發(fā)布時間：2018-04-19 21:04

  本文選題：土茯苓經(jīng)驗方 + 肺炎恢復(fù)期　； 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察土茯苓經(jīng)驗方對小兒肺炎恢復(fù)期的臨床療效,以期為小兒肺炎恢復(fù)期治療探尋一種經(jīng)濟、有效的治療方案。方法:本次臨床觀察共收集45例患兒,均來自廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院兒科符合納入標(biāo)準(zhǔn)的患兒,根據(jù)入選患兒法定監(jiān)護人意愿分為土茯苓組、玉屏風(fēng)組及空白組,每組各15例�？瞻捉M予以常規(guī)日常護理醫(yī)囑,土茯苓組、玉屏風(fēng)組則在此基礎(chǔ)上分別予以口服中藥土茯苓經(jīng)驗方、中成藥玉屏風(fēng)顆粒,共觀察7天。記錄治療前后患兒咳嗽、痰壅、肺部聽診、汗出、食欲、大便等情況并進行評分,并記錄隨訪1月內(nèi)小兒患感染性疾病次數(shù)。結(jié)果:45例患兒資料全部計入結(jié)果。治療前三組患兒在年齡、性別及癥狀體征積分方面進行比較,差異不具備統(tǒng)計學(xué)意義(P均0.05),具有可比性。經(jīng)治療后,三組方案對小兒肺炎恢復(fù)期諸癥改善方面均有療效,其治療前、后總癥候積分比較具有統(tǒng)計學(xué)意義(P均0.05)。土茯苓組治療前后總癥候積分差值與玉屏風(fēng)組、空白組對比具有統(tǒng)計學(xué)意義(P均0.05),提示土茯苓組改善臨床癥狀效果最明顯。在臨床療效方面,土茯苓組、玉屏風(fēng)組、空白組顯效率分別為93.03%、40.00%、20.00%,土茯苓組與其它兩組對比具有統(tǒng)計學(xué)差異(P均0.05)。在減少隨訪1月內(nèi)患兒再發(fā)感染性疾病次數(shù)方面,土茯苓組也優(yōu)于其它兩組,結(jié)果具有統(tǒng)計學(xué)意義(P均0.05)。結(jié)論:土茯苓經(jīng)驗方在改善肺炎恢復(fù)期患兒臨床癥狀體征、減少肺炎后1月的再發(fā)感染性疾病方面療效確切,值得推廣及深入研究。
[Abstract]:Objective: to observe the clinical curative effect of TuFuling prescription in the recovery period of pediatric pneumonia, so as to explore an economical and effective treatment scheme for infantile pneumonia in convalescent stage. Methods: a total of 45 children were collected from the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. According to the wishes of their legal guardians, they were divided into three groups: TuPoria group, Yupingfeng group and blank group. There were 15 cases in each group. The blank group was given routine daily nursing advice, the Tuckahoe group and the Yupingfeng group were given oral Chinese medicine Tupia cocos prescription and Chinese patent medicine Yupingfeng granule respectively for 7 days. The cough, phlegm obstruction, lung auscultation, sweating, appetite and stool were recorded and scored before and after treatment. Results the data of 45 cases were included in the results. The three groups were compared in age, sex and symptom and sign score before treatment. The difference was not statistically significant (P < 0.05), which was comparable. After treatment, all the three groups were effective in improving the symptoms of children with pneumonia at convalescent stage. The scores of total symptoms before and after treatment were statistically significant (P < 0.05). The difference of total symptom integral before and after treatment in Tupia cocos group was significantly higher than that in Yupingfeng group and blank group (P < 0.05), which indicated that the improvement of clinical symptoms in Tupia cocos group was the most obvious. In terms of clinical efficacy, the effective rates of the Tuckahoe group, the Yupingfeng group and the blank group were 93.03 and 40.00,20.00, respectively, and there were significant differences between the two groups (P < 0.05). In the aspect of reducing the number of recurrent infectious diseases in the children within one month of follow-up, the Tuckahoe group was also superior to the other two groups, and the results were statistically significant (P 0.05). Conclusion: the experience prescription is effective in improving the clinical symptoms and signs of children with pneumonia and reducing the recurrence of infectious diseases in one month after pneumonia. It is worth popularizing and further studying.
【學(xué)位授予單位】：廣州中醫(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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本文編號：1774707