过敏性紫癜中医证型分布特点及疏风清络，凉血止血法的临床疗效评价

发布时间：2018-03-01 06:22

本文关键词： 小儿过敏性紫癜:中医证型分布络病理论中医治法疗效　出处：《湖北中医药大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:在络病理论指导下,探讨小儿过敏性紫癜的中医证型分布及疏风清络,凉血止血法治疗紫癜的疗效,为临床诊治提供新思路。方法:选取2 0 0 5年3月到2 0 1 5年3月湖北省中医院门诊及住院部1 0 0例过敏性紫癜患儿为研究对象。该1 0 0例患儿均符合过敏性紫癜的西医诊断标准及中医辨证标准,收集1 0 0例患儿一般情况,治疗前患儿的中医症状及舌苔脉象,根据中医辨证标准,判断其中医证型,探讨小儿过敏性紫癜的中医证型分布特点。在1 0 0例患儿中血热伤络及风热伤络患儿归为治疗组、对照组各2 5例,对照组采用犀角地黄汤治疗,治疗组在对照组治疗的基础上加用清络分的药物治疗,1 5天为一个疗程,观察6个月,比较治疗组及对照组综合疗效,比较患儿治疗前后皮肤紫癜消退的时间,比较患儿尿常规恢复正常的时间、症候积分变化和6月内复发率。结果:1、血热伤络型患儿占5 5%,过敏性紫癜中医分型以血热伤络型为主。2、犀角地黄汤加用清络分的药物治疗过敏性紫癜综合疗效明显优于对照组。3、犀角地黄汤加用清络分的药物治疗过敏性紫癜皮肤紫癜消退的时间短于对照组,P0.0 5。4、犀角地黄汤加用清络分的药物治疗过敏性紫癜尿常规恢复正常的时间短于对照组,P0.0 5。5、犀角地黄汤加用清络分的药物治疗过敏性紫癜较犀角地黄汤6个月内复发率低。结论:过敏性紫癜中医分型以血热伤络型为主,遵疏风清络,凉血止血法选用犀角地黄汤加用清络分的药物治疗过敏性紫癜在有效率、皮肤紫癜消退的时间、尿常规恢复正常的时间、复发率方面均优于犀角地黄汤。
[Abstract]:Objective: under the guidance of collateral disease theory, to explore the distribution of TCM syndromes of allergic purpura in children and the curative effect of thinning wind and clearing collaterals, cooling blood and hemostasis in treating purpura. Methods: 100 children with Henoch-Schonlein purpura from March to March in Hubei Provincial Hospital of traditional Chinese Medicine were selected as subjects. Western Medicine diagnosis Standard and TCM Syndrome differentiation Standard of Henoch-Schonlein purpura, The general situation of 100 cases of children was collected. The symptoms of TCM and the pulse of tongue coating were collected before treatment. According to the criteria of TCM syndrome differentiation, the TCM syndrome types were judged. To explore the distribution characteristics of TCM syndromes of allergic purpura in children, 100 children were divided into treatment group with blood heat injury and wind-heat injury collateral, control group with 25 cases each, the control group with rhino horn and Dihuang decoction. On the basis of the treatment of the control group, the treatment group was treated with the drug Qingluo sub-group for 15 days as a course of treatment. The treatment group was observed for 6 months. The comprehensive curative effect of the treatment group and the control group was compared, and the time before and after treatment was compared between the treatment group and the control group. To compare the time of recovery of urine routine in children, The symptom integral change and the recurrence rate in June. Results: 1, blood heat injury collaterals type accounted for 55%, allergic purpura TCM type mainly blood heat injury collaterals type. 2. Rhino horn and Dihuang decoction with Qingluo points medicine treatment of allergic purpura comprehensive curative effect Ming Ming. Rhinoceros and Rehmannia decoction was better than the control group in treating allergic purpura skin purpura with Qingluo decoction, the time of skin purpura subsiding was shorter than that of control group (P0.05.4), and the routine routine treatment of allergic purpura with rhinoceros decoction with Qingluo decoction returned to normal. The time of treatment was shorter than that of control group (P0.05.5). The recurrence rate of rhino horn and Rehmannia decoction in the treatment of allergic purpura was lower than that of rhino horn Dihuang decoction in 6 months. Conclusion: the main type of TCM classification of Henoch-Schonlein purpura is blood heat injury collaterals. The effective rate, the time of purpura purpura regression, the time of urine routine recovery, the recurrence rate of rhino horn and Rehmannia decoction were better than that of rhino horn and Rehmannia decoction in the effective rate, the time of purpura purpura regression and the time of urine routine recovery.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R272

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