本文關(guān)鍵詞： 麻杏甘石湯 小兒肺炎 咳嗽 哮喘 Meta分析　出處：《中華中醫(yī)藥雜志》2017年11期 　論文類型：期刊論文

【摘要】：目的:分析評價麻杏甘石湯治療小兒肺炎的療效。方法:通過計算機檢索1949年-2014年CNKI、VIP、CBM三大數(shù)據(jù)庫關(guān)于麻杏甘石湯治療小兒肺炎的文獻539篇,選擇符合要求的隨機對照試驗、臨床對照試驗,采用協(xié)作網(wǎng)Cochrane,Rev Man 5.2統(tǒng)計軟件進行Meta分析。結(jié)果:共納入39篇隨機對照臨床研究的文獻,計4959例患者,經(jīng)Meta分析結(jié)果顯示,臨床療效組間比較有顯著性差異。其中,麻杏甘石湯vs西醫(yī)治療:OR=4.13,95%CI[2.54,6.70],Z=5.73,P0.00001;RR=1.20,95%CI[1.13,1.28],Z=5.57,P0.00001;RD(total)=0.16,95%CI[0.11,0.21],Z=6.02,P0.00001。麻杏甘石湯+西醫(yī)常規(guī)治療vs西醫(yī)常規(guī)治療:OR=5.11,95%CI[3.37,7.76],Z=7.68,P0.00001;RR=1.19,95%CI[1.14,1.24],Z=7.81,P0.00001;RD=0.15,95%CI[0.11,0.18],Z=8.41,P0.00001。麻杏甘石湯+抗生素v s抗生素:O R=5.22,95%CI[4.04,6.74],Z=12.68,P0.00001;RR=1.22,95%CI[1.18,1.26],Z=13.01,P0.00001;RD=0.17,95%CI[0.15,0.19],Z=14.29,P0.00001。結(jié)論:麻杏甘石湯治療小兒肺炎優(yōu)于單純西醫(yī)療法及抗生素治療。
[Abstract]:Objective: to analyze and evaluate the curative effect of Ma Xing Ganshi decoction in treating pediatric pneumonia. Methods: from 1949 to 2014, CNKI VIP was searched by computer. There were 539 articles on the treatment of infantile pneumonia with Maxingganshi decoction in three databases of CBM. Random controlled trial and clinical controlled trial were selected and Cochrane was used. Rev Man 5.2 statistical software was used for Meta analysis. Results: a total of 4959 patients were included in 39 articles of randomized controlled clinical study. The results of Meta analysis showed that the results of Meta analysis were as follows. There were significant differences in the clinical efficacy between the two groups. Among them, Ma Xing Ganshi decoction vs Western Medicine treatment: ORX 4.1395 CI. [2.54 / 6.70 / C 5.73 / P 0.00001 RRN 1.2095 CI. [1 / 13 / 1.28 / P = 5.57 / P 0.00001 / RDtotal / 0.1695 / CI. [Maxingganshi decoction: routine western medicine treatment vs conventional western medicine treatment: 5. 1195 CI. [3.37 + 7.76] Zang 7.68 P0.00001 RRN 1.1995 CI. [1.14 / 1.24 / c 7.81 / P 0.00001 / RD/ 0.1595 / CI. [Maxingganshi decoction antibiotic v / s antibiotic V / s antibiotic O / R = 5.22 / 95 / CI = 0.11 + 0.18] ZZH 8.41g / p 0.00001.An antibiotic V / s antibiotic V / s = O / R = 5.22 / 95 / CI. [4.04 / 6.74 / c / r = 1.2295 / cis / r = 1.2295 / r = 1.2295 / r = 1.2295 / r = 1.2295 / r = 1.2295. [1.18v 1.26] Zang 13.01g P0.00001RD 0.1795 CI. [Conclusion: maxing Ganshi decoction is superior to western medicine therapy and antibiotic therapy in the treatment of pediatric pneumonia.
【作者單位】： 北京中醫(yī)藥大學(xué);
【基金】：北京中醫(yī)藥大學(xué)新奧獎勵基金項目(No.2015-XAJLJJ-002)~~
【分類號】：R272
【正文快照】： 小兒肺炎是兒科最常見的多發(fā)病之一,主要病因為病毒和細菌感染,多見于5歲以下兒童,臨床表現(xiàn)為發(fā)熱、咳嗽、氣促、呼吸困難和肺部濕Up音。本病屬于中醫(yī)學(xué)的咳嗽、哮證、喘證、痰飲、肺脹、肺癰等范疇。本文收集麻杏甘石湯治療小兒肺炎的隨機對照臨床研究文獻進行Meta分析,為中

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