清肺化痰止咳法治疗小儿急性支气管炎痰热壅肺证的临床研究

发布时间：2018-11-21 08:45

【摘要】：目的：评价清肺化痰止咳法治疗小儿急性支气管炎的可行性及有效性,为临床治疗小儿急性支气管炎提供一种有效的治疗方法和诊疗思路。方法：选取急性支气管炎痰热壅肺证住院患儿60例,随机分为两组。治疗组30例采用头孢硫脒、喜炎平静滴加口服中药煎剂治疗,对照组30例采用头孢硫脒、喜炎平静滴加口服易坦静治疗,两组均辅以相应的西医对症处理。以咳嗽、咯痰、肺部Up音、发热、面色、口渴、舌象等为疗效指标,以临床积分为依据观察疗效,观察两组的咳嗽、咯痰、肺部Up音、发热、面色、口渴、舌象等症状改善情况。结果：两组治疗前后组内比较,在主症及次症改善情况方面,P0.05,差异具有统计学意义,说明单纯西医治疗和中西结合治疗这两种方法均能明显改善小儿急性支气管炎的主要症状及次要症状；两组治疗后组间比较,在咳嗽、咯痰、肺部Up音主要症状的改善情况方面,P0.05,差异具有统计学意义,治疗组优于对照组；在改善次要症状方面,口渴、大便、舌象等方面比较,P0.05,差异具有统计学意义,治疗组优于对照组,在改善发热、而色、烦躁、小便、脉象等方面比较,P0.05,治疗组与对照组差异无统计学意义；两组在发热症状的退热时间方面比较,P0.05,差异有统计学意义,治疗组优于对照组。治疗后两组在主要症状积分、次要症状积分及总积分方面比较,P0.05,差异有统计学意义,治疗组优于对照组。两组综合疗效比较,P0.05,差异有统计学意义,治疗组优于对照组。结论：清肺化痰止咳法结合西医抗感染治疗小儿急性支气管炎临床疗效肯定,在改善咳嗽、咯痰、肺部Up音、口渴、舌象等症状方面疗效显著,在主症积分、次症积分、总积分变化情况方面比较,优于对照组。
[Abstract]:Objective: to evaluate the feasibility and effectiveness of clearing the lung and removing phlegm and relieving cough in the treatment of acute bronchitis in children. Methods: 60 children with acute bronchitis were randomly divided into two groups. The treatment group (30 cases) were treated with cefathiamidine, Xiyan calm drop and oral Chinese medicine decoction, the control group (30 cases) were treated with cefathiamidine, and 30 cases were treated with Yi Tan Jing orally. The two groups were treated with western medicine. Cough, sputum, Up sound of lung, fever, facial color, thirst and tongue image were taken as therapeutic indexes. The curative effect was observed on the basis of clinical score. The cough, sputum, lung Up sound, fever, facial color, thirst were observed in both groups. The improvement of symptoms such as tongue signs. Results: there was significant difference between the two groups in the improvement of main symptoms and secondary symptoms (P0.05) before and after treatment. It is shown that the main symptoms and secondary symptoms of acute bronchitis in children can be obviously improved by the combination of western medicine and western medicine. After treatment, the improvement of the main symptoms of cough, sputum and pulmonary Up was significantly higher in the treatment group than that in the control group (P 0.05). In the improvement of secondary symptoms, thirst, stool, tongue and other aspects of comparison, P0.05, the difference is statistically significant, the treatment group is better than the control group, in the improvement of fever, color, irritability, urine, pulse and other aspects of comparison, P0.05, There was no significant difference between the treatment group and the control group. There was a significant difference in the antipyretic time of fever symptoms between the two groups (P 0.05), and the treatment group was better than the control group. After treatment, the two groups in the main symptom score, secondary symptom score and total integral comparison, P0.05, the difference is statistically significant, the treatment group is better than the control group. The comprehensive curative effect of the two groups, P0.05, the difference was statistically significant, the treatment group was better than the control group. Conclusion: the method of clearing the lung and eliminating phlegm and relieving cough combined with western medicine to treat children with acute bronchitis is effective in improving cough, sputum, Up sound of lung, thirst, tongue and so on. The change of total integral was better than that of control group.
【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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