银翘散加减治疗妊娠外感发热的临床观察

发布时间：2018-03-03 18:03

本文选题：妊娠外感发热　切入点：妊娠感冒　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过银翘散对妊娠期外感发热患者的临床治疗,观察其临床疗效,总结经验,更好地发挥中医药治疗本病的优势,为本方在临床上的应用及推广提供理论依据。方法:选择符合纳入标准的妊娠期合并外感发热的患者,辨证论治后,给予中药银翘散加减治疗。以银翘散煎煮方法煎煮。病重者,约4小时一服,日三服,夜一服;轻者,约6小时一服,日二服,夜一服;病不解者,作再服。每次100-150ml。疗程3-7天。忌食生冷辛辣、油腻等刺激性食物。采用治疗前后自身对照法,分别记录治疗前后的体温、中医症状积分评分表以及相关的生化指标,于治疗后观察患者体温变化、中医症状体征积分变化等情况,利用统计学处理软件对数据进行分析,并判定临床疗效。结果:1.妊娠患者治疗前与治疗后体温进行比较分析,t=13.71,P0.01,有显著差异,且治疗后妊娠患者体温明显低于治疗前的体温,差异具有统计学意义。2.中医症候临床疗效的总有效率是90%。妊娠患者治疗前和治疗后的中医症状总积分,以及各单项中医症状积分,经统计学比较分析,均P0.01,差异具有统计学意义。结论:1.妊娠外感发热疾病的治疗,强调"祛邪、清热、安胎"三管齐下,治以"解表透邪,清热安胎",方用银翘散加减。2.银翘散加减治疗妊娠外感发热疾病,在临床应用中疗效较著,值得推广与借鉴。
[Abstract]:Objective: to observe the clinical effect of Yinqiao Powder on the patients with external fever during pregnancy, and to summarize the experience so as to give full play to the advantages of traditional Chinese medicine (TCM) in the treatment of this disease. Methods: select the patients who meet the criteria of pregnancy and external fever, and treat them according to syndrome differentiation, and provide the theoretical basis for the clinical application and popularization of the prescription. Add and subtract the traditional Chinese medicine Yinqiao Powder. Decoction with Yinqiao Powder decoction. Seriously ill, about 4 hours a day, three times a day, one night; light, about 6 hours, two days, one night; those who are ill, Take it again. 100-150ml / time. The course of treatment is 3-7 days. Avoid eating irritant food, such as cold, spicy, greasy, etc. The body temperature, TCM symptom score and related biochemical indexes were recorded before and after treatment by self-control method. After treatment, we observed the changes of patients' body temperature, the integral changes of symptoms and signs of traditional Chinese medicine, and analyzed the data by using statistical processing software. Results 1.The body temperature of pregnant patients before and after treatment was compared with that after treatment. There was significant difference in body temperature of pregnant patients before and after treatment, and the body temperature of pregnant patients after treatment was significantly lower than that before treatment. The difference is statistically significant. The total effective rate of clinical curative effect of TCM symptoms is 90. The total scores of TCM symptoms before and after treatment in pregnancy patients, as well as the scores of individual TCM symptoms, are compared and analyzed statistically. The difference was statistically significant. Conclusion 1. The treatment of ectopic febrile diseases of pregnancy emphasizes "dispelling evil, clearing away heat, and calming the fetus". Yinqiao Powder added and subtracted to treat pregnancy external febrile disease, the curative effect in clinical application is remarkable, it is worth popularizing and using for reference.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R271.9

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