中醫(yī)內(nèi)外合治小兒肺炎喘嗽臨床療效研究
發(fā)布時(shí)間：2018-11-22 06:25
【摘要】：目的：通過(guò)對(duì)肺炎喘嗽風(fēng)熱閉肺證及痰熱閉肺證患兒運(yùn)用中藥蒿芩麻杏石甘湯配合中醫(yī)外治法拔罐及中藥離子導(dǎo)入治療與西藥常規(guī)治療的療效比較,觀察中醫(yī)內(nèi)外合治法治療小兒肺炎的臨床療效。 方法：采用隨機(jī)對(duì)照的方法,將符合納入標(biāo)準(zhǔn)的60例北京中醫(yī)藥大學(xué)東方醫(yī)院兒科門(mén)診就診及住院肺炎喘嗽(風(fēng)熱閉肺證和痰熱閉肺證)患兒,隨機(jī)分為2組,對(duì)照組和治療組各30例。其中對(duì)照組中男14例,女16例,治療組中男16例,女14例。對(duì)照組給予常規(guī)抗感染及對(duì)癥治療,治療組在常規(guī)抗感染及對(duì)癥治療的基礎(chǔ)上加用蒿芩麻杏石甘湯、中醫(yī)外治法拔罐及中藥離子導(dǎo)入治療。通過(guò)對(duì)肺炎喘嗽患兒的主要癥狀及體征和次要癥狀及體征積分的比較,觀察治療組患兒經(jīng)中醫(yī)內(nèi)外合治法治療的臨床療效。通過(guò)對(duì)肺炎喘嗽患兒的熱退時(shí)間、咳嗽消失時(shí)間及肺部羅音消失時(shí)間等主要臨床療效指標(biāo)方面及治療時(shí)間的比較,觀察治療組和對(duì)照組患兒在熱退時(shí)間、咳嗽消失時(shí)間、肺部羅音消失時(shí)間及治療時(shí)間上的差異。 結(jié)果：對(duì)照組和治療組的總有效率均為100%,提示治療組與對(duì)照組治療小兒肺炎喘嗽均有效。對(duì)照組和治療組的治愈率分別為26.7%,43.3%,治療組的治愈率高于對(duì)照組,但經(jīng)統(tǒng)計(jì)學(xué)比較,無(wú)顯著性差異(P0.05),未提示治療組的治愈率明顯高于對(duì)照組,說(shuō)明治療組與對(duì)照組的療效相當(dāng)。經(jīng)治療后治療組的主要癥狀及體征和次要癥狀及體征的積分明顯低于對(duì)照組,經(jīng)統(tǒng)計(jì)學(xué)比較,均有顯著性差異(P值均0.05),提示治療組經(jīng)中醫(yī)內(nèi)外合治法治療后其主要癥狀、次要癥狀及體征明顯改善,其改善癥狀及體征的療效好于對(duì)照組。對(duì)照組和治療組熱退時(shí)間分別為3.57±1.72天,2.63±1.59天,經(jīng)統(tǒng)計(jì)學(xué)比較,有顯著性差異(P0.05),治療組的熱退時(shí)間明顯短于對(duì)照組；咳嗽消失時(shí)間分別為8.33±2.01天,6.93±3.05天,經(jīng)統(tǒng)計(jì)學(xué)比較,有顯著性差異(P0.05),治療組的咳嗽消退時(shí)間明顯短于對(duì)照組；羅音消退時(shí)間分別為7.23±3.51天,5.00±2.68天,經(jīng)統(tǒng)計(jì)學(xué)比較,有顯著性差異(P0.01),治療組的羅音消退時(shí)間明顯短于對(duì)照組；治療時(shí)間分別為8.86±2.87天,7.56±3.07天,經(jīng)統(tǒng)計(jì)學(xué)比較,有顯著性差異(P0.05),治療組的治療時(shí)間明顯短于對(duì)照組。 結(jié)論：蒿芩麻杏石甘湯配合中醫(yī)外治法拔罐及中藥離子導(dǎo)入治療風(fēng)熱閉肺證和痰熱閉肺證肺炎喘嗽療效顯著,能顯著改善肺炎喘嗽患兒的主要癥狀及體征和次要癥狀及體征。中醫(yī)內(nèi)外合治法能迅速使風(fēng)熱閉肺證和痰熱閉肺證肺炎喘嗽患兒體溫恢復(fù)正常,能改善患兒咳嗽癥狀,促進(jìn)患兒肺部羅音吸收,縮短患兒治療時(shí)間。尤其是在患兒肺部羅音吸收方面療效更顯著。
[Abstract]:Objective: to compare the curative effect between the treatment of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome in children with pneumonia by using Chinese medicine Aoqingma Xingshigan decoction combined with external cupping of TCM and iontophoresis of Chinese medicine with routine treatment of western medicine. To observe the clinical effect of internal and external treatment of children pneumonia. Methods: 60 children with pneumonia and cough (wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome) were randomly divided into two groups by using a randomized control method, including 60 children who were admitted to the pediatric outpatient clinic of Oriental Hospital of Beijing University of traditional Chinese Medicine and hospitalized with asthma and cough (wind heat blocking lung syndrome and phlegm heat blocking lung syndrome). There were 30 cases in control group and 30 cases in treatment group. There were 14 males and 16 females in the control group and 16 males and 14 females in the treatment group. The control group was treated with routine anti-infection and symptomatic therapy, the treatment group was treated with Artemisia chinensis Maxingshigan decoction on the basis of routine anti-infection and symptomatic treatment, cupping and iontophoresis of traditional Chinese medicine. By comparing the main symptoms and signs and the scores of secondary symptoms and signs of children with pneumonia asthma cough, the clinical efficacy of the treatment group was observed by internal and external treatment of traditional Chinese medicine. By comparing the time of heat withdrawal, the time of disappearance of cough and the time of lung rales disappearance, and the time of treatment, we observed the time of heat withdrawal and the disappearance of cough in the treatment group and the control group. Differences in the time of disappearance and treatment of lung rales. Results: the total effective rate of the control group and the treatment group were 100, indicating that both the treatment group and the control group were effective in treating children with pneumonia. The cure rate of the control group and the treatment group were 26.7 and 43.3 respectively. The cure rate of the treatment group was higher than that of the control group, but there was no significant difference between the two groups (P0.05). The cure rate of the treatment group was significantly higher than that of the control group. The therapeutic effect of the treatment group was similar to that of the control group. After treatment, the scores of the main symptoms and signs and the secondary symptoms and signs in the treatment group were significantly lower than those in the control group (P < 0.05). It was suggested that the main symptoms, secondary symptoms and signs of the treatment group were improved obviously after the treatment of internal and external treatment of traditional Chinese medicine, and the curative effect of improving symptoms and signs in the treatment group was better than that in the control group. The time of heat withdrawal in control group and treatment group were 3.57 鹵1.72 days and 2.63 鹵1.59 days, respectively. There was significant difference between the two groups (P0.05). The time of heat withdrawal in treatment group was significantly shorter than that in control group. The time of cough disappearance was 8.33 鹵2.01 days and 6.93 鹵3.05 days, respectively. There was significant difference between the two groups (P0.05). The time of cough subsiding in the treatment group was significantly shorter than that in the control group. The time of rale regression was 7.23 鹵3.51 days and 5.00 鹵2.68 days, respectively. There was significant difference between the two groups (P0.01). The time of rale regression in the treatment group was significantly shorter than that in the control group. The treatment time was 8.86 鹵2.87 days and 7.56 鹵3.07 days respectively. There was significant difference between the two groups (P0.05). The treatment time of the treatment group was significantly shorter than that of the control group. Conclusion: Aoqingma Xingshigan decoction combined with external cupping and iontophoresis of traditional Chinese medicine can significantly improve the main symptoms and signs and secondary symptoms and signs of pneumonia in children with pneumonia due to wind-heat blocking lung syndrome and phlegm heat blocking lung syndrome. The combination of internal and external treatment of TCM can quickly restore the body temperature to normal in the children with pneumonia and cough of wind-heat blocking lung syndrome and phlegm heat blocking lung syndrome, can improve the cough symptoms of children, promote the absorption of rales in the lungs of children, and shorten the treatment time of children. Especially in children with lung rales absorption, the effect is more significant.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R272
本文編號(hào)：2348354
[Abstract]:Objective: to compare the curative effect between the treatment of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome in children with pneumonia by using Chinese medicine Aoqingma Xingshigan decoction combined with external cupping of TCM and iontophoresis of Chinese medicine with routine treatment of western medicine. To observe the clinical effect of internal and external treatment of children pneumonia. Methods: 60 children with pneumonia and cough (wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome) were randomly divided into two groups by using a randomized control method, including 60 children who were admitted to the pediatric outpatient clinic of Oriental Hospital of Beijing University of traditional Chinese Medicine and hospitalized with asthma and cough (wind heat blocking lung syndrome and phlegm heat blocking lung syndrome). There were 30 cases in control group and 30 cases in treatment group. There were 14 males and 16 females in the control group and 16 males and 14 females in the treatment group. The control group was treated with routine anti-infection and symptomatic therapy, the treatment group was treated with Artemisia chinensis Maxingshigan decoction on the basis of routine anti-infection and symptomatic treatment, cupping and iontophoresis of traditional Chinese medicine. By comparing the main symptoms and signs and the scores of secondary symptoms and signs of children with pneumonia asthma cough, the clinical efficacy of the treatment group was observed by internal and external treatment of traditional Chinese medicine. By comparing the time of heat withdrawal, the time of disappearance of cough and the time of lung rales disappearance, and the time of treatment, we observed the time of heat withdrawal and the disappearance of cough in the treatment group and the control group. Differences in the time of disappearance and treatment of lung rales. Results: the total effective rate of the control group and the treatment group were 100, indicating that both the treatment group and the control group were effective in treating children with pneumonia. The cure rate of the control group and the treatment group were 26.7 and 43.3 respectively. The cure rate of the treatment group was higher than that of the control group, but there was no significant difference between the two groups (P0.05). The cure rate of the treatment group was significantly higher than that of the control group. The therapeutic effect of the treatment group was similar to that of the control group. After treatment, the scores of the main symptoms and signs and the secondary symptoms and signs in the treatment group were significantly lower than those in the control group (P < 0.05). It was suggested that the main symptoms, secondary symptoms and signs of the treatment group were improved obviously after the treatment of internal and external treatment of traditional Chinese medicine, and the curative effect of improving symptoms and signs in the treatment group was better than that in the control group. The time of heat withdrawal in control group and treatment group were 3.57 鹵1.72 days and 2.63 鹵1.59 days, respectively. There was significant difference between the two groups (P0.05). The time of heat withdrawal in treatment group was significantly shorter than that in control group. The time of cough disappearance was 8.33 鹵2.01 days and 6.93 鹵3.05 days, respectively. There was significant difference between the two groups (P0.05). The time of cough subsiding in the treatment group was significantly shorter than that in the control group. The time of rale regression was 7.23 鹵3.51 days and 5.00 鹵2.68 days, respectively. There was significant difference between the two groups (P0.01). The time of rale regression in the treatment group was significantly shorter than that in the control group. The treatment time was 8.86 鹵2.87 days and 7.56 鹵3.07 days respectively. There was significant difference between the two groups (P0.05). The treatment time of the treatment group was significantly shorter than that of the control group. Conclusion: Aoqingma Xingshigan decoction combined with external cupping and iontophoresis of traditional Chinese medicine can significantly improve the main symptoms and signs and secondary symptoms and signs of pneumonia in children with pneumonia due to wind-heat blocking lung syndrome and phlegm heat blocking lung syndrome. The combination of internal and external treatment of TCM can quickly restore the body temperature to normal in the children with pneumonia and cough of wind-heat blocking lung syndrome and phlegm heat blocking lung syndrome, can improve the cough symptoms of children, promote the absorption of rales in the lungs of children, and shorten the treatment time of children. Especially in children with lung rales absorption, the effect is more significant.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R272
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