Clinical Research On The Treatment Of Children’s Upper Airway Cough Syndrome With Phlegm-Heat Accumulation And Lung Orifice Disadvantage With The Method Of Clearing Heat And Removing Phlegm,Dispersing The Lung And Dredging The Orifices

Research purpose:The aim of the research is to observe the changes in the main symptoms(cough,sputum expectoration)of children with upper airway cough syndrome(internal phlegm-heat,unfavorable lung orifice)before and after treatment,as well as the changes in secondary symptoms(nasal congestion,runny nose,throat clearing,dry throat,itchy throat,foreign body sensation in the throat,dry stool),objectively evaluate the clinical efficacy of clearing heat and removing phlegm,dispersing the lung and dredging the orifices method in treating children with phlegm-heat accumulation and poor lung orifice.Research method:Collect 60 children who meet the inclusion criteria and divide them into treatment group and control group,with 30 cases in each group.The treatment group is given a self-made Chinese medicine prescription:10g Honeysuckle,10g Forsythia,6-10g Scutellaria baicalensis,6-10g Chrysanthemum,6-10g.Peucedanum,6g Bamboo Shavings,6-10g Almond,6-10g Fritillaria,6-10g Platycodon grandiflorum,6-9g pinellia,5g Mint,6g magnoliae flos,6g Angelica dahurica,6g chuanxiong,5g licorice.The dosage of the drug can be increased or decreased with age,taken by decocting in water,one dose a day and twice a day.The control groups is given Biyuan Mixture(Ⅱ)and Xingju Mixture,both twice a day.The amount of medication each time varies according to age.Every 2 weeks is a course of treatment.Observe after 1 course of treatment,and follow up within 1 month after the end of the treatment to observe whether it recurs.By quantifying the main symptoms and secondary symptoms of the treatment group and the control group before and after treatment into points,sort out and use SPSS24.0 system analysis to objectively evaluate the curative effect and total curative effect of the two groups.Research results:Excluding the drop-out cases,a total of 56 children who met the criteria were included in the study,28 in the treatment group and 28 in the control group.(1)Main symptoms:Both groups of programs can effectively improve the symptoms of cough and sputum expectoration in children(P<0.05).Moreover,the treatment group has certain advantages in improving the symptoms of cough and sputum expectoration in children(P<0.05).(2)Secondary symptoms:The treatment group has curative effects on(P<0.05),the control group has curative effects on all symptoms of the children except dry stool symptoms(P<0.05).At the same time,the treatment group was more effective than the control group in improving nasal congestion,runny nose,throat clearing and dry stool(P<0.05).(3)Comprehensive curative effect:In the treatment group,8 people were cured,15 people were markedly effective,3 people were effective,and 2 people were ineffective.The total effective rate was 92.9%.In the control group,2 people were cured,6 people were effective,12 people were effective,and 8 people were ineffective.The total effective rate was 71.4%.There was statistical difference between the two(P<0.05),and the treatment group has better curative effect than the control group.(4)Recurrence rate:3 children in the treatment group relapsed,with a recurrence rate of 10.71%,and 10 children in the control group recurred,with a recurrence rate of 35.71%.The treatment group was more effective than the control group in reducing the recurrence of children(P<0.05).Conclusion:The methods of clearing heat and removing phlegm and promoting lung orifice have a good clinical effect in treating children with upper airway cough syndrome of phlegm-heat accumulation and poor lung orifice,and there are no obvious adverse reactions.