【摘要】：目的：評價具有祛風(fēng)清肺化痰平喘作用的中藥湯劑配合西藥治療小兒喘息性支氣管炎熱哮證的可行性及有效性,為臨床運用該法治療小兒喘支提供參考依據(jù)及研究方向。 方法：本研究選取喘息性支氣管炎熱哮證患者60例,隨機分為治療組和對照組,兩組各30例,對照組給予靜滴氫化可的松琥珀酸鈉、氨茶堿、炎琥寧,霧化吸入布地奈德及特布他林治療；治療組在對照組治療的基礎(chǔ)上加服具有祛風(fēng)清肺、化痰平喘作用的中藥湯劑。兩組療程均為7天。療程結(jié)束后,觀察治療前后喘息、咳嗽、咯痰痰鳴、鼻煽、哮鳴音、體溫、精神、面色、口渴、食欲、二便、舌質(zhì)、舌苔、汗出、脈象等癥狀體征的改善情況,以臨床積分為依據(jù)觀察其療效。 結(jié)果：兩組患兒治療前在性別、年齡、病情程度、主癥積分、次癥積分、主次癥總積分等方面,差異均無統(tǒng)計學(xué)差異(P0.05),具有可比性。兩組患兒治療后主癥改善情況比較,治療組在改善患兒喘息、咳嗽、咯痰痰鳴、肺部哮鳴音等癥狀及體征方面,優(yōu)于對照組,差異有統(tǒng)計學(xué)意義(P0.05)；在改善鼻煽方面,差異無統(tǒng)計學(xué)意義(P0.05)。兩組患兒治療后次癥改善情況比較,在面色、食欲、大便、舌質(zhì)、舌苔、汗出、脈象癥狀體征改善方面,差異有統(tǒng)計學(xué)意義(P0.05)；在體溫、精神、口渴、小便改善方面,差異無統(tǒng)計學(xué)意義(P0.05)。兩組主癥積分、次癥積分、主次癥總積分治療前后組內(nèi)比較,差異均有統(tǒng)計學(xué)意義(P0.01)；治療后兩組組間比較差異有統(tǒng)計學(xué)意義(P0.01),治療組優(yōu)于對照組。兩組綜合療效比較,差異有統(tǒng)計學(xué)意義(P0.05),治療組優(yōu)于對照組。 結(jié)論：祛風(fēng)清肺化痰平喘法配合西醫(yī)療法治療小兒喘息性支氣管炎熱哮證具有一定的優(yōu)勢,是一種可行、有效的方法,在改善患兒喘息、咳嗽、咯痰痰鳴、哮鳴音、面色、食欲、大便、舌質(zhì)、舌苔、汗出、脈象等癥狀方面及主癥積分、次癥積分、總積分變化情況比較,治療組優(yōu)于對照組。
[Abstract]:Objective: to evaluate the feasibility and effectiveness of traditional Chinese medicine decoction combined with western medicine in treating children with asthmatic bronchitis and heat asthma, and to provide reference basis and research direction for clinical treatment of asthmatic bronchitis in children. Methods: sixty patients with asthmatic bronchitis were randomly divided into treatment group and control group, 30 cases in each group. The control group was given hydrocortisone sodium succinate, aminophylline and Yanhuning. Inhalation of budesonide and terbutaline; The treatment group in the control group on the basis of the treatment plus with dispelling wind to clear the lung, phlegm antiasthmatic effect of traditional Chinese medicine decoction. The course of treatment was 7 days in both groups. After the course of treatment, the improvement of symptoms and signs, such as wheezing, cough, phlegm, nasal fan, wheezing, body temperature, spirit, facial color, thirst, appetite, stool, tongue quality, tongue coating, sweating, pulse and so on, were observed before and after the treatment. The curative effect was observed on the basis of clinical integral. Results: there was no statistical difference between the two groups in sex, age, degree of illness, main symptom score, secondary symptom score and total score of primary and secondary symptoms before treatment (P0.05). The improvement of the main symptoms after treatment in the treatment group was better than that in the control group (P0.05) in improving the symptoms and signs of wheezing, cough, phlegm and phlegm, lung wheezing and other symptoms and signs of the children in the treatment group (P0.05). In improving nasal fan, there was no significant difference (P0.05). The improvement of symptoms after treatment in the two groups, in facial color, appetite, stool, tongue, tongue coating, sweating, pulse symptoms and signs improvement, the difference was statistically significant (P0.05); There was no significant difference in body temperature, spirit, thirst and urine improvement (P0.05). There were significant differences between the two groups before and after treatment (P0.01), the difference between the two groups was statistically significant (P0.01), the treatment group was better than the control group (P0.01). Two groups comprehensive curative effect comparison, the difference has the statistical significance (P0.05), the treatment group is superior to the control group. Conclusion: the method of expelling wind and clearing the lung and removing phlegm and relieving asthma combined with western medicine therapy has certain advantages in treating children with asthmatic bronchitis and heat asthma. It is a feasible and effective method in improving the children's breathing, coughing, phlegm, wheezing and complexion. The changes of appetite, defecation, tongue quality, tongue coating, sweating, pulse and other symptoms, main symptom score, secondary symptom score and total integral were better in the treatment group than in the control group.
【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】：2012
【分類號】：R725.6

【參考文獻】

相關(guān)期刊論文 前10條

1 汪俊蘭;桂金貴;郭占霞;徐朝暉;;孟魯司特鈉治療嬰幼兒喘息性疾病臨床觀察[J];安徽醫(yī)學(xué);2010年06期

2 李國榮;風(fēng)藥在兒科臨床中的應(yīng)用體會[J];浙江中醫(yī)學(xué)院學(xué)報;2004年03期

3 張喜英;趙文利;何念海;;喘息性支氣管炎與兒童哮喘相關(guān)性的初步探討[J];重慶醫(yī)學(xué);2008年09期

4 黃建明,陳東波,楊樂鵬;麻杏石甘湯對哮喘小鼠氣道炎癥的影響[J];福建中醫(yī)藥;2003年04期

5 葉進;韓新民;楊江;孫軼秋;陸力生;曹建梅;;瀉肺平喘靈治療小兒熱性哮喘70例臨床觀察[J];甘肅中醫(yī);2008年04期

6 任小棣;騫芳;薛荃;;中西醫(yī)結(jié)合治療小兒喘息性支氣管炎45例療效觀察[J];河北中醫(yī);2010年05期

7 祁鵬;徐濤;祁運敏;;燈火灸療法治療小兒哮喘臨床觀察[J];湖北中醫(yī)雜志;2011年09期

8 韓鳳芹;孫雪文;劉延菊;張瑞娟;胡勇;;麻杏石甘湯對哮喘小鼠模型肺功能和Th1/Th2細胞因子失衡的影響[J];湖北中醫(yī)雜志;2012年01期

9 伍燕珍;張金良;趙秀閣;劉玲;;我國大氣污染與兒童呼吸系統(tǒng)疾病和癥狀的關(guān)系[J];環(huán)境與健康雜志;2009年06期

10 郝遠登;清熱豁痰化瘀法治療小兒熱性哮喘療效觀察[J];湖南中醫(yī)學(xué)院學(xué)報;2004年05期

相關(guān)博士學(xué)位論文 前1條

1 肖長江;小兒熱哮微觀辨證及清肺平喘法的療效機理研究[D];湖南中醫(yī)學(xué)院;2001年

相關(guān)碩士學(xué)位論文 前3條

1 馮曉英;喘息性支氣管炎與肺炎支原體感染的關(guān)系及隨訪觀察[D];新疆醫(yī)科大學(xué);2007年

2 王利;化痰祛瘀湯治療小兒哮喘急性發(fā)作期的臨床觀察[D];廣州中醫(yī)藥大學(xué);2009年

3 李梅;清肺化痰平喘方治療小兒“痰熱壅肺”型哮喘的臨床研究[D];廣州中醫(yī)藥大學(xué);2010年

，

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