Objective

2

To investigate effect of Maxing Shigantang and supplemented Guominjian decoction on symptoms and levels of inflammatory cytokines in induced sputum of children with cough variant asthma （CVA）.

Method

2

A total of 118 CVA children who were treated in our hospital from January 2020 to January 2021 were enrolled and randomized into the control group and the observation group with the random number table method. Control group received routine western medicine and the observation group was treated by routine western medicine， Maxing Shigantang， and supplemented Guominjian decoction. In the one-month follow-up， the scores of cough and accompanying symptoms， levels of inflammatory cytokines ［interleukin-10 （IL-10）， interleukin-5 （IL-5）， tumor necrosis factor-

α

（TNF-

α

）， neutrophil， eosinophil］ in induced sputum， pulmonary function parameters ［forced vital capacity （FVC）， forced expiratory volume in one second （FEV

1

）， FEV

1

/FVC］， and treatment outcomes were compared between the two groups. Moreover， the frequency of acute asthma attacks during the three-month follow-up was also compared.

Result

2

No cases dropped out from this study. After treatment， the scores of cough and accompanying symptoms were decreased in both groups （

P

<

0.05） and were lower in observation group than in control group （

P

<

0.05）. After treatment， FVC， FEV

1

， and FEV

1

/FVC were raised in both groups and were higher in observation group than in control group （

P

<

0.05）. The increase in the level of IL-10 along with the decrease in levels of IL-5， TNF-

α

， neutrophil， and eosinophil in induced sputum was found in both groups after treatment （

P

<

0.05）， and observation group had higher level of IL-10 and lower levels of IL-5， TNF-

α

， neutrophil， and eosinophil than the control group （

P

<

0.05）. The effective rate was 86.44% （51/59） in observation group， which was higher than the 69.49% （41/59） in control group （

χ

2

=4.933，

P

<

0.05）. No serious adverse reaction occurred in either group. The frequency of acute asthma attacks during the three-month follow-up was （1.09±0.18） in observation group， which was lower than the （2.83±049） in the control group （

P

<

0.05）.

Conclusion

2

Routine western medicine combined with Maxing Shigantang and supplemented Guominjian decoction can effectively and safely alleviate the airway inflammatory responses， control the clinical symptoms， improve pulmonary function， and reduce the frequency of acute recurrence in the treatment of CVA children.