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盐酸氨溴索联合阿莫西林克拉维酸钾对小儿支气管肺炎的疗效及其对炎症因子水平的影响

Efficacy of Ambroxol Hydrochloride Combined with Amoxicillin Potassium Clavulanate Combination on Children with Bronchopneumonia and Its Impact on the Level of Inflammatory Factors.

作者信息

Zhu Xiaoli, Wei Zongcheng, Liu Xia

机构信息

Nanjing Pukou District Hospital of Traditional Chinese Medicine, Pediatric Department, Nanjing, China.

Nanjing Pukou District Hospital of Traditional Chinese Medicine, Equipment Section, Nanjing, China.

出版信息

Evid Based Complement Alternat Med. 2022 Aug 19;2022:2604114. doi: 10.1155/2022/2604114. eCollection 2022.

Abstract

OBJECTIVE

The goal of the present study was to examine the effect of ambroxol hydrochloride combined with amoxicillin potassium clavulanate combination on children with bronchopneumonia and its influence on the level of inflammatory factors.

METHODS

From January 2018 to June 2019, 100 children with bronchopneumonia admitted to the Pediatric Department of Nanjing Pukou District Hospital of Traditional Chinese Medicine were enrolled as the study subjects. The children were assigned either to an observation group or a control group in a ratio of 1:1 using the random alphabet method. The observation group was treated with ambroxol hydrochloride plus amoxicillin potassium clavulanate combination, and the control group was treated with amoxicillin potassium clavulanate combination. The therapeutic efficiency and serum white blood cells (WBC), C-reactive protein (CRP), interleukin-6 (IL-6), and tumor necrosis factor-a (TNF-) were compared between the two groups.

RESULTS

Regarding the effective rate of treatment, the observation group (94%) was observed to be notably higher as compared to the control group (84%). The levels of WBC, CRP, IL-6, and TNF- were reported to be significantly lower in the two groups after treatment. The WBC, CRP, IL-6, and TNF- after treatment in the observation group were lower than those in the control group. The time for clinical symptoms to disappear of fever, cough, asthma, and pulmonary rales was all shorter in the observation group.

CONCLUSION

The findings of the present study demonstrate that ambroxol hydrochloride combined with amoxicillin potassium clavulanate combination might be a reliable approach for the treatment of bronchopneumonia in children. It can synergistically relieve inflammation with high safety profiles.

摘要

目的

本研究旨在探讨盐酸氨溴索联合阿莫西林克拉维酸钾对小儿支气管肺炎的治疗效果及其对炎症因子水平的影响。

方法

选取2018年1月至2019年6月在南京市浦口区中医院儿科住院治疗的100例支气管肺炎患儿作为研究对象。采用随机字母表法将患儿按1:1比例分为观察组和对照组。观察组采用盐酸氨溴索联合阿莫西林克拉维酸钾治疗,对照组采用阿莫西林克拉维酸钾治疗。比较两组的治疗效果及血清白细胞(WBC)、C反应蛋白(CRP)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平。

结果

治疗有效率方面,观察组(94%)显著高于对照组(84%)。两组治疗后WBC、CRP、IL-6和TNF-α水平均显著降低。观察组治疗后WBC、CRP、IL-6和TNF-α水平低于对照组。观察组发热、咳嗽、气喘及肺部啰音等临床症状消失时间均短于对照组。

结论

本研究结果表明,盐酸氨溴索联合阿莫西林克拉维酸钾可能是治疗小儿支气管肺炎的可靠方法。它能协同减轻炎症,安全性高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffc8/9417776/2b95a58fade0/ECAM2022-2604114.001.jpg

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