从大肠辨治小儿反复咳嗽的研究

发布时间：2018-04-30 14:25

  本文选题：脏病治腑法 + 肺与大肠　； 参考：《山东中医药大学》2012年硕士论文

【摘要】：目的：在中医“脏病治腑”理论指导下，探讨从大肠辨证论治小儿反复咳嗽的机理及临床意义，以期对提高中医辨治该病的疗效有所裨益。 方法：通过收集小儿反复咳嗽分别符合痰热腑实型、阴虚腑燥型、肺气虚型、风寒袭肺型患儿各60例，每一证型随机分为2组。其中，对照组30例采用静脉滴注二羟丙茶碱、炎琥宁、抗生素、地塞米松等，，治疗组30例在静脉滴注的基础上根据情况分别给予中药口服。七天为一个疗程，两个疗程后填写从大肠辨治小儿反复咳嗽的疗效观察表，评价治疗效果。 结果：痰热腑实型治疗组总有效率为93.3%，对照组总有效率为70.0%；阴虚腑燥型治疗组总有效率90.0%，对照组总有效率73.3%；气虚型治疗组总有效率86.7%，对照组总有效率76.7%；风寒袭肺型治疗组总有效率93.3%，对照组总有效率80.0%。各治疗组疗均效优于对照组（P＜0.05）。在改善咳嗽、咳痰、大便异常等主要症状、体征，以及X线胸片、血常规、咳嗽缓解时间和复发率等方面各治疗组均优于对照组（P＜0.05）。治疗期间各组均未发生不良反应。 结论：应用脏病治腑法，从大肠辨证论治小儿反复咳嗽的方法是安全有效的，在临床上值得重视以及进一步研究。
[Abstract]:Objective: to explore the mechanism and clinical significance of treating recurrent cough by differentiation of symptoms and signs of large intestine under the guidance of TCM theory of "treating visceral diseases and viscera organs", in order to improve the curative effect of TCM differentiation and treatment of the disease. Methods: 60 children with recurrent cough were randomly divided into 2 groups. Among them, 30 cases in the control group were treated with dihydroxypropylline, Yanhuning, antibiotics, dexamethasone, and 30 cases in the treatment group were given oral Chinese medicine on the basis of intravenous drip. Seven days as a course of treatment, two courses of treatment from the large bowel to fill in the treatment of children with recurrent cough observation form, evaluation of therapeutic effect. Results: the total effective rate was 93.3in the phlegm-heat type treatment group and 70.0in the control group, 90.0in the Yin deficiency and Fu dryness group, 73.3 in the control group, 86.7 in the Qi deficiency treatment group and 76.7in the control group. The total effective rate was 93. 3% in the treatment group and 80. 0% in the control group. The average therapeutic effect of each treatment group was better than that of the control group (P < 0.05). The treatment group was superior to the control group in improving the main symptoms and signs of cough, expectoration, abnormal stool, chest radiography, blood routine examination, cough remission time and recurrence rate (P < 0.05). There were no adverse reactions in each group during the treatment. Conclusion: it is safe and effective to treat children with recurrent cough by using the method of treating visceral diseases and visceral organs according to the differentiation of symptoms and signs of large intestine. It is worthy of attention and further research in clinic.
【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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本文编号：1824912