本文選題：王氏玉屏膏 + 貼敷��； 參考：《南京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察"王氏玉屏膏"貼敷治療小兒反復(fù)呼吸道感染(RRTI)的療效,觀察其對反復(fù)呼吸道感染患兒發(fā)作次數(shù)、急性發(fā)作時主要癥狀、發(fā)生呼吸道感染種類的影響,評價"王氏玉屏膏"貼敷治療干預(yù)后療效與療程的關(guān)系,觀察其貼敷療法的不良反應(yīng),為該療法的可行性提供臨床依據(jù)。方法:選取符合反復(fù)呼吸道感染患兒100例,每年三伏天的初伏至末伏使用"王氏玉屏膏"進(jìn)行貼敷治療,一共10次,兩次貼敷時間之間至少間隔2天,貼敷1-3年,觀察每年次貼敷治療后發(fā)生呼吸道感染的次數(shù)、病種、病程,每年次貼敷治療后急性期主癥積分對比以及次證改善情況對比,貼敷治療后局部皮膚反應(yīng)。結(jié)果:(1)"王氏玉屏膏"貼敷治療小兒RRTI1、2、3年次的總有效率分別為80.77%、90.70%和 95.65%;顯效率分別為 15.38%、32.56%和 60.87%,治療效果與療程呈正比。(2)貼敷治療1、2、3年次發(fā)病次數(shù)降級百分比并無明顯對比差異,而病程、病種降級例數(shù)百分比則呈逐年上升趨勢,在病程降級方面,第2年次高于第1年,第3年遠(yuǎn)高于第2年,在病種降級方面第3年遠(yuǎn)高于第1年和2年。(3)貼敷1、2、3年次治療前后感染期主癥積分均明顯減少。(4)"王氏玉屏膏"對食欲不振、神疲乏力、汗出量多、大便不調(diào)有改善作用。(5)在貼敷過程中,僅6例患兒出現(xiàn)輕度皮膚反應(yīng),無皮膚起泡破潰,體現(xiàn)了"王氏玉屏膏"貼敷治療的安全性。結(jié)論:(1)貼敷1、2、3年對小兒RRTI治療的有效率逐年遞增,隨著療程增加,"王氏玉屏膏"貼敷療法對小兒RRTI的治療效果與療程呈正比。(2)隨著貼敷療程增加,對RRTI患兒病種、病程降級的效果更加顯著,貼敷療程對病種降級、病程縮短效果在第3年尤為顯著。(3)貼敷治療后能夠改善患兒食欲不振、神疲體倦、汗出量多、大便不調(diào)的癥狀。(4)該藥臨床用藥安全可靠。
[Abstract]:Objective: to observe the efficacy of "Wang's Yuping plaster" in treating children with recurrent respiratory tract infection (RRTI), and to observe its effect on the frequency of recurrent respiratory tract infection, the main symptoms and the types of respiratory tract infection in children with recurrent respiratory tract infection. To evaluate the relationship between the curative effect and the course of treatment of "Wang's Yuping plaster" after intervention, to observe the adverse reaction of "Wang's Yuping plaster" and to provide clinical basis for the feasibility of the therapy. Methods: a total of 100 children with recurrent respiratory infection were treated with "Wang's Yuping plaster" for 10 times during the first and last three days of each year. The time interval between the two applications was at least 2 days and applied for 1-3 years. To observe the frequency of respiratory tract infection, disease type, course of disease, the comparison of main symptom score and the improvement of secondary syndrome after the treatment of sub-application every year, and the local skin reaction after application treatment. Results the total effective rate of "Wang's Yuping plaster" was 80.77% and 95.65%, respectively, and the effective rate was 15.385.56% and 60.87% respectively. The therapeutic effect was proportional to the course of treatment. There was no significant difference in the percentage of three years of incidence and demotion, and there was no significant difference in the percentage of the three years of incidence and demotion, and the total effective rate of "Wang's Yuping plaster" was 80.77% and 95.65%, respectively, and the effective rates were 15.385.56% and 60.87% respectively, and the therapeutic effect was proportional to the course of treatment. However, the percentage of downgrade cases of disease species increased year by year. The second year was higher than the first year, the third year was much higher than the second year, and the third year was much higher than the second year. In the demotion of disease species, the third year was much higher than that in the 1st and 2nd year. The main symptom score of infection period before and after 3 years treatment decreased significantly. 4) "Wang's Yuping ointment" had no appetite, was tired, and sweated more. In the course of application, only 6 cases had mild skin reaction and no skin blister burst, which reflected the safety of "Wang's Yuping Ointment" in the treatment of "Wang's Yuping Ointment". Conclusion the effective rate of RRTI treatment in children increased year by year in 3 years, and the effect of "Wang's Yuping Ointment" on the treatment of pediatric RRTI was proportional to the course of treatment. (2) with the increase of the course of application, the effective rate of treatment for children with RRTI increased with the increase of the course of treatment, and with the increase of the course of treatment, the types of diseases in children with RRTI were also increased. The effect of course of disease degradation was more significant, the course of treatment was significantly reduced by applying the course of treatment, and the effect of shortening the course of disease was especially significant in the third year.) after the application of the treatment, it could improve the children's loss of appetite, fatigue, sweating, and the amount of sweating. Symptoms of defecation disorder. 4) the drug is safe and reliable in clinical use.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R272

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 金玉晶;韓雪;葛國嵐;焦凡;;穴位埋線療法對反復(fù)呼吸道感染患兒免疫功能的影響[J];中醫(yī)學(xué)報(bào);2017年01期

2 林慈升;;三伏貼防治小兒反復(fù)呼吸道感染可行性分析[J];實(shí)用中西醫(yī)結(jié)合臨床;2016年11期

3 劉麗平;;傳統(tǒng)穴+神闕穴三伏貼敷對咳嗽變異性哮喘患兒血清總IgE水平及外周血嗜酸性粒細(xì)胞計(jì)數(shù)的影響[J];中國中醫(yī)藥科技;2016年06期

4 林飛雪;鄭景輝;鐘美容;郭立莎;孫正欽;易劍波;;三伏貼防治慢性阻塞性肺疾病的Meta分析[J];廣西中醫(yī)藥;2016年04期

5 吳剛;;脾氨肽佐治小兒慢性咳嗽合并反復(fù)呼吸道感染的臨床觀察[J];中國社區(qū)醫(yī)師;2016年19期

6 姚詩清;朱裕林;趙皓;陳莉;汪超;孫濤;柳雯;周蘭;;三伏貼治療穩(wěn)定期慢性阻塞性肺疾病的療效及對白細(xì)胞介素-8、腫瘤壞死因子-α的影響[J];中國老年學(xué)雜志;2016年08期

7 李冬梅;任耀全;沈玉鵬;梁勤;楊志華;王煜;劉旭琴;;穴位貼敷治療對反復(fù)呼吸道感染患兒免疫球蛋白及微量元素的影響[J];衛(wèi)生職業(yè)教育;2016年08期

8 吳云波;張\，

本文編號：1774810