巴特日-7治疗儿童反复呼吸道感染的效果

Effects of Batri-7 on treatment of children with recurrent respiratory tract infection

  • 摘要: 目的 观察蒙药巴特日-7治疗对小儿反复呼吸道感染(Recurrent respiratory tract infections,RRTI)的效果及对T淋巴细胞亚群和血清免疫球蛋白水平变化的影响。方法 选取2018年11月-2019年11月内蒙古民族大学附属医院收治的80例RRTI患儿,以随机数字表法将其分为试验组40例和对照组40例。两组患儿根据病理检测对其进行对症治疗,试验组患儿在此基础上口服蒙药巴特日-7,治疗1个月后,比较两组患儿的临床疗效,并对两组患儿治疗前后的慢性咳嗽影响问卷(Chronic cough impact questionnaire,CCIQ)及咳嗽症状评分改善情况、T淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+)和血清免疫球蛋白(IgG、IgA、IgM)水平进行比较,随访12个月,比较两组患儿第3、6、12个月的呼吸道感染急性发作次数。结果 试验组患儿治疗的临床有效率为90.00%,高于对照组70.00%(P<0.05)。与治疗前比较,两组患儿治疗后的CCIQ及咳嗽症状评分降低(P<0.05),CD4+、CD4+/CD8+、IgG、IgA水平升高(P<0.05)。试验组患儿治疗后的CCIQ及咳嗽症状评分低于对照组(P<0.05),CD4+、CD4+/CD8+、IgG、IgA水平高于对照组(P<0.05)。两组患儿呼吸道感染急性发作的次数随着时间的推移而逐渐增多(P<0.05);且试验组患儿第3、6、12个月的呼吸道感染急性发作次数低于对照组(P<0.05)。结论 蒙药巴特日-7治疗小儿RRTI的临床疗效较好,且能够有效提高RRTI患儿的T淋巴细胞亚群和血清免疫球蛋白的水平。

     

    Abstract: OBJECTIVE To observe the effect of Mongolian medicine batri-7 on recurrent respiratory tract infection (RRTI) in children and its effect on T lymphocyte subsets and serum immunoglobulin levels. METHODS Eighty cases of RRTI children admitted to the Affiliated Hospital of Inner Mongolia University of Nationalities from Nov. 2018 to Nov. 2019 were enrolled, which were divided into the e observation group and the control group by the random number assay, 40 cases in each group. According to the pathological detection, patients in the two groups were under symptomatic treatment, and the observation group of children were administered oral Mongolian bart-7 for a month after the treatment. The clinical efficacy , Chronic Cough Impact Questionnaire (CCIQ) and cough symptom scores before and after treatment, the T lymphocyte subsets (CD3+, CD4+, CD8+ and CD4+/CD8+) and serum immunoglobulin (IgG, IgA, IgM) in the two groups of children were compared. Patients were followed up for 12 months and the onset frequency of acute respiratory tract infection between the two groups were compared between the two groups after 3, 6 and 12 months. RESULTS The clinical response rate in the experimental group (90.00%) was significantly higher than that in the control group (70.00%). (P<0.05). The CCIQ and cough symptom scores in the children of the two groups were significantly lower before the treatment than after the treatment (P<0.05), and the CCIQ and cough symptom scores in the observation group were significantly lower than that in the control group (P<0.05). CD4+, CD4+/CD8+, IgG and IgA levels in the two groups before the treatment were significantly higher than that after the treatment (P<0.05). Compared with the control group, the levels of CD4+, CD4+/CD8+, IgG and IgA in the observation group were significantly increased after treatment (P<0.05). The onset number of acute episodes of respiratory tract infection in the two groups increased gradually with the passage of time, and the differences between them were significant (P<0.05). Moreover, the number of acute episodes of respiratory tract infection in the observation group at 3, 6 and 12 months was significantly lower than that in the control group (P<0.05). CONCLUSION Mongolian medicine batri-7 had a good clinical effect on RRTI in children, and can effectively improve the T lymphocyte subsets and serum immunoglobulin levels of RRTI children.

     

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