本文選題：兒童 + 外感風(fēng)熱證　； 參考：《山西中醫(yī)學(xué)院》2016年碩士論文

【摘要】：目的觀察協(xié)定方“銀黃雙解湯”治療小兒外感風(fēng)熱證的臨床療效。方法對(duì)120例外感風(fēng)熱證的患兒采用隨機(jī)、對(duì)照的方法分成治療組與對(duì)照組,治療組90例,采用中藥銀黃雙解湯(金銀花、黃芩、連翹、蘆根、薄荷、丹皮、僵蠶、蟬蛻、大黃、枳殼、焦檳榔、炒萊菔子、甘草)治療,對(duì)照組30例,則采用小兒豉翹清熱顆粒(濟(jì)川藥業(yè),國(guó)藥準(zhǔn)字Z20050154)治療,如有必要時(shí)可及時(shí)予以補(bǔ)液、退熱等進(jìn)行對(duì)癥治療。觀察時(shí)間為3天1療程,對(duì)比治療組與對(duì)照組的療效結(jié)果,并對(duì)兩組進(jìn)行療效評(píng)價(jià)分析。結(jié)果治療組在其主要癥狀積分的改善方面優(yōu)于對(duì)照組;次要癥狀積分的改善方面也優(yōu)于對(duì)照組;治療組和對(duì)照組的疾病總有效率分別為95.6%、86.7%。兩組比較發(fā)現(xiàn)P0.05,具有統(tǒng)計(jì)學(xué)意義,表明治療組優(yōu)于對(duì)照組。結(jié)論研究結(jié)果表明經(jīng)驗(yàn)方銀黃雙解湯治療小兒外感風(fēng)熱證在解熱時(shí)間及改善患兒臨床癥狀方面療效更為顯著。為治療小兒外感風(fēng)熱證方面提供了更多的治療思路,外解風(fēng)熱之時(shí)同時(shí)注意清瀉積食、和脾運(yùn)脾,更加切合小兒病生理特點(diǎn)達(dá)到內(nèi)外雙解、藥到病除之功效。
[Abstract]:Objective to observe the clinical effect of Yinhuangshuangjie decoction on children with exogenous wind and heat syndrome. Methods 120 children with exogenous wind-heat syndrome were randomly divided into treatment group (n = 90) and control group (n = 90), which were treated with Yinhuangjie decoction (Flos Lonicerae, Scutellaria baicalensis, Forsythia Forsythia, Reed root, mint, danpi, Bombyx bassiana, cicada slough, rhubarb). Fructus Aurantii, Chareca catechu, semen Raphani, Glycyrrhiza uralensis) were treated, while in control group, 30 cases were treated with Jichuan medicine industry, Z20050154, if necessary, they could be treated with rehydration and antipyretic. The observation time was 3 days, the curative effect of the treatment group and the control group were compared, and the curative effect of the two groups was evaluated and analyzed. Results the improvement of the main symptom score in the treatment group was better than that in the control group, and the improvement of the secondary symptom score in the treatment group was better than that in the control group. The total effective rate of the treatment group and the control group was 95.6% and 86.7% respectively. The comparison between the two groups showed that P 0.05 was statistically significant, which indicated that the treatment group was superior to the control group. Conclusion the results showed that Yinhuangshuangjie decoction was more effective in relieving fever and improving clinical symptoms in children with exogenous wind-heat syndrome. In order to treat children with exogenous wind-heat syndrome, more treatment ideas were provided, while clearing away wind-heat and paying attention to clearing away diarrhea and accumulating food, and spleen moving spleen, which was more suitable for the physiological characteristics of pediatric diseases to achieve both internal and external treatment, and the efficacy of medicine to eliminate diseases.
【學(xué)位授予單位】：山西中醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R272

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