凉膈缩桃汤治疗小儿急性扁桃体炎肺胃热盛证临床观察
发布时间:2018-06-07 17:34
本文选题:凉膈缩桃汤 + 小儿急性扁桃体炎 ; 参考:《山西中医学院》2016年硕士论文
【摘要】:目的观察凉膈缩桃汤对小儿急性扁桃体炎肺胃热盛证的临床疗效及安全性。方法选取60例符合小儿急性扁桃体炎肺胃热盛证型诊断标准的,年龄在3~14岁的患儿为研究对象,随机分为治疗组(31例)和对照组(29例)。治疗组给予凉膈缩桃汤,对照组给予阿奇霉素干混悬剂,两组均以7天为一个疗程,治疗期间合理控制饮食。一个疗程后,通过中医证候分级量化标准表,观察两组患儿治疗前后扁桃体红肿、咽痛、发热、咳嗽等症状改善情况,比较差异,从统计学方面分析并评估药物临床疗效。结果治疗组总有效率为93.55%,对照组总有效率为86.21%,经秩和检验,两组临床疗效比较有显著性差异(P0.05),治疗组总疗效优于对照组。两组在扁桃体肿大充血、扁桃体化脓、咽痛、发热等症状改善方面比较有显著性差异(P0.05),治疗组疗效优于对照组。在咳嗽改善、白细胞计数、中性粒细胞计数变化等方面,两组比较无显著性差异(P0.05),疗效相当。两组患儿均未出现不良反应。结论凉膈缩桃汤治疗肺胃热盛证小儿急性扁桃体炎临床观察有效,并在本次临床观察中未出现不良反应。
[Abstract]:Objective to observe the clinical efficacy and safety of Liangge shudao decoction in the treatment of acute tonsillitis in children. Methods 60 children with acute tonsillitis were randomly divided into treatment group (n = 31) and control group (n = 29). The treatment group was given Liangge shudao decoction, the control group was given azithromycin dry suspension, both groups were treated with 7 days as a course of treatment. After a course of treatment, the improvement of tonsillar redness, pharynx pain, fever, cough and other symptoms were observed before and after treatment by the quantitative standard table of TCM syndromes, and the difference was compared between the two groups, and the clinical efficacy of the drugs was analyzed and evaluated statistically. Results the total effective rate of the treatment group was 93.55 and the total effective rate of the control group was 86.21. By rank sum test, there was a significant difference in the clinical efficacy between the two groups. The total curative effect of the treatment group was better than that of the control group. There were significant differences in the improvement of tonsillar enlargement and congestion tonsillar purulent pharynx and fever between the two groups (P 0.05). The curative effect of the treatment group was better than that of the control group. There was no significant difference in cough improvement, leukocyte count and neutrophil count between the two groups. There were no adverse reactions in both groups. Conclusion Liangge shudao decoction is effective in the treatment of acute tonsillitis in children with hyperthermia of lung and stomach.
【学位授予单位】:山西中医学院
【学位级别】:硕士
【学位授予年份】:2016
【分类号】:R276.1
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