本文選題：妊娠外感發(fā)熱　切入點(diǎn)：妊娠感冒　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過(guò)銀翹散對(duì)妊娠期外感發(fā)熱患者的臨床治療,觀察其臨床療效,總結(jié)經(jīng)驗(yàn),更好地發(fā)揮中醫(yī)藥治療本病的優(yōu)勢(shì),為本方在臨床上的應(yīng)用及推廣提供理論依據(jù)。方法:選擇符合納入標(biāo)準(zhǔn)的妊娠期合并外感發(fā)熱的患者,辨證論治后,給予中藥銀翹散加減治療。以銀翹散煎煮方法煎煮。病重者,約4小時(shí)一服,日三服,夜一服;輕者,約6小時(shí)一服,日二服,夜一服;病不解者,作再服。每次100-150ml。療程3-7天。忌食生冷辛辣、油膩等刺激性食物。采用治療前后自身對(duì)照法,分別記錄治療前后的體溫、中醫(yī)癥狀積分評(píng)分表以及相關(guān)的生化指標(biāo),于治療后觀察患者體溫變化、中醫(yī)癥狀體征積分變化等情況,利用統(tǒng)計(jì)學(xué)處理軟件對(duì)數(shù)據(jù)進(jìn)行分析,并判定臨床療效。結(jié)果:1.妊娠患者治療前與治療后體溫進(jìn)行比較分析,t=13.71,P0.01,有顯著差異,且治療后妊娠患者體溫明顯低于治療前的體溫,差異具有統(tǒng)計(jì)學(xué)意義。2.中醫(yī)癥候臨床療效的總有效率是90%。妊娠患者治療前和治療后的中醫(yī)癥狀總積分,以及各單項(xiàng)中醫(yī)癥狀積分,經(jīng)統(tǒng)計(jì)學(xué)比較分析,均P0.01,差異具有統(tǒng)計(jì)學(xué)意義。結(jié)論:1.妊娠外感發(fā)熱疾病的治療,強(qiáng)調(diào)"祛邪、清熱、安胎"三管齊下,治以"解表透邪,清熱安胎",方用銀翹散加減。2.銀翹散加減治療妊娠外感發(fā)熱疾病,在臨床應(yīng)用中療效較著,值得推廣與借鑒。
[Abstract]:Objective: to observe the clinical effect of Yinqiao Powder on the patients with external fever during pregnancy, and to summarize the experience so as to give full play to the advantages of traditional Chinese medicine (TCM) in the treatment of this disease. Methods: select the patients who meet the criteria of pregnancy and external fever, and treat them according to syndrome differentiation, and provide the theoretical basis for the clinical application and popularization of the prescription. Add and subtract the traditional Chinese medicine Yinqiao Powder. Decoction with Yinqiao Powder decoction. Seriously ill, about 4 hours a day, three times a day, one night; light, about 6 hours, two days, one night; those who are ill, Take it again. 100-150ml / time. The course of treatment is 3-7 days. Avoid eating irritant food, such as cold, spicy, greasy, etc. The body temperature, TCM symptom score and related biochemical indexes were recorded before and after treatment by self-control method. After treatment, we observed the changes of patients' body temperature, the integral changes of symptoms and signs of traditional Chinese medicine, and analyzed the data by using statistical processing software. Results 1.The body temperature of pregnant patients before and after treatment was compared with that after treatment. There was significant difference in body temperature of pregnant patients before and after treatment, and the body temperature of pregnant patients after treatment was significantly lower than that before treatment. The difference is statistically significant. The total effective rate of clinical curative effect of TCM symptoms is 90. The total scores of TCM symptoms before and after treatment in pregnancy patients, as well as the scores of individual TCM symptoms, are compared and analyzed statistically. The difference was statistically significant. Conclusion 1. The treatment of ectopic febrile diseases of pregnancy emphasizes "dispelling evil, clearing away heat, and calming the fetus". Yinqiao Powder added and subtracted to treat pregnancy external febrile disease, the curative effect in clinical application is remarkable, it is worth popularizing and using for reference.
【學(xué)位授予單位】：黑龍江中醫(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)】：R271.9

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本文編號(hào)：1562099