In the treatment of bronchitis in children, the safety of medicinal therapy is very important; in connection with this the herbal preparations are widely used. The article represents the results of the study of the effectiveness of ivy medicines in the treatment of children with recurrent bronchitis.
Objective of the work: To study the clinical and phonospirographic efficiency of the use of the herbal medicine ivy syrup in the complex therapy of children.
Material and methods: There were examined 40 children aged from 3 to 16 years, who received ivy syrup in the treatment complex. The state of patients according to the main clinical signs of bronchitis was assessed during the first (1st day), the second (3rd-4th day), the third (7th-8th day) and, if necessary, the fourth (10th-12th days of observation) visits. During each visit, there were performed: a clinical examination of patients, a phonospirographic examination and a comprehensive assessment of the treatment applied.
Results: The clinical picture in most of the examined persons was represented by a cough, which at the beginning of the disease most often had a dry, obsessional character, in the dynamics became more productive, and gradually it disappeared. By auscultation, at the beginning of the disease, the harsh breathing with prolonged expiration, scattered bilateral dry wheezing murmurs in different parts of the lungs were heard; they changed their intensity and localization in the forced breathing and coughing. In the dynamics, there were sibilant wheezes, productive minor-, moderate-and large bubbling rales. The analysis of phonospirograms obtained during the dynamic observation showed that the duration of the respiratory cycle in patients with bronchitis during the 1st visit was significantly reduced. In this case, respiratory pauses in patients with bronchitis have also decreased. In the study of frequency indices, the expansion of their range in the ill children was revealed. The analysis of the intensity of inspiration and expiration in children with bronchitis showed an increase of the indices on all channels compared with the healthy ones. In the dynamics, the intensity of breathing in and breathing out decreased with normalization during the 3rd visit. In 92.5% of patients with bronchitis, during the first visit, additional respiratory murmurs were registered. Thus, in 72.5% of patients, dry rales were noted. In 35.0% of children in the phase of inspiration and expiration, there were moist rales. Against the background of treatment, there was an improvement of the general condition of patients during the 2nd visit (3rd-4th day of treatment): manifestations of intoxication decreased, sputum release was facilitated, pulmonary rales regressed.
Conclusions: Application in the complex of the treatment of recurrent bronchitis of the herbal preparation of ivy syrup was accompanied by an effective coughing regression and optimization of the phonospirographic picture, which allows recommending its wider use in the treatment of children with an exacerbation of this disease.