黄葶汤加味治疗小儿大叶性肺炎（痰热闭肺型）的临床研究

发布时间：2017-12-30 21:47

本文关键词：黄葶汤加味治疗小儿大叶性肺炎（痰热闭肺型）的临床研究　出处：《长春中医药大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:应用黄葶汤加味联合西药治疗小儿痰热闭肺型大叶性肺炎,观察中西医结合治疗小儿痰热闭肺型大叶性肺炎的临床疗效,评价中医药治疗小儿痰热闭肺型大叶性肺炎的优势。方法:筛选出儿科符合本病标准的患者共60例,以随机分组原则分为治疗组与对照组,各组病例数皆为30例。对照组患者给予对症抗感染西药治疗,5天一个疗程,观察2到4个疗程。治疗组在对照组的基础上给予黄葶汤加味治疗,5天一个疗程,观察2到4个疗程。黄葶汤药物组成及用法:黄芩、葶苈子、生石膏、杏仁、川芎、鱼腥草、白屈菜、浙贝母、桔梗、苏子、冬瓜子、前胡、甘草,每副免煎中药(江苏省天江药业有限公司)以上药物各一袋,6个月以内一副药服4天;6~12个月一副药服3天;1~2岁一副药服2天;3~4岁一副药服一天半;5岁以上一副药服1天。结果:治疗组:痊愈24例,痊愈率80%;显效4例,显效率13.3%;有效1例,有效率3.3%;无效1例,无效率3.3%;总有效率96.7%。对照组:痊愈14例,痊愈率56.7%;显效2例,显效率6.7%;有效7例,有效率23.3%;无效4例,无效率13.3%;总有效率86.7%。两组间的总体有效率有统计学意义(P0.05)即治疗组优于对照组。结论:中西医结合治疗小儿痰热闭肺型大叶性肺炎的效果更佳,其优势在于缩短病程、增强疗效、降低患儿家庭经济负担。
[Abstract]:Objective: to observe the clinical effect of Huangting decoction combined with western medicine in treating phlegm heat blocking lung type large leaf pneumonia in children and observing the clinical effect of combination of traditional Chinese and western medicine on phlegm heat blocking lung type large leaf pneumonia in children. To evaluate the advantages of traditional Chinese medicine (TCM) in treating phlegm and heat blocking lung type lobular pneumonia in children. Methods: 60 pediatric patients who met the standard of phlegm and heat were selected and divided into treatment group and control group according to the principle of random grouping. The number of cases in each group was 30 cases. The patients in the control group were treated with anti-infective medicine for 5 days and observed for 2 to 4 courses. The treatment group was treated with Huangting decoction on the basis of the control group. Five days a course of treatment, observe 2 to 4 courses of treatment. Huangting decoction drug composition and usage: Scutellaria, Lepidium chinensis, raw gypsum, almond, Ligusticum chuanxiong, Houttuynia cordata Houttuynia, Folium chinensis, Fritillaria thunbergii, Platycodon grandiflorum, Perilla perilla, melon seed, Qianhu. Licorice, each pair of Chinese medicine (Jiangsu Province Tianjiang Pharmaceutical Co., Ltd.) more than a bag of drugs, within 6 months a pair of medicine for 4 days; A pair of drugs was taken for 3 days from 6 to 12 months. 1 2 years old a pair of medicine take 2 days; 3 / 4 years old a pair of medicine take a day and a half; Results: in the treatment group, 24 cases were cured, the cure rate was 80%; There were 4 cases with remarkable effect, the effective rate was 13.3%; One case was effective and the effective rate was 3.3%; There was no effect in 1 case, and the ineffective rate was 3.3%. The total effective rate was 96.7.The control group: 14 cases were cured, the cure rate was 56.7%; There were 2 cases with remarkable effect, and the effective rate was 6.7%. 7 cases were effective, the effective rate was 23. 3%; The ineffective rate was 13.3% in 4 cases. The total effective rate was 86.7. The total effective rate between the two groups was statistically significant (P0.05), that is, the treatment group was better than the control group. Conclusion: the treatment of phlegm-heat blocking lung type lobar pneumonia is better in children with integrated traditional Chinese and western medicine. Its advantage lies in shortening the course of disease, enhancing the curative effect and reducing the economic burden of the child's family.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R272

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