温肺化痰散外敷治疗小儿肺炎喘嗽（痰湿蕴肺证）的临床研究

发布时间：2019-01-04 08:02

【摘要】：目的:本课题从理论、临床方面对温肺化痰散外敷辅助治疗儿童肺炎喘嗽(痰湿蕴肺证)的临床疗效进行研究。方法:收集小儿肺炎喘嗽且符合痰湿蕴肺证的患儿60例,随机分为治疗组和对照组各30例。两组患儿除均给予抗感染及对症治疗之外,治疗组在此基础上,加用温肺化痰散外敷肺俞穴及阿是穴(药物组成:白芥子、元胡、肉桂),对照组仅采用抗感染及对症治疗,7天为一疗程。详细记录治疗前、后患儿的各项症状及体征的变化,对照比较,评定其疗效。结果:对照组与治疗组治疗小儿肺炎喘嗽均有效(组内比较,P均0.05),但治疗组更有利于提高综合疗效(组间比较,P均0.05),尤其是在改善主症(咳嗽、咳痰、喘促)、体征(发热、肺部听诊)及总积分方面更有明显优势(组间比较,P均0.05)。结论:温肺化痰散外敷治疗小儿肺炎喘嗽(痰湿蕴肺证)效果理想,为其临床应用提供依据。
[Abstract]:Objective: to study the clinical effect of Wenfei Huatan powder on asthma and cough (phlegm and dampness accumulation lung syndrome) in children with pneumonia. Methods: 60 children with asthma and cough of pneumonia were randomly divided into treatment group (n = 30) and control group (n = 30). In addition to the treatment of anti-infection and symptomatic treatment, the treatment group was treated with Wenfei Huatan external application at Feshu point and Ashi point (drug composition: White mustard, Yuanhu, cinnamon), while the control group was treated only with anti-infection and symptomatic therapy. 7 days as a course of treatment. The changes of symptoms and signs before and after treatment were recorded in detail. Results: both the control group and the treatment group were effective in treating children with pneumonia and cough (P 0.05), but the treatment group was more helpful to improve the comprehensive curative effect (P 0.05), especially in improving the main symptoms (cough, expectoration). Wheezing, signs (fever, pulmonary auscultation) and total score were more significant (P 0.05). Conclusion: the clinical application of Wenfei Huatan Powder is effective in treating asthmatic cough (phlegm and dampness accumulation lung syndrome) in children with pneumonia.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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