| ObjectiveFrom traditional Chinese medicine and Western medicine combined with the angle of pediatric community acquired pneumonia TCM syndrome distribution characteristics,clinical manifestations and different TCM Syndromes of pathogenic,pulmonary function and the relationship between them;comparing different supports Posts medicine apply external treatment of clinical efficacy.MethodsUsing random sampling method,during April 2014 to September 2014 selected in Dalian children's Hospital in hospital,with community acquired pneumonia inclusion criteria of 120 cases.The clinical parameters observed by timing acquisition in children with tongue,cough,expectoration,pulmonary rales and analysis their symptoms,etiology inspection and monitoring of pulmonary function.And 120 cases of children were randomly selected 80 cases were divided into two groups,each group of 40 cases,on the basis of routine treatment of Western medicine,respectively,to the back of the treatment,observe the clinical symptoms and record the pulmonary signs.Result1.In 120 cases of children who met the inclusion criteria,wind heat Fanfei syndrome in 35 cases,accounting for 29.2%,syndrome of phlegm heat in the lung in 80 cases,accounted for 66.7%,toxic heat blocking the lung syndrome in 5 cases,accounting for 4.1%.46 cases(53 cases)with positive pathogens,accounting for 38.3%.Among 53 cases of positive pathogens,Mycoplasma pneumoniae infection was 29 cases,accounting for 54.7%;13 cases of virus infection,24.5%;bacterial infection in 11 cases,accounting for 21.3%.69 children completed pulmonary function tests,obstructive pulmonary dysfunction in 30 cases,accounted for 43.5%;restrictive ventilatory dysfunction in 4 cases,accounted for 5.8%;mixed ventilatory dysfunction in 26 cases,accounted for 37.7%;9 cases of normal lung function,accounting for 13.0%.2.In 35 cases of wind heat blocking the lung syndrome in children,mycoplasma infection in 6 cases,accounting for 16.7%;virus infection in 3 cases,accounted for 2.8%;3 cases of bacterial pneumonia,2.8%,negative pathogens in 24 cases,accounted for 66.7%;in 80 cases of phlegm heat closed lung syndrome in children,mycoplasma pneumonia infection in 22 cases,accounted for 26.2%;10 cases of viral infection,accounted for 12.2%;8 cases of bacterial infections,9.6%,negative pathogens in 44 cases,accounted for 52.5%.In 5 cases of toxic heat syndrome,1 cases of Mycoplasma pneumoniae infection,accounting for 20%,4 cases of negative pathogens,accounting for 80%.3.In 35 cases of wind heat blocking the lung syndrome in children,pulmonary function testing,19 cases were,accounted for 54.3%;among the obstructive ventilatory disorder in 7 cases,accounted for 36.8%;restrictive ventilatory dysfunction in 2 cases,accounted for 10.5%;mixed ventilatory dysfunction in 8 cases,accounted for 42.2%;2 cases of normal lung function,accounting for 10.5%.In 80 cases of phlegm heat closed lung syndrome in children,completed pulmonary function testing.A total of 48 cases,accounted for 60.0%;obstructive ventilatory disorder in 22 cases,accounted for 45.8%;restrictive ventilatory dysfunction in 2 cases,accounted for 4.2%;mixed ventilatory dysfunction in 17 cases,accounted for 35.4%;7 cases of normal lung function,accounting for 14.6%.In 5 cases of toxic heat closed lung syndrome,a total of 2 cases of pulmonary function tests were completed,accounting for 40%;among them,1 cases of obstructive pulmonary ventilation dysfunction,accounting for 50%;mixed pulmonary ventilation dysfunction in 1 cases,accounting for 50%.4.In 29 cases of mycoplasma infection in children,syndrome of wind heat blocking the lung in 6 cases,accounted for 20.7%;syndrome of phlegm heat in the lung in 22 cases,accounting for 75.7%;toxic heat blocking the lung syndrome 1 case 3.6%.In 13 cases of virus infection,wind heat closed the lung in 3 cases,accounting for 23.1%;10 cases of syndrome of phlegm heat in the lung,accounting for 76.9%.In 11 cases of bacterial infection,wind heat closed the lung in 3 cases,accounting for 27.3%;8 cases of syndrome of phlegm heat in the lung,accounting for 72.7%.5.In 29 cases of mycoplasma infection in children,pulmonary function testing is completed a total of 23 cases,the obstruction of ventilation disorder in 8 cases,accounted for 34.8%;restrictive ventilatory dysfunction in 3 cases,accounting for 13.0%;mixed ventilatory dysfunction in 7 cases,accounted for 30.4%;5 cases of normal lung function,accounting for 21.8%.In 14 cases of virus infection,complete pulmonary function in 7 cases,accounted for 50%;2 cases of obstructive ventilatory disorder,28.6%;mixed ventilatory dysfunction in 2 cases,accounted for 28.6%;3 cases of normal lung function 42.8%).In 11 cases of secondary bacterial infection.There were 10 patients who had the complete pulmonary function test;the obstruction of pulmonary ventilation dysfunction in 3 cases,accounting for 30%;mixed ventilatory dysfunction in 5 cases,accounting for 50%;2 cases of normal lung function,accounting for 20%.6.Met the inclusion criteria of 80 cases of community to get pneumonia in and deposited in Babu paste group and deposited in groups of patients with clinical symptoms,physical signs of the lungs of the disappearance time and curative effect of traditional Chinese medicine powder compared,p>0.005.No significant difference and no statistical difference.Conclusion1 the distribution of TCM Syndrome Types in children with community acquired pneumonia is mainly due to phlegm heat obstructing lung syndrome,and the pathogen distribution is mainly caused by mycoplasma infection.2 wind heat closed lungs and phlegm heat closed the lung syndrome,toxic heat closed the lung were pathogenic to mycoplasma infection.The pulmonary function of 3 wind heat closed lungs and phlegm heat closed lung syndrome patients were mainly obstructive ventilatory dysfunction.4 mycoplasma infection,viral infection,bacterial infection in children with phlegm heat obstructing the lung.5 mycoplasma infection in children with pulmonary function in patients with obstructive ventilation dysfunction;virus infection in children withLung function is the main function of normal lung function,and the pulmonary function of bacterial infection is mainly mixed ventilation dysfunction.6 Fuxiong Babu paste can be effective in treating pediatric pneumonia,promote pulmonary rales absorption and Fuxiong powder phase effect The same. |
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