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The clinical effect of Virus-Clearing Oral Liquid combined with Oseltamivir in the treatment of influenza children with syndrome of heat toxicity attacking lung |
HUANG Jie ZHANG Xiaoli WANG Xuecui TANG Yanqiu FENG Chunhui |
Department of Pediatrics, Nanning Traditional Chinese Medicine Hospital, Guangxi Zhuang Autonomous Region, Nanning 530000, China |
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Abstract Objective To analyze the clinical effect of Virus-Clearing Oral Liquid combined with Oseltamivir in the treatment of influenza children with syndrome of heat toxicity attacking lung. Methods A retrospective analysis was made on the clinical data of 100 cases of influenza children with syndrome of heat toxicity attacking lung admitted to Nanning Hospital of Traditional Chinese Medicine from January to August 2018. According to different treatment methods, they were divided into control group and observation group, with 50 cases in each group. The control group was treated with Oseltamivir, the observation group was treated with Oseltamivir combined with Virus-Clearing Oral Liquid. The clinical effects of the two groups after treatment were analyzed. Results The total effective rate of the observation group was higher than that of the control group (P < 0.05). The fever time, the improvement time of cough and nasal obstruction, the improvement time of throat swelling and pain and the hospitalization time of the observation group were shorter than those of the control group (P < 0.05). Before treatment, there were no significant differences in the levels of interleukin-8 (IL-8), interferon-γ (IFN-γ) and C-reactive protein (CRP) between the two groups (P > 0.05). After treatment, the levels of IL-8 in the two groups were higher than those before treatment, the levels of IFN-γ and CRP were lower than those before treatment, and the level of IL-8 in the observation group was higher than that in the control group, while the levels of IFN-γ and CRP were lower than those in the control group, the differences were statistically significant (P < 0.05). Before treatment, there was no significant difference in the level of immunoglobulin between the two groups (P > 0.05). After treatment, the levels of CD4+, IgA and IgM in the two groups were higher than those before treatment, and the levels of CD8+ in the two groups were lower than those before treatment, and the levels of CD4+, IgA and IgM in the observation group were higher than those in the control group, the level of CD8+ in the observation group was lower than that in the control group, the differences were statistically significant (P < 0.05). The incidence of adverse reactions had no statistically significant difference between the two groups (P > 0.05). Conclusion Oseltamivir combined with Virus-Clearing Oral Liquid is effective in the treatment of influenza in children, which can significantly improve clinical symptoms and immunity, the complications are less, and it is worthy of clinical further promotion and application.
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[1] 国家卫生和计划生育委员会,国家中医药管理局.流行性感冒诊疗方案(2018年版)[J].中国感染控制杂志,2018, 17(2):181-184.
[2] 孙波.流行性感冒危害及接种流行性感冒疫苗的研究[J].中国卫生产业,2016,13(4):76-78.
[3] 陈海英.蒲地蓝消炎口服液联合磷酸奥司他韦颗粒治疗小儿流感病毒感染的疗效观察[J].临床心身疾病杂志,2016,22(3):7.
[4] 中华医学会儿科学分会呼吸学组,《中华实用儿科临床杂志》编辑委员会.儿童流感诊断与治疗专家共识(2015年版)[J].中华实用儿科临床杂志,2015,30(17):1296-1303.
[5] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,2004:76.
[6] 周贝,吕佳康.《中药新药治疗流行性感冒临床研究技术指导原则》解读[J].中国临床药理学杂志,2017,33(14):1382-1384.
[7] Stevaert A,Naesens L. The influenza virus polymerase complex:an update on its structure,functions,and significance for antiviral drug design [J]. Med Res Rev,2016,36(6):1127-1173.
[8] 杨柳柳,刘小虹,蔡俊翔,等.岭南地区流行性感冒临床特点及中医证型分布规律研究[J].广州中医药大学学报,2017,34(2):149-152.
[9] 孙常华,侯智慧.磷酸奥司他韦治疗流行性感冒的临床疗效观察[J].临床研究,2016,24(5):20-21.
[10] 钟敏,焦健,金毅,等.磷酸奥司他韦治疗流行性感冒的效果研究[J].中国处方药,2016,14(8):64-65.
[11] Esposito S,Principi N. Oseltamivir for influenza infection in children:risks and henefits [J]. Expert Rev Respir Med,2016,10(1):79-87.
[12] 刘婧.小儿双金清热口服液佐治甲型流感的临床研究[J].包头医学院学报,2017,33(3):62-63.
[13] 柳石磊,马伏英.抗病毒合剂与奥司他韦联用对流行性感冒患儿的临床疗效评价[J].抗感染药学,2017,14(2):361-363.
[14] 周金芳,宜雄雄.小儿双金清热口服液联合奥司他韦治疗甲型流行性感冒的临床研究[J].现代药物与临床,2018, 33(7):1660-1663.
[15] 牛倩倩,陈愉,刘晔.连花清瘟胶囊治疗流行性感冒的有效性及安全性的系统评价[J].中国中药杂志,2017, 42(8):1474-1481.
[16] 刘龙魂,林立,刘德强,等.奥司他韦治疗儿童流行性感冒样病例的临床观察[J].吉林医学,2016,37(7):1631-1632.
[17] 祁海啸,周文娣,胡剑,等.奥司他韦联合热毒宁治疗儿童流行性感冒的疗效[J].江苏医药,2017,43(23):1710-1712.
[18] Rondina MT,Tatsumi K,Bastarache JA,et al. Microvesicle tissue factor activity and interleukin-8 levels are associated with mortality in patients with influenzaA/HINI infection [J]. Crit Care Med,2016,44(7):e574-e578.
[19] 钱永兵,谢晖,田锐,等.早期免疫功能麻痹在重症甲型H1N1流感中的临床意义[J].中华危重病急救医学,2017, 29(7):581-585.
[20] 张巧玲.奥司他韦治疗小儿季节性流感的疗效及对血清炎症因子的影响[J].国际医药卫生导报,2017,23(8):1240-1241,1248. |
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