| Objectives: The study in accordance with non randomized clinical trial of Henan University of Chinese Medicine First Affiliated Hospital pediatric ward II,five wards and cooperative unit in Zhengzhou children’s Hospital,in January 2014 to2015 January of lobar pneumonia in hospitalized children with clinical data were collected and analyzed.Comparative analysis of integrated traditional Chinese and Western medicine treatment differences.For children with lobar pneumonia treatment plan optimization provides scientific basis for diagnosis and treatment.Methods:In this study,the First Affiliated Hospital of Pediatrics in non randomized clinical trials of Henan College of traditional Chinese medicine in the two ward,five children’s hospital ward and cooperative units in Zhengzhou City,collate and analyze the clinical data from January 2014 to January 2015 of lobar pneumonia in children hospitalized children,comparative analysis on comprehen sive treatment of Western medicine to provide a scientific basis for the diagnos is and treatment effect.Optimization of lobar pneumonia treatment.In this paper,by using the prospective study method to collect meet the inclusion criteria of lobar pneumonia in children hospitalized,according to nonrandomized clinical trials,divided into Jinwei Feire Qing granules of fiberoptic bronchoscopy in conventional treatment group labeled as A group(30 cases),bronchial the mirror was labeled as B group routine treatment group(30 cases),Jinwei Feire Qing granules labeled as C group routine treatment group(30 cases)were observed for 14 days for a course on children.The general information,clinical manifestations,syndrome type of traditional Chinese medicine,clinical medicine and other finishing,and the use of spss19.0 of three groups of children with basic information,TCM symptoms and signs,laboratory and imaging examine items were statistically analyzed.Results: In accordance with the inclusion and exclusion criteria were selected in accordance with the conditions of the 90 cases,male were higher than female(P<0.05).Different age proportion and the minimum age is 2 years,the maximum age of 14 years,three groups of age range of P>0.05 showed no statistically significant difference of different.The comparison of the season in winter,25 cases(27.7%),19 cases(21.1%)in summer,autumn in 15 cases(16.7%),31cases(34.4%)in spring,the constituent ratio of different seasons(P<0.05).The distribution of the syndrome,syndrome of phlegm heat in the lung and toxic heat obstructing the lung syndrome compared.There was statistical significance(P<0.05).In patients with body temperature,cough,sputum,pulmonary rales,a spects of lung imaging,P>0.05 showed no significant difference.In the laboratory examination,the total number of white blood cells,Creactive protein,pro calcitonin,P>0.05 showed no significant difference.No matter in the duration of fever or cough,expectoration,pulmonary rales recovery time,group A and B,there were statistically significant differences between the two groups compared to C(P<0.05);compared with B group and C group were not statistically significant(P>0.05).The children in the hospital,laboratory examination revealed white blood cell(WBC),high sensitive C C-reactive protein(CRP)and procalc itonin(PCT)increased,in the hospital 1 weeks later.Among them,A group of white blood cell(WBC),high sensitive Creactive protein(CRP)and procalcit onin(PCT)recovery rate,and B,C two groups,there were significant differences(P<0.05).Compared with B group and C group were not statistically significant(P>0.05).The radiological recovery time,group A and B,there were statistically significant differences between the two groups compared to C(P<0.05).Compared with B group and C group were not statistically significant(P>0.05).Two groups of children in the mucosa of bronchoscopy: syndrome of phlegm heat in the lung and toxic heat off the lung in the fiberoptic bronchoscopy as f ollows: tracheal secretion attachment,vessel shape heavy,mucosal erosion,lumen opening inflammatory stenosis,super thicythe lung each card compared to mucosal features of the P values are greater than 0.05,the difference was not st atistically significant.The rate of detection of pathogens in different samples: in Streptococcus pneumoniae,mycoplasma and other pathogens(such as influenz a virus,Staphylococcus aureus,adenovirus etc.)the detection rate of broncholveolar lavage fluid and blood P<0.05,suggesting the difference in respiratory syncytialvirus;detection rate,bronchoalveolar lavage fluid and blood P>0.05,showed no difference.The change in the TCM syndrome quantitative integral: the first day of the eighth day of admission and admission compared TCM symptom score of three groups of children with Significant differences,indicating a,B,C three kinds of treatment can significantly improve the TCM symptoms for children.Between the three groups of children group TCM symptoms integral difference by the independent samples test,Pgroup A and group B = 0.007,P group A and group C = 0.013,suggesting that there was statistically significant difference,c ompared;P group B and group C=0.902,showed no significant difference,comparable.Failed to reflect the options compared with the schemes compared to the rate in the overall curative effect contrast,three groups of children with marked lydifferent,A group and B group,A group and C group(P < 0.05)in a group and B group,C group,the clinical cure rate had significant difference;B group and C group(P > 0.05),suggesting that the B group and C group,the pulmonary imaging restoration had no statistical difference,no comparable.Illustrated with B and C treatment,a treatment plan in improving patients were,the moresignificant rate has a significant effect,while B and C treatment in improving patients were,the more significant rate difference.Conclusion: Jinwei Feire Qing granules,fiber bronchoscopy combined with routine treatment group in the treatment of lobar pneumonia in acute periodpromote cough,sputum,duration of fever and lung wet rales obvious recovery,fiber bronchoscopy combined with combined with routine treatment group and Jinwei Feire Qing granules combined with traditional treatment group compared,treatment effect is quite;but compared to the traditional Chinese medicine treatment and fiberoptic bronchoscopy to allow more families of children accept,little side effect,compliance.Jinwei Feire Qing granules,fiber bronchoscopy combined with routine treatment group in the treatment of lobar pneumonia in acute period(1 week)increase the numbers of WBC,CRP,PCT reduction,and can shorten the recovery time of lobar pneumonia in acute pulmonary imaging.Jinwei Feire Qing granules in lobar pneumonia in acute period can significantly improve children with signs and symptoms,especially in process and heat,cough,expector ation,tongue and pulse change,more safety and efficacy. |
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