首页|期刊导航|江西中医药大学学报|泻白散加减联合复方磺胺甲(口恶)唑治疗儿童百日咳鲍特菌感染的疗效观察

泻白散加减联合复方磺胺甲(口恶)唑治疗儿童百日咳鲍特菌感染的疗效观察OA

Clinical Efficacy Observation of Modified Xiebai San Combined with Compound Sulfamethoxazole in the Treatment of Children with PertussisInfection Caused by Bordetella Pertussis

中文摘要英文摘要

目的:观察泻白散加减联合复方磺胺甲(口恶)唑治疗儿童百日咳鲍特菌感染的临床疗效.方法:选取2023年10月—2024年9月九江市中医医院收治的百日咳患儿60例,随机分为对照组和观察组,各30例.对照组单用复方磺胺甲(口恶)唑治疗,观察组采用泻白散加减联合复方磺胺甲(口恶)唑治疗,2组均治疗14 d.比较2组的临床有效率、临床症状持续时间、住院时间和不良反应发生率等.结果:观察组临床疗效高于对照组,差异有统计学意义(P<0.05).治疗期间,2组痉挛性咳嗽持续时间在时间、组间和交互效应上具有统计学意义(P<0.05);2组治疗7、14 d后痉挛性咳嗽持续时间短于治疗前,差异均有统计学意义(P<0.05);观察组治疗7、14 d后痉挛性咳嗽持续时间短于对照组,夜间咳嗽持续时间、咳嗽后呕吐时间、咳嗽时面红时间、住院时间短于对照组,差异均有统计学意义(P<0.05).2组治疗期间不良反应发生率比较无显著性差异(P>0.05).结论:泻白散加减联合复方磺胺甲(口恶)唑治疗儿童百日咳鲍特菌感染可有效改善患儿临床症状,缩短住院时间,且安全性较好.

Objective:To explore the clinical efficacy of modified Xiebai San combined with compound sulfamethoxazole in the treatment of pertussis infection in children.Methods:Sixty children with pertussis who were admitted to Jiujiang Traditional Chinese Medicine Hospital between October 2023 and September 2024 were randomly assigned to control group and observation group,with 30 participants in each group.The control group was treated solely with compound sulfamethoxazole,while the observation group received modified Xiebai San combined with compound sulfamethoxazole.Both groups were treated for 14 days.Compare the clinical efficacy rate,clinical symptoms,hospitalization duration,and incidence of adverse reactions between the two groups.Results:The observation group showed a significantly higher clinical efficacy rate compared to control group(P<0.05).The duration of paroxysmal cough in both groups showed statistically significant differences in time effect,group effect,and interaction effect during treatment(P<0.05).The duration of paroxysmal cough in both groups was significantly reduced at 7 and 14 days after treatment compared to before treatment(P<0.05).The observation group had a significantly shorter duration of paroxysmal cough at 7 and 14 days compared to control group(P<0.05).After treatment,the observation group had significantly shorter durations of nocturnal cough,vomiting after cough,facial redness during cough,and hospitalization time compared to control group(P<0.05).The total incidence of adverse reactions during treatment was similar between the two group(P>0.05).Conclusion:The combination of modified Xiebai San and compound sulfamethoxazole can effectively improve clinical symptoms,shorten hospitalization time,and have good safety in the treatment of pertussis infection in children.

吴文良;程赵蓓;陈良华;谢晨璐;刘揭;孔越

九江市中医医院药剂科 江西 九江 332005九江市中医医院儿科 江西 九江 332005九江市中医医院药剂科 江西 九江 332005九江市中医医院药剂科 江西 九江 332005九江市中医医院药剂科 江西 九江 332005九江市中医医院药剂科 江西 九江 332005

医药卫生

儿童咳嗽百日咳鲍特菌泻白散复方磺胺甲(口恶)唑

ChildrenCoughPertussisBordetellaXiebai SanCompound Sulfamethoxazole

《江西中医药大学学报》 2026 (2)

55-58,4

江西省中医药管理局科技计划项目(2024B0786).

10.20140/j.2095-7785.2026.02.14

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