中医内外合治小儿肺炎喘嗽临床疗效研究
发布时间：2018-11-22 06:25
【摘要】：目的：通过对肺炎喘嗽风热闭肺证及痰热闭肺证患儿运用中药蒿芩麻杏石甘汤配合中医外治法拔罐及中药离子导入治疗与西药常规治疗的疗效比较,观察中医内外合治法治疗小儿肺炎的临床疗效。 方法：采用随机对照的方法,将符合纳入标准的60例北京中医药大学东方医院儿科门诊就诊及住院肺炎喘嗽(风热闭肺证和痰热闭肺证)患儿,随机分为2组,对照组和治疗组各30例。其中对照组中男14例,女16例,治疗组中男16例,女14例。对照组给予常规抗感染及对症治疗,治疗组在常规抗感染及对症治疗的基础上加用蒿芩麻杏石甘汤、中医外治法拔罐及中药离子导入治疗。通过对肺炎喘嗽患儿的主要症状及体征和次要症状及体征积分的比较,观察治疗组患儿经中医内外合治法治疗的临床疗效。通过对肺炎喘嗽患儿的热退时间、咳嗽消失时间及肺部罗音消失时间等主要临床疗效指标方面及治疗时间的比较,观察治疗组和对照组患儿在热退时间、咳嗽消失时间、肺部罗音消失时间及治疗时间上的差异。 结果：对照组和治疗组的总有效率均为100%,提示治疗组与对照组治疗小儿肺炎喘嗽均有效。对照组和治疗组的治愈率分别为26.7%,43.3%,治疗组的治愈率高于对照组,但经统计学比较,无显著性差异(P0.05),未提示治疗组的治愈率明显高于对照组,说明治疗组与对照组的疗效相当。经治疗后治疗组的主要症状及体征和次要症状及体征的积分明显低于对照组,经统计学比较,均有显著性差异(P值均0.05),提示治疗组经中医内外合治法治疗后其主要症状、次要症状及体征明显改善,其改善症状及体征的疗效好于对照组。对照组和治疗组热退时间分别为3.57±1.72天,2.63±1.59天,经统计学比较,有显著性差异(P0.05),治疗组的热退时间明显短于对照组；咳嗽消失时间分别为8.33±2.01天,6.93±3.05天,经统计学比较,有显著性差异(P0.05),治疗组的咳嗽消退时间明显短于对照组；罗音消退时间分别为7.23±3.51天,5.00±2.68天,经统计学比较,有显著性差异(P0.01),治疗组的罗音消退时间明显短于对照组；治疗时间分别为8.86±2.87天,7.56±3.07天,经统计学比较,有显著性差异(P0.05),治疗组的治疗时间明显短于对照组。 结论：蒿芩麻杏石甘汤配合中医外治法拔罐及中药离子导入治疗风热闭肺证和痰热闭肺证肺炎喘嗽疗效显著,能显著改善肺炎喘嗽患儿的主要症状及体征和次要症状及体征。中医内外合治法能迅速使风热闭肺证和痰热闭肺证肺炎喘嗽患儿体温恢复正常,能改善患儿咳嗽症状,促进患儿肺部罗音吸收,缩短患儿治疗时间。尤其是在患儿肺部罗音吸收方面疗效更显著。
[Abstract]:Objective: to compare the curative effect between the treatment of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome in children with pneumonia by using Chinese medicine Aoqingma Xingshigan decoction combined with external cupping of TCM and iontophoresis of Chinese medicine with routine treatment of western medicine. To observe the clinical effect of internal and external treatment of children pneumonia. Methods: 60 children with pneumonia and cough (wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome) were randomly divided into two groups by using a randomized control method, including 60 children who were admitted to the pediatric outpatient clinic of Oriental Hospital of Beijing University of traditional Chinese Medicine and hospitalized with asthma and cough (wind heat blocking lung syndrome and phlegm heat blocking lung syndrome). There were 30 cases in control group and 30 cases in treatment group. There were 14 males and 16 females in the control group and 16 males and 14 females in the treatment group. The control group was treated with routine anti-infection and symptomatic therapy, the treatment group was treated with Artemisia chinensis Maxingshigan decoction on the basis of routine anti-infection and symptomatic treatment, cupping and iontophoresis of traditional Chinese medicine. By comparing the main symptoms and signs and the scores of secondary symptoms and signs of children with pneumonia asthma cough, the clinical efficacy of the treatment group was observed by internal and external treatment of traditional Chinese medicine. By comparing the time of heat withdrawal, the time of disappearance of cough and the time of lung rales disappearance, and the time of treatment, we observed the time of heat withdrawal and the disappearance of cough in the treatment group and the control group. Differences in the time of disappearance and treatment of lung rales. Results: the total effective rate of the control group and the treatment group were 100, indicating that both the treatment group and the control group were effective in treating children with pneumonia. The cure rate of the control group and the treatment group were 26.7 and 43.3 respectively. The cure rate of the treatment group was higher than that of the control group, but there was no significant difference between the two groups (P0.05). The cure rate of the treatment group was significantly higher than that of the control group. The therapeutic effect of the treatment group was similar to that of the control group. After treatment, the scores of the main symptoms and signs and the secondary symptoms and signs in the treatment group were significantly lower than those in the control group (P < 0.05). It was suggested that the main symptoms, secondary symptoms and signs of the treatment group were improved obviously after the treatment of internal and external treatment of traditional Chinese medicine, and the curative effect of improving symptoms and signs in the treatment group was better than that in the control group. The time of heat withdrawal in control group and treatment group were 3.57 卤1.72 days and 2.63 卤1.59 days, respectively. There was significant difference between the two groups (P0.05). The time of heat withdrawal in treatment group was significantly shorter than that in control group. The time of cough disappearance was 8.33 卤2.01 days and 6.93 卤3.05 days, respectively. There was significant difference between the two groups (P0.05). The time of cough subsiding in the treatment group was significantly shorter than that in the control group. The time of rale regression was 7.23 卤3.51 days and 5.00 卤2.68 days, respectively. There was significant difference between the two groups (P0.01). The time of rale regression in the treatment group was significantly shorter than that in the control group. The treatment time was 8.86 卤2.87 days and 7.56 卤3.07 days respectively. There was significant difference between the two groups (P0.05). The treatment time of the treatment group was significantly shorter than that of the control group. Conclusion: Aoqingma Xingshigan decoction combined with external cupping and iontophoresis of traditional Chinese medicine can significantly improve the main symptoms and signs and secondary symptoms and signs of pneumonia in children with pneumonia due to wind-heat blocking lung syndrome and phlegm heat blocking lung syndrome. The combination of internal and external treatment of TCM can quickly restore the body temperature to normal in the children with pneumonia and cough of wind-heat blocking lung syndrome and phlegm heat blocking lung syndrome, can improve the cough symptoms of children, promote the absorption of rales in the lungs of children, and shorten the treatment time of children. Especially in children with lung rales absorption, the effect is more significant.
【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：2348354
[Abstract]:Objective: to compare the curative effect between the treatment of wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome in children with pneumonia by using Chinese medicine Aoqingma Xingshigan decoction combined with external cupping of TCM and iontophoresis of Chinese medicine with routine treatment of western medicine. To observe the clinical effect of internal and external treatment of children pneumonia. Methods: 60 children with pneumonia and cough (wind-heat blocking lung syndrome and phlegm-heat blocking lung syndrome) were randomly divided into two groups by using a randomized control method, including 60 children who were admitted to the pediatric outpatient clinic of Oriental Hospital of Beijing University of traditional Chinese Medicine and hospitalized with asthma and cough (wind heat blocking lung syndrome and phlegm heat blocking lung syndrome). There were 30 cases in control group and 30 cases in treatment group. There were 14 males and 16 females in the control group and 16 males and 14 females in the treatment group. The control group was treated with routine anti-infection and symptomatic therapy, the treatment group was treated with Artemisia chinensis Maxingshigan decoction on the basis of routine anti-infection and symptomatic treatment, cupping and iontophoresis of traditional Chinese medicine. By comparing the main symptoms and signs and the scores of secondary symptoms and signs of children with pneumonia asthma cough, the clinical efficacy of the treatment group was observed by internal and external treatment of traditional Chinese medicine. By comparing the time of heat withdrawal, the time of disappearance of cough and the time of lung rales disappearance, and the time of treatment, we observed the time of heat withdrawal and the disappearance of cough in the treatment group and the control group. Differences in the time of disappearance and treatment of lung rales. Results: the total effective rate of the control group and the treatment group were 100, indicating that both the treatment group and the control group were effective in treating children with pneumonia. The cure rate of the control group and the treatment group were 26.7 and 43.3 respectively. The cure rate of the treatment group was higher than that of the control group, but there was no significant difference between the two groups (P0.05). The cure rate of the treatment group was significantly higher than that of the control group. The therapeutic effect of the treatment group was similar to that of the control group. After treatment, the scores of the main symptoms and signs and the secondary symptoms and signs in the treatment group were significantly lower than those in the control group (P < 0.05). It was suggested that the main symptoms, secondary symptoms and signs of the treatment group were improved obviously after the treatment of internal and external treatment of traditional Chinese medicine, and the curative effect of improving symptoms and signs in the treatment group was better than that in the control group. The time of heat withdrawal in control group and treatment group were 3.57 卤1.72 days and 2.63 卤1.59 days, respectively. There was significant difference between the two groups (P0.05). The time of heat withdrawal in treatment group was significantly shorter than that in control group. The time of cough disappearance was 8.33 卤2.01 days and 6.93 卤3.05 days, respectively. There was significant difference between the two groups (P0.05). The time of cough subsiding in the treatment group was significantly shorter than that in the control group. The time of rale regression was 7.23 卤3.51 days and 5.00 卤2.68 days, respectively. There was significant difference between the two groups (P0.01). The time of rale regression in the treatment group was significantly shorter than that in the control group. The treatment time was 8.86 卤2.87 days and 7.56 卤3.07 days respectively. There was significant difference between the two groups (P0.05). The treatment time of the treatment group was significantly shorter than that of the control group. Conclusion: Aoqingma Xingshigan decoction combined with external cupping and iontophoresis of traditional Chinese medicine can significantly improve the main symptoms and signs and secondary symptoms and signs of pneumonia in children with pneumonia due to wind-heat blocking lung syndrome and phlegm heat blocking lung syndrome. The combination of internal and external treatment of TCM can quickly restore the body temperature to normal in the children with pneumonia and cough of wind-heat blocking lung syndrome and phlegm heat blocking lung syndrome, can improve the cough symptoms of children, promote the absorption of rales in the lungs of children, and shorten the treatment time of children. Especially in children with lung rales absorption, the effect is more significant.
【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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