本文選題：臟病治腑法 + 肺與大腸�。� 參考：《山東中醫(yī)藥大學(xué)》2012年碩士論文

【摘要】：目的：在中醫(yī)“臟病治腑”理論指導(dǎo)下，探討從大腸辨證論治小兒反復(fù)咳嗽的機(jī)理及臨床意義，以期對提高中醫(yī)辨治該病的療效有所裨益。 方法：通過收集小兒反復(fù)咳嗽分別符合痰熱腑實(shí)型、陰虛腑燥型、肺氣虛型、風(fēng)寒襲肺型患兒各60例，每一證型隨機(jī)分為2組。其中，對照組30例采用靜脈滴注二羥丙茶堿、炎琥寧、抗生素、地塞米松等，，治療組30例在靜脈滴注的基礎(chǔ)上根據(jù)情況分別給予中藥口服。七天為一個療程，兩個療程后填寫從大腸辨治小兒反復(fù)咳嗽的療效觀察表，評價治療效果。 結(jié)果：痰熱腑實(shí)型治療組總有效率為93.3%，對照組總有效率為70.0%；陰虛腑燥型治療組總有效率90.0%，對照組總有效率73.3%；氣虛型治療組總有效率86.7%，對照組總有效率76.7%；風(fēng)寒襲肺型治療組總有效率93.3%，對照組總有效率80.0%。各治療組療均效優(yōu)于對照組（P＜0.05）。在改善咳嗽、咳痰、大便異常等主要癥狀、體征，以及X線胸片、血常規(guī)、咳嗽緩解時間和復(fù)發(fā)率等方面各治療組均優(yōu)于對照組（P＜0.05）。治療期間各組均未發(fā)生不良反應(yīng)。 結(jié)論：應(yīng)用臟病治腑法，從大腸辨證論治小兒反復(fù)咳嗽的方法是安全有效的，在臨床上值得重視以及進(jìn)一步研究。
[Abstract]:Objective: to explore the mechanism and clinical significance of treating recurrent cough by differentiation of symptoms and signs of large intestine under the guidance of TCM theory of "treating visceral diseases and viscera organs", in order to improve the curative effect of TCM differentiation and treatment of the disease. Methods: 60 children with recurrent cough were randomly divided into 2 groups. Among them, 30 cases in the control group were treated with dihydroxypropylline, Yanhuning, antibiotics, dexamethasone, and 30 cases in the treatment group were given oral Chinese medicine on the basis of intravenous drip. Seven days as a course of treatment, two courses of treatment from the large bowel to fill in the treatment of children with recurrent cough observation form, evaluation of therapeutic effect. Results: the total effective rate was 93.3in the phlegm-heat type treatment group and 70.0in the control group, 90.0in the Yin deficiency and Fu dryness group, 73.3 in the control group, 86.7 in the Qi deficiency treatment group and 76.7in the control group. The total effective rate was 93. 3% in the treatment group and 80. 0% in the control group. The average therapeutic effect of each treatment group was better than that of the control group (P < 0.05). The treatment group was superior to the control group in improving the main symptoms and signs of cough, expectoration, abnormal stool, chest radiography, blood routine examination, cough remission time and recurrence rate (P < 0.05). There were no adverse reactions in each group during the treatment. Conclusion: it is safe and effective to treat children with recurrent cough by using the method of treating visceral diseases and visceral organs according to the differentiation of symptoms and signs of large intestine. It is worthy of attention and further research in clinic.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R272

【參考文獻(xiàn)】

中國期刊全文數(shù)據(jù)庫 前6條

1 侯政平;;止嗽散直腸滴入治療小兒咳嗽60例療效觀察[J];甘肅中醫(yī);2006年08期

2 張世林,宇克莉畢平;腸缺血再灌注大鼠肺損傷時NOS及肺泡巨噬細(xì)胞分泌NO的變化[J];海峽藥學(xué);2000年02期

3 李莉;大承氣湯灌腸治療兒科疾病舉隅[J];河南中醫(yī);2005年05期

4 應(yīng)明英,林英,黃英,王樹人;大腸桿菌感染性休克和急性肺損傷大鼠模型的實(shí)驗(yàn)研究[J];華西醫(yī)學(xué);2001年04期

5 李建生,馬利軍,李素云,郭勝典;毒素清對肺炎老齡大鼠小腸組織自由基和前列腺素代謝的影響[J];遼寧中醫(yī)雜志;2003年01期

6 郝陽春,楊新榮;中藥灌腸治療小兒久咳不愈130例[J];遼寧中醫(yī)學(xué)院學(xué)報;2005年03期

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