清热利湿化痰法治疗小儿支原体肺炎湿热闭肺证临床疗效观察

发布时间：2019-05-06 20:50

【摘要】：目的：本研究以小儿肺炎支原体肺炎湿热闭肺型为研究对象，，评价清热利湿化痰法治疗小儿肺炎支原体肺炎的临床疗效。 方法：观察组40例，为山东中医药大学第一附属医院住院患儿，对照组30例，来自山东中医药大学第二附属医院；观察组采用清热利湿化痰中药联合大环内酯类抗生素治疗，对照组仅采用大环内酯类抗生素治疗，对比两组症状、体征等的改善情况。 结果：观察组与对照组疾病治疗总有效率分别为为100%和96.7%，结果有显著性差异；观察组在治疗后总积分改善方面优于对照组，差异具有统计学意义（P＜0.05）。中医症候疗效比较两组差异显著，观察组与对照组总有效率分别为100%和90.0%；观察组在腹胀、恶心呕吐、肢酸懒动、纳差等积分改善方面均优于对照组，差异具有统计学意义（P＜0.05）。 结论：清热利湿化痰法治疗湿热闭肺型小儿支原体肺炎临床疗效显著，具有重要的临床意义。
[Abstract]:Aim: to evaluate the clinical efficacy of clearing heat and removing dampness and removing phlegm in treatment of mycoplasma pneumoniae pneumonia in children. Methods: in the observation group, 40 cases were hospitalized in the first affiliated Hospital of Shandong University of traditional Chinese Medicine, and 30 cases in the control group from the second affiliated Hospital of Shandong University of traditional Chinese Medicine. The observation group was treated with traditional Chinese medicine for clearing heat and removing dampness and removing phlegm combined with macrolide antibiotics, while the control group was treated only with macrolide antibiotics. The improvement of symptoms and signs between the two groups was compared. Results: the total effective rate of treatment was 100% and 96.7% in the observation group and the control group, respectively, and there was significant difference between the observation group and the control group in the improvement of the total score after treatment, the difference was statistically significant (P < 0.05). The total effective rate of observation group and control group were 100% and 90.0% respectively. The scores of abdominal distension, nausea and vomiting, lassitude of limb acid and tolerance in the observation group were better than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion: the clinical effect of clearing heat and removing dampness and removing phlegm in treating mycoplasma pneumonia of children with damp-heat closed lung is remarkable and has important clinical significance.
【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】：2012
【分类号】：R272

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