温肾宣肺法治疗小儿肾虚肺实遗尿的临床观察

发布时间：2018-07-09 17:15

本文选题：温肾宣肺法 + 肾虚肺实遗尿　；参考：《成都中医药大学》2012年硕士论文

【摘要】：目的：小儿遗尿在小儿疾病之中较常见,本文旨在通过临床观察,结合小儿自身生理病理特点深入研究小儿肾虚肺实遗尿,探讨温肾宣肺法对本病的疗效,为进一步研究小儿遗尿症奠定基础。方法：将60例符合肾虚肺实遗尿症纳入标准的门诊患儿随机纳入治疗组和阳性对照组,治疗组30例,对照组30例。依据患儿年龄大小,治疗组与阳性对照组分别予以相应剂量的止遗汤煎剂及缩泉丸口服治疗,每日3次,3周为一个疗程,连续给药6周后,进行治疗前后治疗组自身及治疗组与阳性对照组在疾病疗效和症候疗效的比较,从而判定止遗汤对治疗肾虚肺实遗尿患儿的临床疗效。结果：1、基线分析：治疗组与对照组在年龄、性别方面比较,(P0.05)提示无统计学意义,说明具有可比性。2、治疗前后,治疗组与对照组的主症和次症积分,经检验有统计学意义。3、疗效分析：(1)治疗组治愈6例(20%),好转22例(73.3%),无效2例(6.67%),总有效率93.3%：对照组痊愈5例(16.67%),好转20例(66.67%),无效5例(16.67%),总有效率83.3%。对照组与治疗组比较,治疗组作用优于对照组。(2)证候疗效：组内比较：两组治疗后其症状体征均较前有明显改善；组间比较：治疗组在改善小儿遗尿的睡眠深度、精神、鼻塞方面作用优于对照组。结论：止遗汤治疗小儿肾虚肺实遗尿疾病疗效及证候疗效肯定；其证候疗效及对症状的改善,作用优于缩泉丸。
[Abstract]:Objective: infantile enuresis is common in children's diseases. The purpose of this study is to investigate the effect of kidney deficiency and lung disease in children through clinical observation, combined with the physiological and pathological characteristics of children, and to explore the effect of the method of warming the kidney and promoting the lung to the disease, and to lay a foundation for further study of children's enuresis.
Methods: 60 cases of children who were in accordance with the kidney deficiency and lung disease were included in the treatment group and the positive control group randomly, 30 cases in the treatment group and 30 cases in the control group. According to the age of the children, the treatment group and the positive control group were treated with the corresponding dose of Zhiyi Decoction and the Quan Quan pill respectively, 3 times a day and 3 weeks as a course of treatment. After 6 weeks, the treatment group itself and the treatment group were compared with the positive control group in the treatment group and the positive control group, so as to determine the clinical effect of Zhihui Decoction on the treatment of children with kidney deficiency and pulmonary enuresis.
Results: 1, baseline analysis: the treatment group and the control group compared with the control group in age, sex, (P0.05) showed no statistical significance, indicating a comparable.2, before and after treatment, the treatment group and the control group, the main symptoms and sub syndrome scores were statistically significant.3, curative effect Analysis: (1) treatment group cured 6 cases (20%), 22 cases (73.3%), 2 cases (6.67%). The total effective rate was 93.3%: the control group recovered 5 cases (16.67%), improved 20 cases (66.67%), 5 cases (16.67%), the total effective 83.3%. control group was compared with the treatment group, the effect of the treatment group was better than the control group. (2) the syndrome effect was compared: the symptoms of the two groups were significantly improved after the treatment of the two groups; the group was compared: the treatment group was improving the child remains. The sleep depth, mental and nasal congestion of urine were better than those of control group.
Conclusion: Zhiyu decoction is effective in the treatment of children with kidney deficiency, lung and solid enuresis, and its curative effect and symptom improvement are better than those of Quan Quan Wan.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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