益肺止咳汤治疗妊娠咳嗽的临床观察

发布时间：2018-03-20 13:16

本文选题：妊娠咳嗽　切入点：益肺止咳汤　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过自拟益肺止咳汤对阴虚肺燥型妊娠咳嗽的患者进行临床治疗,评价其临床疗效,将治疗本病相关经验与同行们共享。方法:收集2016年02月至2017年01月于黑龙江中医药大学附属第一医院妇科门诊就诊符合本课题研究诊断纳入及排除标准的妊娠期咳嗽患者30例进行临床观察研究。患者入组后根据个体情况差异辨证,组药开方,分别观察患者疗程均为2周。分别观察患者0天(入组时)及14天(治疗后)中医症状积分(包括主症、兼次症、总分);统计患者治疗2周后临床咳嗽疗效、及其他中医症状疗效改善。结果:1.共入组30例阴虚肺燥型妊娠咳嗽患者,总有效率达90.00%,其中痊愈率为10.00%,显效率为50.00%,有效率30.00%。2.对治疗前后中医症候总积分数据进行分析,经统计学两组相关样本非参数检验(Wilcoxon秩和检验)分析,P=0.000＜0.01,可以认为治疗前后症状积分有显著差异,且治疗前症状积分明显高于治疗后症状积分,具有统计学意义。3.对主证、兼次证症状治疗前后积分进行统计,运用统计学两组相关样本非参数检验分析(Wilcoxon秩和检验),得出各项症状的P＜0.01,有统计学意义,说明治疗前后各项证候积分有显著差异,且治疗前各项症状积分明显高于治疗后各项症状积分。结论:1.自拟益肺止咳汤在减轻入组患者主症积分的同时,对次症亦有较好的控制作用。2.本病的治疗以识病位、辨病机、结合止咳与安胎并举这一大法为主,在选方用药方面,应注重一药多用,随症加减。3.自拟益肺止咳汤治疗阴虚肺燥型妊娠咳嗽的临床疗效显著,值得在临床上推广应用。
[Abstract]:Objective: to evaluate the clinical effect of Yifei Zhike decoction (YFZD) on pregnancy and cough with yin deficiency and lung dryness. Methods: from February 2016 to January 2017, the gynecological clinic of the first affiliated hospital of Heilongjiang university of traditional Chinese medicine was collected to meet the criteria of inclusion and exclusion of the research and diagnosis of pregnancy. A clinical observation study was carried out in 30 patients with cough. The course of treatment was 2 weeks. The scores of TCM symptom (including main symptom, secondary symptom, total score) were observed on 0 day (when entering the group) and 14 days (after treatment), and the curative effect of clinical cough after 2 weeks of treatment was counted. Results the total effective rate of 30 cases of pregnancy and cough with yin deficiency and lung dryness was 90.00.The cure rate was 10.00, the effective rate was 50.00g and the effective rate was 30.00.2.The total integral data of TCM symptoms before and after treatment were analyzed. According to the nonparametric test (Wilcoxon rank sum test) of the two groups of related samples, we can conclude that there is significant difference in symptom score before and after treatment, and the symptom integral before and after treatment is obviously higher than that after treatment, which has statistical significance. The scores of symptoms before and after treatment were statistically analyzed, and the Wilcoxon rank sum test was used to analyze the two groups of related samples. The results showed that the symptoms were significantly different before and after treatment (P < 0.01), indicating that there were significant differences in the scores of symptoms before and after treatment. The scores of symptoms before and after treatment were significantly higher than those after treatment. Conclusion: 1. The self-made Yifei Zhike decoction can reduce the main symptom score of the patients in the group, at the same time, it also has a better control effect on the secondary symptoms .2.The treatment of this disease can recognize the position of the disease and distinguish the pathogenesis of the disease. The combination of cough relief and the treatment of fetus is the main method, in the choice of prescription, we should pay attention to the use of one drug, with the syndrome plus or minus .3.The self-formulated Yifei Zhike decoction for the treatment of Yin deficiency and lung dryness type pregnancy cough clinical effect is remarkable, it is worth to be popularized in clinical application.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R271.9

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