加味六君子汤治疗小儿细菌性肺炎恢复期肺脾气虚型的疗效观察

发布时间：2018-04-10 09:54

本文选题：短疗程抗生素　切入点：小儿肺炎　出处：《山东中医药大学》2012年硕士论文

【摘要】：目的：观察短疗程抗生素和加味六君子汤序贯疗法治疗小儿细菌性肺炎恢复期（肺脾气虚型）的临床疗效，寻求一种有效且能减少抗生素使用的治疗小儿肺炎的方法。方法：将90例符合纳入标准的患儿随机分为观察组、对照1组和对照2组，每组30人。在合理应用抗生素抗感染及常规治疗5天后，观察组给予加味六君子汤中药治疗，对照1组继续给予抗生素治疗，对照2组继续给予抗生素并加中药治疗。观察患儿治愈率和临床症状、体征完全消失的时间等指标。将搜集到的数据用SPSS17.0统计软件进行数据分析。结果：观察组、对照1组、对照2组三组的治愈率分别为：93.3%、66.7%、90%，观察组与对照2组治愈率无显著性差异，两者疗效优于对照1组。在症状、体征消失时间方面，，观察组与对照2组无明显差异，症状、体征消失时间除发热外均短于对照1组，且症状、体征消除率明显高于对照1组。结论：短疗程抗生素和加味六君子汤序贯疗法治疗小儿细菌性肺炎恢复期（肺脾气虚型）的临床疗效，明显优于传统的长程抗生素疗法，为合理应用抗生素，减少抗生素的副作用，提供了较大的借鉴作用。
[Abstract]:Objective: to observe the clinical efficacy of short course antibiotics and modified Liujunzi decoction in the treatment of infantile bacterial pneumonia in convalescent stage (deficiency of lung and spleen qi), and to find an effective and effective method to reduce the use of antibiotics in the treatment of infantile pneumonia.Methods: 90 children were randomly divided into observation group (n = 30), control group (n = 30) and control group 2 (n = 30).After 5 days of rational use of antibiotics against infection and routine treatment, the observation group was treated with Jiawei Liujunzi decoction, the control group continued to be treated with antibiotics, and the control group continued to be treated with antibiotics and Chinese medicine.The cure rate and the time of complete disappearance of clinical symptoms and signs were observed.The collected data are analyzed with SPSS17.0 statistical software.Results: the cure rate of observation group, control group 1 and control group 2 was 66.7 and 90, respectively. There was no significant difference between observation group and control group, and the curative effect of observation group and control group was better than that of control group 1.There was no significant difference in the time of disappearance of symptoms and signs between the observation group and the control group. The disappearance time of symptoms and signs was shorter than that of the control group except fever, and the elimination rate of symptoms and signs was significantly higher than that of the control group 1.Conclusion: the clinical efficacy of short course antibiotics and modified Liujunzi decoction in the treatment of infantile bacterial pneumonia in convalescent stage (deficiency of lung and spleen qi) is obviously superior to that of traditional long term antibiotic therapy, which is the rational use of antibiotics.Reduce the side effects of antibiotics, provide a greater reference.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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