补肾中药对哮喘患儿血浆内皮素和一氧化氮的影响.pdf

l:2007-06-26Te:李金蒴(1964-),女,主治医师,主要从事儿童呼吸系统疾病和儿童保健工作b/0e08=BY李金蒴(gD,2461670)K1:观察补肾中药辅以糖皮质激素对哮喘儿童血浆内皮素(Endothelinnull1,ETnull1)和一氧化氮(NO)的影响,优化治疗方案bZEnull按照随机a对照a平行原则将126例支气管哮喘患儿分为中西医结合组64例和西药组62例,并选择同期正常体检儿童22例作为对照b西药组采用西药常规治疗,中西医结合组在西药常规治疗的基础上加用补肾中药,测定治疗后2周时血浆ETnull1和NO的水平bTnull支气管哮喘患儿血浆ETnull1和NO水平急性期高于缓解期,缓解期高于正常组；治疗后中西医结合组ETnull1和NO下降幅度大于西药组,复发率低于西药组,差异有统计意义(P0.05,V1b4-rB8_822Tv,312,o10；M-4.714.9,(8.3null4.1)b1.2诊断标准vD8SF2004M85e0?!1b1.3治疗方法1.3.1null西药组(1)be0$Pd954(NX03),0R8,M-,e0aaf%0,7S450250nullg,2Q/d,rT4e0eKlr4,Qg,b=0,1Mb(2)rnull2s84?x,Q100200nullg,2Q/d,T,KV1b(3)iHF3(a0k4F3)b1.3.2null中西医结合组0F$/0b0F:8ga?6gaqS010ga10ga5ga10ga6ga08gb$9FFaaa；|Fa3；$9FE1a2；W0.Fa)b1084,H8M-fFhb0F,4X2Q,QX30min,|100mL,s*b$1d14,2d14,21,0HW1Mb1.4检测项目和方法4-a24HW,24352007M9nullnullnullnullnullnullnullnullnullD8SJnullPEDIATRICSOFTCMnullnullnullnullnullnullnullnullnullVolnull3nullNonull5Sepnull2007_ETnull1NObETnull1bfk4b+9Df/4,NOk42y34b1.5null统计处理ETnull1NOc(xnulls)VU,tt#_,?q2_,)Ridit_b2TF82ETnull1NO(/,DF/A,-1FWvs(d9il(P0.01)bFETnull1NOvF(P0.01)bnV1bV1FETnull1aNO-T1null(xnulls)nullnullFYnETnull1NO-2-2DF64168.5null54.482.6null20.4*#133.8null49.482.3null28.3*#0F62166.7null56.7125.8null40.6*#134.8null43.1108.7null35.4*#vF2264.89null7.866.7null14.7nullnull:F-1*P0.01；0F1#P0.01；vF1P0.013null)ETnull1l55r,Va-FaA2aly0a1db,FVQ,?QbL:e0$?T=%k9!AETnull1A6bFh4-e0$?TETnull1A2e0,vF,ETnull185e0?T1TbNOM?CB*,f55T,H9F*%5Yi,1,iQdb1,FQ,HNO9VTBP,Pgv%cAMP9F,3Rr,db%-17(ILnull17)a%-23(ILnull23)aClara%(CC16)2b?db,tQ,5Yi,hF,E%y0%y0s8,hF,_%M,IgEy0,9Fnull24r,=,4cAMP,V75fr3,y0,T,a8e0bD,e0?TSk,/!,y/,#?Hk,H/!5:bZa?/,aqS0a0/,ak0b0M,/,ak0,VP5e0bV:5=%iETnull1B,5%a%a%BHq/9VsETnull1bw/0V?YVoETnull13,F=T,9V?YV/m7F8/F,T,M1Bb9,D8e0,；XB00GT,0ra?ee0$?TJbHqK,e0?T1y0,bID:1D8SsF%8S&I.85e0?(k)J.8S,2004,42(2):100-107.2fE,d7o./08e054J.SD,2007,4(4):373-375.3R_,u；.HWUMse08YJ.SL8S,2007,22(4):289-291.25352007M9nullnullnullnullnullnullnu