本文關(guān)鍵詞：小金湯配合中藥敷臍治療小兒汗證（肺衛(wèi)不固證）的臨床觀察　出處：《南京中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：研究目的:目前臨床上小兒汗證的發(fā)病率居高不下,疾病遷延不愈,較難根治,極大程度影響了兒童的身體素質(zhì)和生活質(zhì)量。本研究通過觀察治療前后患兒出汗的程度、呼吸道感染發(fā)作次數(shù),以及惡風(fēng)、乏力、口渴、納差、大小便、舌苔脈象等指標(biāo)的變化,客觀評(píng)價(jià)小金湯配合中藥敷臍對(duì)小兒汗證肺衛(wèi)不固證的治療效果。研究方法:臨床選取符合納入標(biāo)準(zhǔn)的60例汗證患兒,隨機(jī)平均分組,治療組共30例,對(duì)照組共30例。治療前兩組的性別、年齡和主次癥積分之間的差異,不具統(tǒng)計(jì)學(xué)意義(均P0.05),具有可比性。治療組予小金湯配合中藥敷臍,對(duì)照組予玉屏風(fēng)口服液口服配合安慰劑敷臍治療,療程1個(gè)月,隨訪1個(gè)月。通過觀察治療前、治療后及停藥1個(gè)月后的不同階段,比較兩組患兒主癥及次癥積分的改善情況,評(píng)價(jià)兩組不同方案的臨床療效。研究結(jié)果:脫落病例除外,最后完成了 58個(gè)病例的觀察評(píng)估,治療組和對(duì)照組各有29例。統(tǒng)計(jì)結(jié)果如下:1.臨床療效比較:治療組痊愈3例(10.3%),顯效11例(38.0%),有效10例(34.5%),無效5例(17.2%),總有效率82.8%;對(duì)照組痊愈1例(3.4%),顯效8例(27.6%),有效8例(27.6%),無效12例(41.4%),總有效率58.6%。治療組的總體有效率高于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。2.主癥改善方面:兩組均能明顯改善出汗程度(均P0.05),且治療組優(yōu)于對(duì)照組(P0.05);兩組均未能減少患兒呼吸道感染發(fā)作次數(shù)(均P0.05),且組間比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。3.次癥改善方面:兩組對(duì)惡風(fēng)癥狀均可改善(均P0.05),同時(shí)兩組療效相當(dāng)(P0.05)。治療組對(duì)次要癥狀乏力、納差、小便情況均有明顯改善(均P0.05),且都優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(均P0.05)。4.遠(yuǎn)期療效:停藥1月后隨訪,治療組和對(duì)照組的主癥、次癥總積分前后差異無統(tǒng)計(jì)學(xué)意義(均P0.05),兩組均不具有遠(yuǎn)期療效。結(jié)論:小金湯配合中藥敷臍對(duì)小兒汗證肺衛(wèi)不固證具有較好的療效。
[Abstract]:Objective: at present, the incidence of perspiration syndrome in children is high, the disease is not cured, and it is difficult to cure. This study observed the degree of sweating, the number of episodes of respiratory infection, and the bad wind, fatigue, thirst, anorexia, defecation and defecation before and after treatment. Objective to evaluate the therapeutic effect of Xiaojin decoction combined with traditional Chinese medicine on perspiration syndrome in children. Methods: 60 cases of children with perspiration syndrome were selected clinically. There were 30 cases in the treatment group and 30 cases in the control group. There was no significant difference in sex, age and the score of primary and secondary symptoms between the two groups before treatment (all P 0.05). The treatment group was given Xiaojin Tang combined with traditional Chinese medicine applied umbilical, the control group was given Yupingfeng oral liquid combined with placebo navel treatment, the course of treatment was 1 month, followed up for 1 month. At different stages after treatment and one month after withdrawal, the improvement of the scores of major and secondary symptoms was compared between the two groups, and the clinical efficacy of the two groups was evaluated. Results: except for the cases of shedding. Finally, 58 cases were observed and evaluated. There were 29 cases in the treatment group and 29 cases in the control group. The statistical results were as follows: 1. Comparison of clinical efficacy: 3 cases were cured in the treatment group (10. 3%). The total effective rate was 82.8% in 11 cases (38.0%), 10 cases (34.5%) and 5 cases (17.2%). In the control group, 1 case was cured, 8 cases were effective, 8 cases were effective, 8 cases were effective, and 12 cases were ineffective. The total effective rate was 58.6%. The total effective rate in the treatment group was higher than that in the control group. The difference was statistically significant (P 0.05). The improvement of main symptoms: both groups could improve the degree of sweating (P 0.05), and the treatment group was better than the control group (P 0.05). The frequency of respiratory tract infection was not reduced in both groups (all P 0.05). And there was no significant difference between the two groups in the improvement of secondary symptoms: the two groups could improve the symptoms of evil wind (both P0.05). At the same time, the curative effect of the two groups was similar to that of P0.05.The treatment group had obvious improvement in secondary symptoms such as fatigue, anorexia and urination (all P0.05, all of which were superior to the control group). The difference was statistically significant (all P0.05. 4. long term efficacy: after January, the treatment group and control group, the main symptoms, secondary symptom total score before and after the difference was not statistically significant (all P 0.05). Conclusion: Xiaojin decoction combined with traditional Chinese medicine has a better curative effect on perspiration syndrome in children.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R272

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