清肺凉胃解毒利咽法治疗小儿急性化脓性扁桃体炎肺胃热盛证的临床研究

发布时间：2018-06-29 14:20

本文选题：小儿急性化脓性扁桃体炎 + 肺胃热盛证　；参考：《南京中医药大学》2012年硕士论文

【摘要】：目的：观察清肺凉胃,解毒利咽法治疗小儿急性化脓性扁桃体炎临床优势及可行性,为临床治疗小儿急性化脓性扁桃体炎提供有效的治疗方法及诊疗思路。方法：收集60例确诊为急性化脓性扁桃体炎的患儿,随机分为对照组及治疗组,对照组30例给予注射用头孢硫脒抗感染治疗；治疗组30例在对照组的基础上加用具有清肺凉胃,解毒利咽作用中药汤剂口服,两组均辅以西医对症处理。本研究应用spss统计软件进行统计分析。结果：两组治疗前后在主要症状及次要症状改善情况组内比较,差异有统计学意义(P0.05),说明两种治疗方法对小儿急性化脓性扁桃体炎主要症状及次要症状有明显的改善作用；治疗后两组组间比较,在改善主要症状方面,差异有统计学意义(P0.05),治疗组优于对照组；在改善发热、咳嗽、口渴、大便、舌象等次要症状方面比较,差异有统计学意义(P0.05),治疗组优于对照组,在改善烦躁不安方面比较,治疗组与对照组无明显差异(P0.05)。两组治疗后主症积分、次症积分及总积分比较,差异有统计学意义(P0.05),治疗组优于对照组。两组综合疗效比较,差异有统计学意义(P〈0.05),治疗组优于对照组。结论：清肺凉胃,解毒利咽法治疗小儿急性化脓性扁桃体炎临床疗效肯定,与单独应用头孢硫脒相比,综合疗效更好,在改善扁桃体充血肿大,扁桃体化脓,咽痛等主要症状及体征方面疗效显著,在改善发热、咳嗽、大便,舌象等次要症状疗效显著优于单独应用头孢硫脒治疗。
[Abstract]:Objective: to observe the clinical advantages and feasibility of clearing the lung and cooling the stomach and detoxifying the pharynx in the treatment of acute suppurative tonsillitis in children. Methods: sixty children with acute suppurative tonsillitis were randomly divided into control group and treatment group. Detoxification and pharynx action of traditional Chinese medicine decoction oral, the two groups were treated with western medicine. In this study, spss statistical software was used for statistical analysis. Results: the difference between the two groups before and after treatment was statistically significant (P0.05), indicating that the two treatment methods had significant improvement on the main symptoms and secondary symptoms of acute suppurative tonsillitis in children. After treatment, the difference between the two groups in improving the main symptoms was statistically significant (P0.05), the treatment group was better than the control group, and the secondary symptoms such as fever, cough, thirst, stool, tongue image and other minor symptoms were improved. The difference was statistically significant (P0.05), the treatment group was better than the control group, in improving restlessness, there was no significant difference between the treatment group and the control group (P0.05). The difference between the two groups after treatment was statistically significant (P0.05). The treatment group was better than the control group. There was significant difference between the two groups (P < 0.05), and the treatment group was superior to the control group. Conclusion: the treatment of acute suppurative tonsillitis in children by clearing the lung and cooling the stomach and detoxifying and detoxicating the pharynx is effective. Compared with cefathiamidine alone, the comprehensive curative effect is better. It can improve tonsil congestion and tonsil purulent. The main symptoms and signs, such as pharynx, were more effective than cefathiramidine alone in the treatment of fever, cough, stool, tongue and other minor symptoms.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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