小金汤配合中药敷脐治疗小儿汗证（肺卫不固证）的临床观察

发布时间：2018-01-08 20:25

本文关键词：小金汤配合中药敷脐治疗小儿汗证（肺卫不固证）的临床观察　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:目前临床上小儿汗证的发病率居高不下,疾病迁延不愈,较难根治,极大程度影响了儿童的身体素质和生活质量。本研究通过观察治疗前后患儿出汗的程度、呼吸道感染发作次数,以及恶风、乏力、口渴、纳差、大小便、舌苔脉象等指标的变化,客观评价小金汤配合中药敷脐对小儿汗证肺卫不固证的治疗效果。研究方法:临床选取符合纳入标准的60例汗证患儿,随机平均分组,治疗组共30例,对照组共30例。治疗前两组的性别、年龄和主次症积分之间的差异,不具统计学意义(均P0.05),具有可比性。治疗组予小金汤配合中药敷脐,对照组予玉屏风口服液口服配合安慰剂敷脐治疗,疗程1个月,随访1个月。通过观察治疗前、治疗后及停药1个月后的不同阶段,比较两组患儿主症及次症积分的改善情况,评价两组不同方案的临床疗效。研究结果:脱落病例除外,最后完成了 58个病例的观察评估,治疗组和对照组各有29例。统计结果如下:1.临床疗效比较:治疗组痊愈3例(10.3%),显效11例(38.0%),有效10例(34.5%),无效5例(17.2%),总有效率82.8%;对照组痊愈1例(3.4%),显效8例(27.6%),有效8例(27.6%),无效12例(41.4%),总有效率58.6%。治疗组的总体有效率高于对照组,差异具有统计学意义(P0.05)。2.主症改善方面:两组均能明显改善出汗程度(均P0.05),且治疗组优于对照组(P0.05);两组均未能减少患儿呼吸道感染发作次数(均P0.05),且组间比较差异无统计学意义(P0.05)。3.次症改善方面:两组对恶风症状均可改善(均P0.05),同时两组疗效相当(P0.05)。治疗组对次要症状乏力、纳差、小便情况均有明显改善(均P0.05),且都优于对照组,差异有统计学意义(均P0.05)。4.远期疗效:停药1月后随访,治疗组和对照组的主症、次症总积分前后差异无统计学意义(均P0.05),两组均不具有远期疗效。结论:小金汤配合中药敷脐对小儿汗证肺卫不固证具有较好的疗效。
[Abstract]:Objective: at present, the incidence of perspiration syndrome in children is high, the disease is not cured, and it is difficult to cure. This study observed the degree of sweating, the number of episodes of respiratory infection, and the bad wind, fatigue, thirst, anorexia, defecation and defecation before and after treatment. Objective to evaluate the therapeutic effect of Xiaojin decoction combined with traditional Chinese medicine on perspiration syndrome in children. Methods: 60 cases of children with perspiration syndrome were selected clinically. There were 30 cases in the treatment group and 30 cases in the control group. There was no significant difference in sex, age and the score of primary and secondary symptoms between the two groups before treatment (all P 0.05). The treatment group was given Xiaojin Tang combined with traditional Chinese medicine applied umbilical, the control group was given Yupingfeng oral liquid combined with placebo navel treatment, the course of treatment was 1 month, followed up for 1 month. At different stages after treatment and one month after withdrawal, the improvement of the scores of major and secondary symptoms was compared between the two groups, and the clinical efficacy of the two groups was evaluated. Results: except for the cases of shedding. Finally, 58 cases were observed and evaluated. There were 29 cases in the treatment group and 29 cases in the control group. The statistical results were as follows: 1. Comparison of clinical efficacy: 3 cases were cured in the treatment group (10. 3%). The total effective rate was 82.8% in 11 cases (38.0%), 10 cases (34.5%) and 5 cases (17.2%). In the control group, 1 case was cured, 8 cases were effective, 8 cases were effective, 8 cases were effective, and 12 cases were ineffective. The total effective rate was 58.6%. The total effective rate in the treatment group was higher than that in the control group. The difference was statistically significant (P 0.05). The improvement of main symptoms: both groups could improve the degree of sweating (P 0.05), and the treatment group was better than the control group (P 0.05). The frequency of respiratory tract infection was not reduced in both groups (all P 0.05). And there was no significant difference between the two groups in the improvement of secondary symptoms: the two groups could improve the symptoms of evil wind (both P0.05). At the same time, the curative effect of the two groups was similar to that of P0.05.The treatment group had obvious improvement in secondary symptoms such as fatigue, anorexia and urination (all P0.05, all of which were superior to the control group). The difference was statistically significant (all P0.05. 4. long term efficacy: after January, the treatment group and control group, the main symptoms, secondary symptom total score before and after the difference was not statistically significant (all P 0.05). Conclusion: Xiaojin decoction combined with traditional Chinese medicine has a better curative effect on perspiration syndrome in children.
【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】：2017
【分类号】：R272

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