土茯苓经验方治疗小儿肺炎恢复期的临床观察

发布时间：2018-04-19 21:04

本文选题：土茯苓经验方 + 肺炎恢复期　；参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:观察土茯苓经验方对小儿肺炎恢复期的临床疗效,以期为小儿肺炎恢复期治疗探寻一种经济、有效的治疗方案。方法:本次临床观察共收集45例患儿,均来自广州中医药大学第一附属医院儿科符合纳入标准的患儿,根据入选患儿法定监护人意愿分为土茯苓组、玉屏风组及空白组,每组各15例。空白组予以常规日常护理医嘱,土茯苓组、玉屏风组则在此基础上分别予以口服中药土茯苓经验方、中成药玉屏风颗粒,共观察7天。记录治疗前后患儿咳嗽、痰壅、肺部听诊、汗出、食欲、大便等情况并进行评分,并记录随访1月内小儿患感染性疾病次数。结果:45例患儿资料全部计入结果。治疗前三组患儿在年龄、性别及症状体征积分方面进行比较,差异不具备统计学意义(P均0.05),具有可比性。经治疗后,三组方案对小儿肺炎恢复期诸症改善方面均有疗效,其治疗前、后总症候积分比较具有统计学意义(P均0.05)。土茯苓组治疗前后总症候积分差值与玉屏风组、空白组对比具有统计学意义(P均0.05),提示土茯苓组改善临床症状效果最明显。在临床疗效方面,土茯苓组、玉屏风组、空白组显效率分别为93.03%、40.00%、20.00%,土茯苓组与其它两组对比具有统计学差异(P均0.05)。在减少随访1月内患儿再发感染性疾病次数方面,土茯苓组也优于其它两组,结果具有统计学意义(P均0.05)。结论:土茯苓经验方在改善肺炎恢复期患儿临床症状体征、减少肺炎后1月的再发感染性疾病方面疗效确切,值得推广及深入研究。
[Abstract]:Objective: to observe the clinical curative effect of TuFuling prescription in the recovery period of pediatric pneumonia, so as to explore an economical and effective treatment scheme for infantile pneumonia in convalescent stage. Methods: a total of 45 children were collected from the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. According to the wishes of their legal guardians, they were divided into three groups: TuPoria group, Yupingfeng group and blank group. There were 15 cases in each group. The blank group was given routine daily nursing advice, the Tuckahoe group and the Yupingfeng group were given oral Chinese medicine Tupia cocos prescription and Chinese patent medicine Yupingfeng granule respectively for 7 days. The cough, phlegm obstruction, lung auscultation, sweating, appetite and stool were recorded and scored before and after treatment. Results the data of 45 cases were included in the results. The three groups were compared in age, sex and symptom and sign score before treatment. The difference was not statistically significant (P < 0.05), which was comparable. After treatment, all the three groups were effective in improving the symptoms of children with pneumonia at convalescent stage. The scores of total symptoms before and after treatment were statistically significant (P < 0.05). The difference of total symptom integral before and after treatment in Tupia cocos group was significantly higher than that in Yupingfeng group and blank group (P < 0.05), which indicated that the improvement of clinical symptoms in Tupia cocos group was the most obvious. In terms of clinical efficacy, the effective rates of the Tuckahoe group, the Yupingfeng group and the blank group were 93.03 and 40.00,20.00, respectively, and there were significant differences between the two groups (P < 0.05). In the aspect of reducing the number of recurrent infectious diseases in the children within one month of follow-up, the Tuckahoe group was also superior to the other two groups, and the results were statistically significant (P 0.05). Conclusion: the experience prescription is effective in improving the clinical symptoms and signs of children with pneumonia and reducing the recurrence of infectious diseases in one month after pneumonia. It is worth popularizing and further studying.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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