玄贝温胆汤治疗寒地儿童上气道咳嗽综合征（湿热内蕴证）的临床疗效观察

发布时间：2018-03-01 12:29

本文关键词： 上气道咳嗽综合征湿热内蕴证玄贝温胆汤寒地　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:总结玄贝温胆汤方对于治疗寒地学龄期的儿童上气道咳嗽综合征的临床疗效,验证玄贝温胆治疗本病的可行性以及安全性。方法:选择符合寒地学龄期儿童上气道咳嗽综合征(湿热内蕴证)诊断标准及纳入标准的60例患儿,按照随机分组法为治疗组和对照组,按照就诊先后顺序编号分为两组各30例。两组患儿均在基本的生活方式干预以及基本的心理疏导下,治疗组选用玄贝温胆汤治疗,对照组选择丙酸氟替卡松鼻喷雾剂(辅舒良)加孟鲁司特钠咀嚼片(顺尔宁)进行治疗。两组治疗时间均为4周。治疗后对两组患者均分别用单项证候积分、腺样体大小积分改变情况、总积分的改变情况进行评价。结果:1.在咳嗽咳痰、鼾眠、总积分方面两组治疗前后对比均具有极显著差异(P0.01),说明两组对于治疗咳嗽咳痰、鼾眠、整体症状方面均有明显疗效,在治疗消化症状方面,治疗组在治疗前后具有极显著差异(P0.01),治疗效果明显,而对照组在治疗前后具有显著差异(P0.05),治疗有效。2.在咳嗽咳痰、鼾眠、消化症状方面,治疗组的治疗效果均明显好于对照组,具有极显著差异(P0.01),在消化症状方面,治疗组的治疗效果好于对照组(P0.05),在咽部症状的治疗上,两组治疗效果一致,无明显差异(P0.05)。3.在咽部检查、口气两个方面,治疗组与对照组均不具有明显的治疗效果(P0.05),即二者均不能很好的改善此症状。4.在治疗儿童腺样体增生方面治疗组治疗效果明显好于对照组(P0.05)。结论:1.玄贝温胆汤及丙酸氟替卡松鼻喷雾剂(辅舒良)加孟鲁司特钠咀嚼片(顺尔宁)均可以明显改善儿童上气道咳嗽综合征(湿热内蕴证)的临床症状。2.玄贝温胆汤在改善患儿咳嗽咳痰、鼾眠、咽部症状、消化症状、腺样体体积改变方面优于丙酸氟替卡松鼻喷雾剂(辅舒良)加孟鲁司特钠咀嚼片(顺尔宁)的疗效,有明显优势。3.玄贝温胆汤对于治疗寒地学龄期儿童的上气道咳嗽综合征的综合临床疗效优于丙酸氟替卡松鼻喷雾剂(辅舒良)加孟鲁司特钠咀嚼片(顺尔宁),且在局部症状改善方面有明显优势,有一定应用的价值,值得在临床中进一步研究、探讨及推广。
[Abstract]:Objective: To summarize the mysterious beun bile Decoction for clinical curative effect of the treatment in school-age children of upper airway cough syndrome, Xuan beun bile to treat this disease verification the feasibility and safety. Methods: the cold school-age children with upper airway cough syndrome (damp heat syndrome) diagnostic criteria and inclusion criteria 60 patients were randomly into treatment group and control group according to the treatment sequence number is divided into two groups with 30 cases in each group. The two groups of children in the intervention of basic way of life and the basic psychological counseling, treatment group selected beun Xuan Decoction in the treatment of bile, choice of control group Fluticasone Propionate Nasal Spray (Fu Shuliang) and Montelukast Sodium Chewable Tablets (Shun Erning) treatment. The two groups were treated for 4 weeks. After treatment of the two groups of patients were with individual symptom scores, adenoid size integral changes, changes in the total score Results: 1. in cough and expectoration, snoring, total score before and after treatment in the two groups were significant difference (P0.01), indicating that the two groups for the treatment of cough and expectoration, snoring, overall symptoms had significant effect in the treatment of digestive symptoms, the treatment group has significant difference before and after treatment (P0.01), the treatment effect is obvious, and the control group with significant difference before and after treatment (P0.05),.2. is effective in treatment of cough and expectoration, snoring, digestive symptoms, the therapeutic effect of the treatment group were significantly better than the control group, with significant difference (P0.01), in the digestive symptoms, the therapeutic effect of the treatment group in the control group (P0.05), in the treatment of pharyngitis, favorable treatment effect of the two groups had no significant difference (P0.05).3. in the pharynx examination, two aspects of tone, the treatment group and the control group has no obvious therapeutic effect (P0.05), the two are not Good to improve the symptoms of.4. patients in the treatment group curative effect in the treatment of children with adenoid hypertrophy were significantly better than the control group (P0.05). Conclusion: 1. Xuan beun Dan Tang and Fluticasone Propionate Nasal Spray (Fu Shuliang) and Montelukast Sodium Chewable Tablets (Shun Erning) can significantly improve children's upper airway cough syndrome (damp heat syndrome) clinical symptoms of.2. Xuan beun bile Decoction in improving cough expectoration, snoring, throat symptoms, gastrointestinal symptoms, adenoid volume change is better than Fluticasone Propionate Nasal Spray (Fu Shuliang) and Montelukast Sodium Chewable Tablets (Shun Erning) effect, has obvious advantage to.3., beun Dan Tang upper airway cold treatment for school-age children's cough syndrome clinical curative effect is better than that of Fluticasone Propionate Nasal Spray (Fu Shuliang) and Montelukast Sodium Chewable Tablets (Shun Erning), and has obvious advantages in improving the local symptoms, The value of a certain application is worth further research, discussion and promotion in clinical practice.

【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】：R272

【相似文献】