祛风活血法治疗肺风咳嗽证小儿咳嗽变异性哮喘临床疗效观察
发布时间：2018-08-13 18:57
【摘要】：研究背景 小儿咳嗽变异性哮喘是一种特殊类型哮喘,以慢性咳嗽为主要或唯一的临床表现。临床表现为慢性咳嗽1个月以上,干咳、呛咳、少痰或无痰、咽痒,甚或出现胸闷、气喘等。且具有慢性迁延、顽固难治及反复发作的特点,常在夜间及(或)清晨发作,常因油烟、运动、冷空气、过敏原或上呼吸道病毒感染等诱发。小儿咳嗽变异性哮喘在临床上往往无感染征象,或者经较长时间抗生素治疗无效。患儿多见有过敏史或伴有家族过敏史,好发季节为春秋季。在西医治疗方面,主要以吸入糖皮质激素及支气管扩张剂为主 在传统中医著述中,尚未发现与之完全相对应的病名,众医家从该病的病因病机及其发生、发展过程中所表现出的临床证候特点,将其分属于“干咳”、“咳嗽”、“久咳”、“肺痉”、“风咳”、“心咳”、“顽咳”等不同疾病范畴。治疗方面,运用辨证论治理论,整体施治,具有临床疗效好、不良反应及副作用小的优势,能明显改善CVA患儿的临床症状。 本课题分别通过理论、临床研究二个部分探讨了现代医学及中医对小儿咳嗽变异性哮喘的认识和机制。 综述部分 综述部分从三方面论述：第一方面阐述了近代中医对小儿咳嗽变异性哮喘的认识；第二方面主要为西医对小儿咳嗽变异性哮喘的认识；第三方面主要对近代中西医结合研究及治疗小儿咳嗽变异性哮喘做出简单总结。 临床研究 目的：观察及评价祛风活血法治疗小儿咳嗽变异性哮喘肺风咳嗽证的临床疗效。 方法：以北京中医药大学东直门医院儿科门诊的40例咳嗽变异性哮喘的患儿临床资料为依据,疗程28天,记录祛风活血法治疗小儿咳嗽变异性哮喘前后症状及中医症候的改变,观察祛风活血法对小儿咳嗽变异性哮喘的临床疗效。 结果：祛风活血法可以明显改善小儿CVA咳嗽程度及频率、咯痰、咽痒、咽红等,总有效率为97.5%,评分较治疗前均有统计学意义。 结论：祛风活血法是治疗小儿咳嗽变异性哮喘肺风咳嗽证的有效方法,可改善患者的症状、体征,防止进一步发展成典型哮喘。
[Abstract]:Background cough variant asthma in children is a special type of asthma with chronic cough as the main or only clinical manifestation. The clinical manifestations include chronic cough for more than one month, dry cough, choking cough, little or no phlegm, itchy pharynx, chest tightness, asthma and so on. It has the characteristics of chronic prolongation, stubborn refractory and recurrent attacks, often occurring at night and / or early in the morning, often induced by oil fumes, exercise, cold air, allergen or upper respiratory tract virus infection. Cough variant asthma in children often has no clinical signs of infection, or after a long period of antibiotic treatment is ineffective. Children often have allergic history or family allergic history, the predilection season is spring and autumn. In western medicine treatment, inhaled glucocorticoid and bronchiectasis are the main factors in traditional Chinese medicine works. The characteristics of clinical syndromes in the course of development are classified as "dry cough", "long cough", "lung spasm", "wind cough", "heart cough", "stubborn cough" and so on. In the aspect of treatment, using the theory of syndrome differentiation and treatment as a whole has the advantages of good clinical effect, less adverse reactions and side effects, and can obviously improve the clinical symptoms of children with CVA. In this paper, the understanding and mechanism of cough variant asthma in children in modern medicine and traditional Chinese medicine were discussed in two parts: theory and clinical research. The summary part includes three parts: the first part expounds the cognition of modern Chinese medicine to cough variant asthma in children, the second part mainly discusses the knowledge of children cough variant asthma in western medicine. The third aspect mainly summarizes the research and treatment of cough variant asthma in modern Chinese and western medicine. Objective: to observe and evaluate the clinical effect of expelling wind and activating blood circulation in treating children cough variant asthma with pulmonary wind cough. Methods: according to the clinical data of 40 children with cough variant asthma in pediatric outpatient department of Dongzhimen Hospital of Beijing University of traditional Chinese Medicine, for 28 days, the changes of symptoms and symptoms of traditional Chinese medicine before and after treatment of children with cough variant asthma by expelling wind and activating blood circulation were recorded. To observe the clinical effect of dispelling wind and activating blood circulation on cough variant asthma in children. Results: the method of expelling wind and activating blood circulation could obviously improve the cough degree and frequency, sputum, pharynx itch, pharynx red and so on in children with CVA. The total effective rate was 97.5.The score was significantly higher than that before treatment. Conclusion: the method of expelling wind and activating blood circulation is an effective method for treating children cough variant asthma with pulmonary wind cough, which can improve the symptoms and signs of the patients and prevent the further development into typical asthma.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272
本文编号：2181883
[Abstract]:Background cough variant asthma in children is a special type of asthma with chronic cough as the main or only clinical manifestation. The clinical manifestations include chronic cough for more than one month, dry cough, choking cough, little or no phlegm, itchy pharynx, chest tightness, asthma and so on. It has the characteristics of chronic prolongation, stubborn refractory and recurrent attacks, often occurring at night and / or early in the morning, often induced by oil fumes, exercise, cold air, allergen or upper respiratory tract virus infection. Cough variant asthma in children often has no clinical signs of infection, or after a long period of antibiotic treatment is ineffective. Children often have allergic history or family allergic history, the predilection season is spring and autumn. In western medicine treatment, inhaled glucocorticoid and bronchiectasis are the main factors in traditional Chinese medicine works. The characteristics of clinical syndromes in the course of development are classified as "dry cough", "long cough", "lung spasm", "wind cough", "heart cough", "stubborn cough" and so on. In the aspect of treatment, using the theory of syndrome differentiation and treatment as a whole has the advantages of good clinical effect, less adverse reactions and side effects, and can obviously improve the clinical symptoms of children with CVA. In this paper, the understanding and mechanism of cough variant asthma in children in modern medicine and traditional Chinese medicine were discussed in two parts: theory and clinical research. The summary part includes three parts: the first part expounds the cognition of modern Chinese medicine to cough variant asthma in children, the second part mainly discusses the knowledge of children cough variant asthma in western medicine. The third aspect mainly summarizes the research and treatment of cough variant asthma in modern Chinese and western medicine. Objective: to observe and evaluate the clinical effect of expelling wind and activating blood circulation in treating children cough variant asthma with pulmonary wind cough. Methods: according to the clinical data of 40 children with cough variant asthma in pediatric outpatient department of Dongzhimen Hospital of Beijing University of traditional Chinese Medicine, for 28 days, the changes of symptoms and symptoms of traditional Chinese medicine before and after treatment of children with cough variant asthma by expelling wind and activating blood circulation were recorded. To observe the clinical effect of dispelling wind and activating blood circulation on cough variant asthma in children. Results: the method of expelling wind and activating blood circulation could obviously improve the cough degree and frequency, sputum, pharynx itch, pharynx red and so on in children with CVA. The total effective rate was 97.5.The score was significantly higher than that before treatment. Conclusion: the method of expelling wind and activating blood circulation is an effective method for treating children cough variant asthma with pulmonary wind cough, which can improve the symptoms and signs of the patients and prevent the further development into typical asthma.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272
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