青霉素、头孢菌素结合人性化护理治疗新生儿肺炎及对肠道微生态影响研究[J].中国基层医药,2016,23(16):2461-2464.
[7]刘贵芳,陈清.阿奇霉素治疗小儿支气管肺炎的效果观察及护理[J].中国医院用药评价与分析,2017,17(6):798-800.
[8]Zeng WY,Yan L,Xu ZL,et al.Severe Mycoplasma Pneumonia in Child with Bilateral Parapneumonic Effusion Successfully Treated with Integrated Chinese and Western Medicine:A Case Report[J].Chinese Journal of Integrative Medicine,2018,24(9):1-3.
[9]王铭轩,李晓菲,吴丽芳.中西医结合治疗小儿肺炎支原体肺炎的临床观察[J].中国处方药,2017,15(6):103-104.
[10]张莹.麻杏石甘汤用于小儿肺炎治疗的临床疗效[J].数理医药学杂志,2017,30(3):411-412.
[11]Gan YX,Zheng YF,Wang L,et al.Analysis on transfer rate change of heavy metal in decoction and precipitation of Curcuma phaeocaulis before and after processing with vinegar based on ICP-MS[J].China journal of Chinese materia medica,2016,41(1):65.
[12]徐琛,徐辉甫.中西医结合治疗小儿肺炎46例疗效观察[J].中国药业,2017,26(21):56-58.
[13]许晓燕.中医治疗小儿肺炎的临床分析[J].中国社区医师,2017,33(20):100.
[14]王刚,李芳霞.中西医结合治疗小儿肺炎及护理[J].中西医结合心血管病电子杂志,2016,4(6):103-104.
[15]范建卫.银翘散合麻杏石甘汤加减治疗小儿肺炎喘嗽风热闭肺证临床疗效研究[J].中国继续医学教育,2017,9(19):178-180.
[16]胡晶国.麻杏石甘汤加味疗法在小儿支原体肺炎治疗中的应用分析[J].中国卫生标准管理,2016,7(22):126-127.
[17]林响,曹时珍.中药麻杏甘石汤联合抗生素治疗小儿支气管肺炎的临床效果观察[J].临床合理用药杂志,2017,10(20):65-66.
[18]刘书琼.小儿肺炎治疗中麻杏石甘汤的应用与有效性研究[J].中国继续医学教育,2017,9(15):175-177.
[19]史志明.麻杏石甘汤加减结合中医定向透药疗法治疗小儿肺炎疗效观察[J].实用中医药杂志,2017,33(8):887.
[20]赖乾,李金田,袁振洁.麻杏石甘汤与西药对比治疗肺炎的随机对照试验的Meta分析[J].中医临床研究,2016,8(26):7-10.
[2]郭发葆.炎琥宁注射液联合麻杏石甘汤治疗小儿病毒性肺炎效果观察[J].中国中医药现代远程教育,2016,14(7):134-135.
[3]郑兵.麻杏石甘汤加减辅助治疗小儿支气管肺炎的临床观察[J].内蒙古中医药,2016,35(11):46.
[4]崔桂杰,孙爱荣.中西医结合治疗小儿肺炎28例的疗效观察[J].中西医结合心血管病电子杂志,2016,4(6):106-107.
[5]李代程.头孢曲松联合氨溴索治疗小儿支气管肺炎效果及对血清炎性因子水平的影响观察[J].基层医学论坛,2017,21(5):567-568.
[6]郑丽娜.青霉素、头孢菌素结合人性化护理治疗新生儿肺炎及对肠道微生态影响研究[J].中国基层医药,2016,23(16):2461-2464.
[7]刘贵芳,陈清.阿奇霉素治疗小儿支气管肺炎的效果观察及护理[J].中国医院用药评价与分析,2017,17(6):798-800.
[8]Zeng WY,Yan L,Xu ZL,et al.Severe Mycoplasma Pneumonia in Child with Bilateral Parapneumonic Effusion Successfully Treated with Integrated Chinese and Western Medicine:A Case Report[J].Chinese Journal of Integrative Medicine,2018,24(9):1-3.
[9]王铭轩,李晓菲,吴丽芳.中西医结合治疗小儿肺炎支原体肺炎的临床观察[J].中国处方药,2017,15(6):103-104.
[10]张莹.麻杏石甘汤用于小儿肺炎治疗的临床疗效[J].数理医药学杂志,2017,30(3):411-412.
[11]Gan YX,Zheng YF,Wang L,et al.Analysis on transfer rate change of heavy metal in decoction and precipitation of Curcuma phaeocaulis before and after processing with vinegar based on ICP-MS[J].China journal of Chinese materia medica,2016,41(1):65.
[12]徐琛,徐辉甫.中西医结合治疗小儿肺炎46例疗效观察[J].中国药业,2017,26(21):56-58.
[13]许晓燕.中医治疗小儿肺炎的临床分析[J].中国社区医师,2017,33(20):100.
[14]王刚,李芳霞.中西医结合治疗小儿肺炎及护理[J].中西医结合心血管病电子杂志,2016,4(6):103-104.
[15]范建卫.银翘散合麻杏石甘汤加减治疗小儿肺炎喘嗽风热闭肺证临床疗效研究[J].中国继续医学教育,2017,9(19):178-180.
[16]胡晶国.麻杏石甘汤加味疗法在小儿支原体肺炎治疗中的应用分析[J].中国卫生标准管理,2016,7(22):126-127.
[17]林响,曹时珍.中药麻杏甘石汤联合抗生素治疗小儿支气管肺炎的临床效果观察[J].临床合理用药杂志,2017,10(20):65-66.
[18]刘书琼.小儿肺炎治疗中麻杏石甘汤的应用与有效性研究[J].中国继续医学教育,2017,9(15):175-177.
[19]史志明.麻杏石甘汤加减结合中医定向透药疗法治疗小儿肺炎疗效观察[J].实用中医药杂志,2017,33(8):887.
[20]赖乾,李金田,袁振洁.麻杏石甘汤与西药对比治疗肺炎的随机对照试验的Meta分析[J].中医临床研究,2016,8(26):7-10.