本文關(guān)鍵詞：加味瀉黃散治療小兒皰疹性咽峽炎（心脾積熱型）的臨床研究　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 加味瀉黃散 心脾積熱 小兒皰疹性咽峽炎

【摘要】：目的:通過(guò)運(yùn)用加味瀉黃散治療小兒皰疹性咽峽炎,觀察其療效,評(píng)估此方在治療心脾積熱型小兒皰疹性咽峽炎中的應(yīng)用價(jià)值,并對(duì)其療效優(yōu)勢(shì)做出總結(jié),為今后制定合理的治療方案,進(jìn)一步探討如何治療小兒皰疹性咽峽炎及發(fā)揚(yáng)中醫(yī)藥在皰疹性咽峽炎中的治療優(yōu)勢(shì)提供臨床及理論依據(jù)。方法:將80例符合要求的患兒采用簡(jiǎn)單隨機(jī)化方法分為兩組,分別為試驗(yàn)組、對(duì)照組,每組各40例。試驗(yàn)組給予加味瀉黃散治療,對(duì)照組給予西醫(yī)常規(guī)綜合治療。觀察兩組患兒治療前后各項(xiàng)臨床癥狀體征、實(shí)驗(yàn)室指標(biāo)的變化,分別對(duì)兩組患兒治療前后的癥狀體征積分進(jìn)行評(píng)定,觀察兩組患兒皰疹消退時(shí)間及退熱時(shí)間,并對(duì)其療效做出評(píng)價(jià)。成果:兩組皰疹性咽峽炎患兒的年齡、性別分布、治療前的病情程度、各項(xiàng)癥候積分等方面均無(wú)明顯差異(P0.05),具有可比性。治療后試驗(yàn)組在改善患兒皰疹消退時(shí)間及退熱時(shí)間方面均優(yōu)于對(duì)照組,其差異具有統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組在改善患兒發(fā)熱、皰疹數(shù)量、頭身疼痛、咳嗽、飲食方面均優(yōu)于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05);而在改善咽痛、吞咽狀況、面色、精神、大便方面,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。兩組病例治療前后各項(xiàng)積分差值比較,試驗(yàn)組在改善患兒咽痛、精神、飲食方面優(yōu)于對(duì)照組(P0.05),具有統(tǒng)計(jì)學(xué)意義,其余方面差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。治療后總積分的組間、組內(nèi)比較均具有統(tǒng)計(jì)學(xué)意義(P0.05),且試驗(yàn)組總的癥狀體征改善狀況優(yōu)于對(duì)照組。兩組患兒進(jìn)行疾病療效分析時(shí),試驗(yàn)組臨床痊愈6例(15%),顯效19例(47.5%),有效14例(35%),總體療效明顯優(yōu)于對(duì)照組(P0.05)。結(jié)論:運(yùn)用加味瀉黃散治療心脾積熱型小兒皰疹性咽峽炎較西醫(yī)常規(guī)綜合治療方法能明顯提高臨床療效,可有效縮短皰疹消退時(shí)間及退熱時(shí)間,改善多項(xiàng)癥狀及體征評(píng)分。
[Abstract]:Objective: to observe the curative effect of Jiawei Xiehuang Powder in treating herpes isthmus in children, to evaluate the value of this prescription in the treatment of infantile herpes spondylitis of heart and spleen and heat type, and to summarize its curative effect advantage. To establish a reasonable treatment plan for the future. To further explore the treatment of herpes isthmus in children and to carry forward the advantages of traditional Chinese medicine in the treatment of herpes isthmus to provide clinical and theoretical basis. Eighty children who met the requirements were randomly divided into two groups by simple randomization method. Experimental group, control group, each group of 40 cases. The experimental group was treated with Xiehuang powder, the control group was given routine western medicine treatment. The two groups of children before and after treatment of clinical symptoms and signs. The changes of laboratory indexes were evaluated before and after treatment, and the time of herpes regression and fever were observed. Results: there was no significant difference in age, sex distribution, degree of illness before treatment, symptom score and so on between the two groups (P 0.05). After treatment, the treatment group was superior to the control group in improving the time of herpes regression and fever, and the difference was statistically significant (P 0.05). The treatment group was superior to the control group in improving fever, herpes quantity, head pain, cough and diet, and the difference was statistically significant (P 0.05). But in improving pharynx, swallowing condition, face, spirit, defecation, there is no significant difference between the two groups before and after treatment, the difference between the two groups before and after treatment, the test group in improving the pharynx pain, spirit. Diet was better than the control group (P 0.05), with statistical significance, the other aspects of the difference was not statistically significant (P 0.05). After treatment, the total score between groups. The comparison was statistically significant in both groups, and the improvement of symptoms and signs in the experimental group was better than that in the control group. In the analysis of the curative effect of the two groups, there were 6 cases of clinical recovery in the experimental group (15 cases). The remarkable effect was 47.5% in 19 cases and 35% in 14 cases. Conclusion: the treatment of infantile herpetic isthmus caused by heart and spleen accumulation fever in children with modified Xiehuang Powder can obviously improve the clinical effect compared with the routine comprehensive treatment of western medicine. It can effectively shorten the time of herpes extinction and fever, and improve the scores of multiple symptoms and signs.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R276.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳冰蓉;;酪酸梭菌活菌散輔助治療小兒皰疹性咽峽炎效果觀察[J];中國(guó)鄉(xiāng)村醫(yī)藥;2017年01期

2 劉璐佳;張?chǎng)?曲婉瑩;景偉超;王有鵬;;中藥治療兒童皰疹性咽峽炎的Meta分析[J];中醫(yī)藥導(dǎo)報(bào);2016年22期

3 牛文澤;周炯英;;中西醫(yī)結(jié)合治療小兒皰疹性咽峽炎60例臨床觀察[J];中醫(yī)兒科雜志;2016年06期

4 王媛媛;;清心瀉火法治療皰疹性咽峽炎療效觀察[J];新中醫(yī);2016年11期

5 陳玉琴;;清熱解毒湯保留灌腸治療小兒皰疹性咽峽炎的臨床分析[J];中國(guó)醫(yī)藥指南;2016年30期

6 夏蟬;余堅(jiān);金龍騰;溫正旺;陳益平;;皰疹性口炎與皰疹性咽峽炎的病原學(xué)檢測(cè)[J];中華全科醫(yī)學(xué);2016年10期

7 楊麗;;銀翹散治療小兒皰疹性咽峽炎隨機(jī)平行對(duì)照研究[J];實(shí)用中醫(yī)內(nèi)科雜志;2016年07期

8 馬淑珍;康繼孔;;蓮花清瘟顆粒聯(lián)合西藥治療小兒皰疹性咽峽炎45例臨床觀察[J];中醫(yī)兒科雜志;2015年05期

9 宣旎;;清咽散外敷涌泉穴在小兒皰疹性咽峽炎治療的應(yīng)用價(jià)值[J];中外醫(yī)療;2015年16期

10 胡博;;阿糖腺苷治療小兒皰疹性咽峽炎的療效觀察[J];中國(guó)實(shí)用醫(yī)藥;2015年09期

相關(guān)碩士學(xué)位論文 前3條

1 劉曉菲;銀翹馬勃解毒顆粒治療皰疹性咽峽炎濕熱毒蘊(yùn)證的臨床研究[D];山東中醫(yī)藥大學(xué);2014年

2 張濤;芩知利咽湯治療小兒皰疹性咽峽炎（脾胃積熱型）的臨床研究[D];長(zhǎng)春中醫(yī)藥大學(xué);2014年

3 李宏貴;銀翹清咽顆粒治療風(fēng)熱乘脾型小兒皰疹性咽峽炎的臨床觀察[D];廣州中醫(yī)藥大學(xué);2011年

，

本文編號(hào)：1439234