【摘要】：目的:通過對中醫(yī)辨證屬風(fēng)熱郁肺證和痰熱閉肺證的肺炎支原體肺炎患兒在阿奇霉素治療的基礎(chǔ)上,予蒿芩麻杏石甘湯口服及拔罐治療,與單用阿奇霉素抗感染治療作對比,觀察罐藥綜合治療肺炎支原體肺炎療效及安全性,并對其進(jìn)行綜合評價。方法:本研究選取北京中醫(yī)藥大學(xué)東方醫(yī)院門診及病房收治肺炎支原體肺炎患兒共100例,所選患兒均符合肺炎支原體肺炎西醫(yī)診斷,中醫(yī)診斷為肺炎喘嗽,證屬風(fēng)熱郁肺或痰熱閉肺證。隨機分為實驗組和對照組,對照組予阿奇霉素抗感染治療及對癥支持治療,實驗組在對照組治療的基礎(chǔ)上予蒿芩麻杏石甘湯口服與拔罐治療,在特定時間點對兩組患兒主要癥狀(咳嗽、痰壅、發(fā)熱、氣喘、肺部Up音)、次要癥狀(食欲、惡心、精神、面色),實驗室指標(biāo)及療效評價指標(biāo)評分,評價蒿芩麻杏石甘湯配合拔罐治療的臨床療效。結(jié)果:實驗組與對照組的組內(nèi)總分比較,治療前后均有明顯差異,病情分級差異明顯,提示兩組治療均有效。組間比較,兩組治療后癥狀評分無明顯區(qū)別,兩組治療后實驗室檢查無明顯差異,但實驗組主癥起效時間評分明顯高于對照組,差異有統(tǒng)計學(xué)意義,且在咳嗽、痰壅、聽診起效時間上明顯高于對照組,提示實驗組在咳嗽好轉(zhuǎn)時間、痰壅好轉(zhuǎn)時間及Up音吸收時間短于對照組。實驗組痊顯率94%明顯高于對照組78%,治療后實驗組癥狀總分較對照組更低,治療后病情分級實驗組明顯優(yōu)于對照組,差異有統(tǒng)計學(xué)意義,提示實驗組治療計劃更優(yōu)。結(jié)論:罐藥綜合療法治療肺炎支原體肺炎可提高痊顯率,更快改善咳嗽、咳痰癥狀,促進(jìn)Up音吸收,療效明顯,使用安全。
[Abstract]:Objective: based on the treatment of azithromycin, the children with mycoplasma pneumoniae pneumonia with syndrome differentiation of wind-heat depression lung syndrome and phlegm-heat blocking lung syndrome were treated with Azithromycin orally and cupping, and compared with azithromycin alone. To observe the efficacy and safety of combined treatment of mycoplasma pneumoniae pneumonia with cupping drugs, and to evaluate it synthetically. Methods: a total of 100 children with mycoplasma pneumoniae pneumonia were selected from the outpatient and ward of Oriental Hospital of Beijing University of traditional Chinese Medicine. The syndrome is wind heat depression lung or phlegm heat block lung syndrome. The experimental group was randomly divided into experimental group and control group. The control group was treated with azithromycin anti-infective therapy and symptomatic support therapy. The experimental group was treated with Azithromycin Maxingshigan decoction orally and cupping on the basis of the treatment in the control group. The main symptoms (cough, phlegm obstruction, fever, asthma, lung Up sound), secondary symptoms (appetite, nausea, spirit, complexion), laboratory indexes and therapeutic evaluation indexes were evaluated at a specific time point in the two groups. To evaluate the clinical effect of Aoqingma Xingshigan decoction combined with cupping. Results: compared with the control group, the total scores of the experimental group and the control group were significantly different before and after treatment, indicating that the two groups were effective. There was no significant difference in the scores of symptoms between the two groups after treatment, and there was no significant difference in laboratory examination between the two groups, but the scores of the onset time of the main symptoms in the experimental group were significantly higher than those in the control group, and the difference was statistically significant in cough and phlegm obstruction. The effect time of auscultation was significantly higher than that of the control group, suggesting that the time of cough improvement, phlegm accumulation and Up tone absorption were shorter in the experimental group than in the control group. After treatment, the total score of symptoms in the experimental group was lower than that in the control group, and the disease grade in the experimental group was significantly better than that in the control group after treatment. The difference was statistically significant, suggesting that the treatment plan of the experimental group was better than that of the control group. Conclusion: the treatment of mycoplasma pneumoniae pneumonia with combined cupping therapy can improve the cure rate, improve cough and expectoration symptoms, promote the absorption of Up sound, and is safe to use.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R272

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