本文關(guān)鍵詞： 小兒過敏性紫癜:中醫(yī)證型分布 絡(luò)病理論 中醫(yī)治法 療效　出處：《湖北中醫(yī)藥大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:在絡(luò)病理論指導(dǎo)下,探討小兒過敏性紫癜的中醫(yī)證型分布及疏風(fēng)清絡(luò),涼血止血法治療紫癜的療效,為臨床診治提供新思路。方法:選取2 0 0 5年3月到2 0 1 5年3月湖北省中醫(yī)院門診及住院部1 0 0例過敏性紫癜患兒為研究對象。該1 0 0例患兒均符合過敏性紫癜的西醫(yī)診斷標(biāo)準(zhǔn)及中醫(yī)辨證標(biāo)準(zhǔn),收集1 0 0例患兒一般情況,治療前患兒的中醫(yī)癥狀及舌苔脈象,根據(jù)中醫(yī)辨證標(biāo)準(zhǔn),判斷其中醫(yī)證型,探討小兒過敏性紫癜的中醫(yī)證型分布特點。在1 0 0例患兒中血熱傷絡(luò)及風(fēng)熱傷絡(luò)患兒歸為治療組、對照組各2 5例,對照組采用犀角地黃湯治療,治療組在對照組治療的基礎(chǔ)上加用清絡(luò)分的藥物治療,1 5天為一個療程,觀察6個月,比較治療組及對照組綜合療效,比較患兒治療前后皮膚紫癜消退的時間,比較患兒尿常規(guī)恢復(fù)正常的時間、癥候積分變化和6月內(nèi)復(fù)發(fā)率。結(jié)果:1、血熱傷絡(luò)型患兒占5 5%,過敏性紫癜中醫(yī)分型以血熱傷絡(luò)型為主。2、犀角地黃湯加用清絡(luò)分的藥物治療過敏性紫癜綜合療效明顯優(yōu)于對照組。3、犀角地黃湯加用清絡(luò)分的藥物治療過敏性紫癜皮膚紫癜消退的時間短于對照組,P0.0 5。4、犀角地黃湯加用清絡(luò)分的藥物治療過敏性紫癜尿常規(guī)恢復(fù)正常的時間短于對照組,P0.0 5。5、犀角地黃湯加用清絡(luò)分的藥物治療過敏性紫癜較犀角地黃湯6個月內(nèi)復(fù)發(fā)率低。結(jié)論:過敏性紫癜中醫(yī)分型以血熱傷絡(luò)型為主,遵疏風(fēng)清絡(luò),涼血止血法選用犀角地黃湯加用清絡(luò)分的藥物治療過敏性紫癜在有效率、皮膚紫癜消退的時間、尿常規(guī)恢復(fù)正常的時間、復(fù)發(fā)率方面均優(yōu)于犀角地黃湯。
[Abstract]:Objective: under the guidance of collateral disease theory, to explore the distribution of TCM syndromes of allergic purpura in children and the curative effect of thinning wind and clearing collaterals, cooling blood and hemostasis in treating purpura. Methods: 100 children with Henoch-Schonlein purpura from March to March in Hubei Provincial Hospital of traditional Chinese Medicine were selected as subjects. Western Medicine diagnosis Standard and TCM Syndrome differentiation Standard of Henoch-Schonlein purpura, The general situation of 100 cases of children was collected. The symptoms of TCM and the pulse of tongue coating were collected before treatment. According to the criteria of TCM syndrome differentiation, the TCM syndrome types were judged. To explore the distribution characteristics of TCM syndromes of allergic purpura in children, 100 children were divided into treatment group with blood heat injury and wind-heat injury collateral, control group with 25 cases each, the control group with rhino horn and Dihuang decoction. On the basis of the treatment of the control group, the treatment group was treated with the drug Qingluo sub-group for 15 days as a course of treatment. The treatment group was observed for 6 months. The comprehensive curative effect of the treatment group and the control group was compared, and the time before and after treatment was compared between the treatment group and the control group. To compare the time of recovery of urine routine in children, The symptom integral change and the recurrence rate in June. Results: 1, blood heat injury collaterals type accounted for 55%, allergic purpura TCM type mainly blood heat injury collaterals type. 2. Rhino horn and Dihuang decoction with Qingluo points medicine treatment of allergic purpura comprehensive curative effect Ming Ming. Rhinoceros and Rehmannia decoction was better than the control group in treating allergic purpura skin purpura with Qingluo decoction, the time of skin purpura subsiding was shorter than that of control group (P0.05.4), and the routine routine treatment of allergic purpura with rhinoceros decoction with Qingluo decoction returned to normal. The time of treatment was shorter than that of control group (P0.05.5). The recurrence rate of rhino horn and Rehmannia decoction in the treatment of allergic purpura was lower than that of rhino horn Dihuang decoction in 6 months. Conclusion: the main type of TCM classification of Henoch-Schonlein purpura is blood heat injury collaterals. The effective rate, the time of purpura purpura regression, the time of urine routine recovery, the recurrence rate of rhino horn and Rehmannia decoction were better than that of rhino horn and Rehmannia decoction in the effective rate, the time of purpura purpura regression and the time of urine routine recovery.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R272

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本文編號：1550789