Clinical Efficacy of Jinzhen Oral Liquid Combined with Yanhuning for Injection in the Treatment of Children with Viral Pneumonia and its Effects on Symptoms and Signs,Levels of Inflammatory Factors and Lung Function
SHEN Guanghong, WANG Rui, WANG Xinna, et al. Clinical Efficacy of Jinzhen Oral Liquid Combined with Yanhuning for Injection in the Treatment of Children with Viral Pneumonia and its Effects on Symptoms and Signs,Levels of Inflammatory Factors and Lung Function[J]. 2021,21(2):143-146.
SHEN Guanghong, WANG Rui, WANG Xinna, et al. Clinical Efficacy of Jinzhen Oral Liquid Combined with Yanhuning for Injection in the Treatment of Children with Viral Pneumonia and its Effects on Symptoms and Signs,Levels of Inflammatory Factors and Lung Function[J]. 2021,21(2):143-146. DOI: 10.14009/j.issn.1672-2124.2021.02.004.
治疗前后肺功能指标水平和不良反应发生情况。结果:联合组患儿的总有效率明显高于对照组[96.19%(101/105) vs. 85.71%(90/105)]
差异有统计学意义(P
<
0.05);治疗后
两组患儿体温、气促、咳嗽以及肺部啰音评分均较治疗前明显降低
且联合组患儿体温、气促、咳嗽以及肺部啰音评分明显低于对照组
差异均有统计学意义(P
<
0.05)。治疗后
两组患儿血清TNF-α、hs-CRP及IL-8水平较治疗前明显降低
且联合组患儿明显低于对照组
差异均有统计学意义(P
<
0.05)。治疗后
两组患儿的用力肺活量(FVC)、1 s用力呼气容积(FEV
1
)和FEV
1
/FVC均较治疗前明显升高
且联合组患儿的FVC、FEV
1
和FEV
1
/FVC水平明显高于对照组
差异均有统计学意义(P
<
0.05)。联合组患儿的总不良反应发生率为7.62%(8/105)
与对照组的5.71%(6/105)比较
差异无统计学意义(P
>
0.05)。结论:金振口服液联合注射用炎琥宁治疗小儿病毒性肺炎的临床疗效较佳
可有效缓解临床症状体征
降低炎症因子水平
改善肺功能
安全性较高。
Abstract
OBJECTIVE: To probe into the clinical efficacy of Jinzhen oral liquid combined with Yanhuning for injection in the treatment of children with viral pneumonia and its effects on symptoms and signs
levels of inflammatory factors and lung function. METHODS: Totally 210 children with viral pneumonia admitted into Nanjing Tongren Hospital Affiliated to Southeast University from Mar. 2017 to May 2020 were extracted to be divided into the combination group( n = 105) and the control group( n = 105) via the random number table. The control group was treated with Yanhuning for injection
while the combination group received Yanhuning for injection combined with Jinzhen oral liquid. The clinical efficacy
symptom and sign score( body temperature
shortness of breath
cough and lung rale)
serum levels of inflammatory factors such as tumor necrosis factor α( TNF-α)
hypersensitive C-reactive protein( hs-CRP) and interleukin-8( IL-8)
lung function indexes before and after treatment and the incidence of adverse drug reactions in two groups were observed. RESULTS: The total effective rate in the combination group was significantly higher than that in the control group[96. 19%( 101/105) vs. 85. 71%( 90/105) ]
the difference was statistically significant( P
<
0. 05). After treatment
the scores of body temperature
shortness of breath
cough and lung rale of two groups were significantly lower than those before treatment
and the scores of body temperature
shortness of breath
cough and lung rale of the combination group were significantly lower than those of the control group
the differences were statistically significant( P
<
0. 05). After treatment
the serum levels of TNF-α
hs-CRP and IL-8 in two groups were significantly lower than those before treatment
and the combination group was significantly lower than the control group
with statistical significance( P
<
0. 05). After treatment
forced vital capacity( FVC)
forced expiratory volume in 1 second( FEV
1
) and FEV
1
/FVC in two groups increased significantly compared with before treatment
and FVC
FEV
1
and FEV
1
/FVC in the combination group were significantly higher than those in the control group
with statistically significant difference( P
<
0. 05). The total incidence of adverse drug reactions in the combination group was 7. 62%( 8/105)
compared with 5. 71%( 6/105) in the control group
the difference was not statistically significant( P
>
0. 05). CONCLUSIONS: The clinical efficacy of Jinzhen oral liquid combined with Yanhuning for injection in the treatment of children with viral pneumonia is significant
which can effectively relieve the clinical symptoms and signs
reduce the levels of inflammatory factors
and improve lung function with higher safety.
关键词
金振口服液注射用炎琥宁小儿病毒性肺炎炎症因子肺功能
Keywords
Jinzhen oral liquidYanhuning for injectionChildren with viral pneumoniaInflammatory factorsLung function