本文關(guān)鍵詞：黃葶湯加味治療小兒大葉性肺炎（痰熱閉肺型）的臨床研究　出處：《長(zhǎng)春中醫(yī)藥大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 黃葶湯 兒科 痰熱閉肺 大葉性肺炎

【摘要】：目的:應(yīng)用黃葶湯加味聯(lián)合西藥治療小兒痰熱閉肺型大葉性肺炎,觀察中西醫(yī)結(jié)合治療小兒痰熱閉肺型大葉性肺炎的臨床療效,評(píng)價(jià)中醫(yī)藥治療小兒痰熱閉肺型大葉性肺炎的優(yōu)勢(shì)。方法:篩選出兒科符合本病標(biāo)準(zhǔn)的患者共60例,以隨機(jī)分組原則分為治療組與對(duì)照組,各組病例數(shù)皆為30例。對(duì)照組患者給予對(duì)癥抗感染西藥治療,5天一個(gè)療程,觀察2到4個(gè)療程。治療組在對(duì)照組的基礎(chǔ)上給予黃葶湯加味治療,5天一個(gè)療程,觀察2到4個(gè)療程。黃葶湯藥物組成及用法:黃芩、葶藶子、生石膏、杏仁、川芎、魚(yú)腥草、白屈菜、浙貝母、桔梗、蘇子、冬瓜子、前胡、甘草,每副免煎中藥(江蘇省天江藥業(yè)有限公司)以上藥物各一袋,6個(gè)月以內(nèi)一副藥服4天;6~12個(gè)月一副藥服3天;1~2歲一副藥服2天;3~4歲一副藥服一天半;5歲以上一副藥服1天。結(jié)果:治療組:痊愈24例,痊愈率80%;顯效4例,顯效率13.3%;有效1例,有效率3.3%;無(wú)效1例,無(wú)效率3.3%;總有效率96.7%。對(duì)照組:痊愈14例,痊愈率56.7%;顯效2例,顯效率6.7%;有效7例,有效率23.3%;無(wú)效4例,無(wú)效率13.3%;總有效率86.7%。兩組間的總體有效率有統(tǒng)計(jì)學(xué)意義(P0.05)即治療組優(yōu)于對(duì)照組。結(jié)論:中西醫(yī)結(jié)合治療小兒痰熱閉肺型大葉性肺炎的效果更佳,其優(yōu)勢(shì)在于縮短病程、增強(qiáng)療效、降低患兒家庭經(jīng)濟(jì)負(fù)擔(dān)。
[Abstract]:Objective: to observe the clinical effect of Huangting decoction combined with western medicine in treating phlegm heat blocking lung type large leaf pneumonia in children and observing the clinical effect of combination of traditional Chinese and western medicine on phlegm heat blocking lung type large leaf pneumonia in children. To evaluate the advantages of traditional Chinese medicine (TCM) in treating phlegm and heat blocking lung type lobular pneumonia in children. Methods: 60 pediatric patients who met the standard of phlegm and heat were selected and divided into treatment group and control group according to the principle of random grouping. The number of cases in each group was 30 cases. The patients in the control group were treated with anti-infective medicine for 5 days and observed for 2 to 4 courses. The treatment group was treated with Huangting decoction on the basis of the control group. Five days a course of treatment, observe 2 to 4 courses of treatment. Huangting decoction drug composition and usage: Scutellaria, Lepidium chinensis, raw gypsum, almond, Ligusticum chuanxiong, Houttuynia cordata Houttuynia, Folium chinensis, Fritillaria thunbergii, Platycodon grandiflorum, Perilla perilla, melon seed, Qianhu. Licorice, each pair of Chinese medicine (Jiangsu Province Tianjiang Pharmaceutical Co., Ltd.) more than a bag of drugs, within 6 months a pair of medicine for 4 days; A pair of drugs was taken for 3 days from 6 to 12 months. 1 2 years old a pair of medicine take 2 days; 3 / 4 years old a pair of medicine take a day and a half; Results: in the treatment group, 24 cases were cured, the cure rate was 80%; There were 4 cases with remarkable effect, the effective rate was 13.3%; One case was effective and the effective rate was 3.3%; There was no effect in 1 case, and the ineffective rate was 3.3%. The total effective rate was 96.7.The control group: 14 cases were cured, the cure rate was 56.7%; There were 2 cases with remarkable effect, and the effective rate was 6.7%. 7 cases were effective, the effective rate was 23. 3%; The ineffective rate was 13.3% in 4 cases. The total effective rate was 86.7. The total effective rate between the two groups was statistically significant (P0.05), that is, the treatment group was better than the control group. Conclusion: the treatment of phlegm-heat blocking lung type lobar pneumonia is better in children with integrated traditional Chinese and western medicine. Its advantage lies in shortening the course of disease, enhancing the curative effect and reducing the economic burden of the child's family.
【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R272

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 陳萍;卜雪嬌;;80例小兒支原體肺炎的臨床分析[J];中國(guó)醫(yī)藥指南;2013年32期

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本文編號(hào)：1356637