Study On The Medication Rules Of 220 Cases Of Bronchial Asthma Attack Hospitalized Children

Objective:To summarize the general situation and the characteristics of traditional Chinese and Western medicine treatment of hospitalized children with bronchial asthma during the attack,and to explore the rule of drug use in order to guide the future treatment.Method:Collected from Shandong Province Chinese medicine hospital pediatric ward January 2013 to 2016 January bronchial asthma exacerbation of hospitalization in children with clinical data,including children with gender,age,incidence of the season,duration of illness,laboratory examination, TCM syndrome type distribution, frequency of traditional Chinese medicine and Western medicine,the number of days of hospitalization,treatment effect as the original message and all the data were summarized in this paper,thus obtains the regularity of distribution of conclusion. Result:(1)According to the case inclusion and exclusion criteria were screened in the bronchial asthma attack in qualified cases of 220 cases,in sex more men than women, mainly from 3 to 7 years old,autumn and winter season is the peak, disease for 1 to 3 years, moderate to severe asthma exacerbation in children with subject for inpatients.( 2) Laboratory examination:bacterial infection,bacterial infection,mycoplasma infection, and virus infection in respiratory tract virus based.(3)Syndrome:Heat Asthma>cold asthma>cold heat>lung kidney deficiency;cold asthma found in 0~3 years old,heat asthma is more common in 3~7 years old.(4)Of prescriptions of TCM characteristics: Dingchuan decoction,Shegan Mahuang Decoction,Suzi Jiangqi decoction,Xiaoqinglong decoction,maxing Gan Tang for high-frequency prescription;antitussive,expectorant and antiasthmatic drugs,antipyretics and medicine as the main drug types;Rhizoma Pinelliae, Chao Zi Suzi,honey ephedra,Scutellaria baicalensis Georgi,fried almonds, honey coltsfoot flower,Belamcanda chinensis,aster honey,fried ginkgo,Morus alba as the core drugs. Cluster analysis were obtained on six commonly used drugs,five commonly used pharmaceutical composition. Homemade agent in Pingchuan Mixture,tracheitis agents used most and medicine to Xiyanping injection,Yanhuning injection;even the flower Qingwen granule and cough and asthma particles is widely used.(5)To western medicine features: stick to the GINA guidelines as the standard of Western medicine prescription, rational use of antibiotics in the situation.(6)Therapeutic effect: the average hospital stay was 6.79±2.28 days hospitalized children;clinical cure rate was 84.1%,efficiency of 97.7%.Conclusion:1.220 cases of bronchial asthma in children with preschool children,male than female;autumn and winter two season high,the course of disease more than 1 to 3 years,severe asthma attacks in children as the main body.2.Virus infection,bacterial infection and mycoplasma infection can induce asthma,but the main virus infection.3.TCM syndrome types with cold asthma and asthma were mainly found in preschool and school-age children.4.In our hospital for the treatment of bronchial asthma characteristics: Integrated Traditional Chinese and Western medicine treatment are used simultaneously,the traditional Chinese medicine decoction combined with self-made agent and the traditional Chinese medicine and combined the GINA guidelines comprehensive treatment.