蒿芩麻杏石甘汤配合拔罐治疗小儿肺炎支原体肺炎临床疗效观察

发布时间：2018-08-28 15:37

【摘要】：目的:通过对中医辨证属风热郁肺证和痰热闭肺证的肺炎支原体肺炎患儿在阿奇霉素治疗的基础上,予蒿芩麻杏石甘汤口服及拔罐治疗,与单用阿奇霉素抗感染治疗作对比,观察罐药综合治疗肺炎支原体肺炎疗效及安全性,并对其进行综合评价。方法:本研究选取北京中医药大学东方医院门诊及病房收治肺炎支原体肺炎患儿共100例,所选患儿均符合肺炎支原体肺炎西医诊断,中医诊断为肺炎喘嗽,证属风热郁肺或痰热闭肺证。随机分为实验组和对照组,对照组予阿奇霉素抗感染治疗及对症支持治疗,实验组在对照组治疗的基础上予蒿芩麻杏石甘汤口服与拔罐治疗,在特定时间点对两组患儿主要症状(咳嗽、痰壅、发热、气喘、肺部Up音)、次要症状(食欲、恶心、精神、面色),实验室指标及疗效评价指标评分,评价蒿芩麻杏石甘汤配合拔罐治疗的临床疗效。结果:实验组与对照组的组内总分比较,治疗前后均有明显差异,病情分级差异明显,提示两组治疗均有效。组间比较,两组治疗后症状评分无明显区别,两组治疗后实验室检查无明显差异,但实验组主症起效时间评分明显高于对照组,差异有统计学意义,且在咳嗽、痰壅、听诊起效时间上明显高于对照组,提示实验组在咳嗽好转时间、痰壅好转时间及Up音吸收时间短于对照组。实验组痊显率94%明显高于对照组78%,治疗后实验组症状总分较对照组更低,治疗后病情分级实验组明显优于对照组,差异有统计学意义,提示实验组治疗计划更优。结论:罐药综合疗法治疗肺炎支原体肺炎可提高痊显率,更快改善咳嗽、咳痰症状,促进Up音吸收,疗效明显,使用安全。
[Abstract]:Objective: based on the treatment of azithromycin, the children with mycoplasma pneumoniae pneumonia with syndrome differentiation of wind-heat depression lung syndrome and phlegm-heat blocking lung syndrome were treated with Azithromycin orally and cupping, and compared with azithromycin alone. To observe the efficacy and safety of combined treatment of mycoplasma pneumoniae pneumonia with cupping drugs, and to evaluate it synthetically. Methods: a total of 100 children with mycoplasma pneumoniae pneumonia were selected from the outpatient and ward of Oriental Hospital of Beijing University of traditional Chinese Medicine. The syndrome is wind heat depression lung or phlegm heat block lung syndrome. The experimental group was randomly divided into experimental group and control group. The control group was treated with azithromycin anti-infective therapy and symptomatic support therapy. The experimental group was treated with Azithromycin Maxingshigan decoction orally and cupping on the basis of the treatment in the control group. The main symptoms (cough, phlegm obstruction, fever, asthma, lung Up sound), secondary symptoms (appetite, nausea, spirit, complexion), laboratory indexes and therapeutic evaluation indexes were evaluated at a specific time point in the two groups. To evaluate the clinical effect of Aoqingma Xingshigan decoction combined with cupping. Results: compared with the control group, the total scores of the experimental group and the control group were significantly different before and after treatment, indicating that the two groups were effective. There was no significant difference in the scores of symptoms between the two groups after treatment, and there was no significant difference in laboratory examination between the two groups, but the scores of the onset time of the main symptoms in the experimental group were significantly higher than those in the control group, and the difference was statistically significant in cough and phlegm obstruction. The effect time of auscultation was significantly higher than that of the control group, suggesting that the time of cough improvement, phlegm accumulation and Up tone absorption were shorter in the experimental group than in the control group. After treatment, the total score of symptoms in the experimental group was lower than that in the control group, and the disease grade in the experimental group was significantly better than that in the control group after treatment. The difference was statistically significant, suggesting that the treatment plan of the experimental group was better than that of the control group. Conclusion: the treatment of mycoplasma pneumoniae pneumonia with combined cupping therapy can improve the cure rate, improve cough and expectoration symptoms, promote the absorption of Up sound, and is safe to use.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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