开窍通闭法治疗儿童哮喘发作期（热哮）的临床研究
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摘要
目的:通过观察开窍通闭法(方选皂角汤加减)与小儿咳喘灵颗粒治疗儿童哮喘发作期(热哮)的疗效比较,观察开窍通闭法治疗儿童哮喘发作期(热哮)的优越性,以便进行推广。
方法:治疗组:采用开窍通闭法,给予皂角汤加减口服,1日3次,4日为一个疗程,观察两个疗程。对照组:给予小儿咳喘灵颗粒口服,1日3次,4日为一个疗程,观察两个疗程。
结果:皂角汤治疗儿童哮喘发作期(热哮)30例(总有效率为93.33%),与对照组小儿咳喘灵颗粒治疗儿童哮喘发作期(热哮)30例(总有效率为73.33%),经统计学处理,二者有显著性差异(P<0.01)。
结论:表明开窍通闭法在改善肺失宣降,肺气郁闭引起的咳嗽、喘促等症状和阳性体征方面,以及促进肺部异常X线表现、血常规异常变化等理化检查的恢复方面明显优于对照组。本研究为临床提供了安全、方便的新疗法,丰富了治疗儿童哮喘发作期(热哮)的内容,值得推广。
Purpose:To observe the resuscitation pass a closed method (party election Gleditsia Decoction) and the Pediatric Cough Granule treatment of children with asthma exacerbation (hot pant) Comparison of the effect observed resuscitation Tong closed treatment of children with asthma exacerbation France (hot pant) in superiority in order to spread the word.
Method: The treatment group: The resuscitation pass closed method, giving Gleditsia decoction orally, 1, 3, 4 for a course of treatment, observation of two courses. Control group: to give children cough and asthma Granules oral, 1, 3, 4 for a course of treatment, observation of two courses.
Result: The treatment of children with asthma attacks Gleditsia Tang period (hot pant) 30 patients (overall response rate was 93.33%), and the control group Granules treatment of children with cough and asthma in children with asthma exacerbation (hot pant) 30 patients (overall response rate was 73.33 %), after statistical processing, the two significant differences (P <0.01).
Conclusion: The resuscitation-pass method in improving lung failure closed down Xuan, lung canopy caused by coughing, Chuancu and other symptoms and positive signs, as well as the promotion of abnormal lung X-ray findings, blood abnormalities and other physical and chemical examination of the recovery much better than the control group. This study provides a clinical safe and convenient new treatment enriched the treatment of children with asthma exacerbation (hot pant) content, is worth promoting.
方法:治疗组:采用开窍通闭法,给予皂角汤加减口服,1日3次,4日为一个疗程,观察两个疗程。对照组:给予小儿咳喘灵颗粒口服,1日3次,4日为一个疗程,观察两个疗程。
结果:皂角汤治疗儿童哮喘发作期(热哮)30例(总有效率为93.33%),与对照组小儿咳喘灵颗粒治疗儿童哮喘发作期(热哮)30例(总有效率为73.33%),经统计学处理,二者有显著性差异(P<0.01)。
结论:表明开窍通闭法在改善肺失宣降,肺气郁闭引起的咳嗽、喘促等症状和阳性体征方面,以及促进肺部异常X线表现、血常规异常变化等理化检查的恢复方面明显优于对照组。本研究为临床提供了安全、方便的新疗法,丰富了治疗儿童哮喘发作期(热哮)的内容,值得推广。
Purpose:To observe the resuscitation pass a closed method (party election Gleditsia Decoction) and the Pediatric Cough Granule treatment of children with asthma exacerbation (hot pant) Comparison of the effect observed resuscitation Tong closed treatment of children with asthma exacerbation France (hot pant) in superiority in order to spread the word.
Method: The treatment group: The resuscitation pass closed method, giving Gleditsia decoction orally, 1, 3, 4 for a course of treatment, observation of two courses. Control group: to give children cough and asthma Granules oral, 1, 3, 4 for a course of treatment, observation of two courses.
Result: The treatment of children with asthma attacks Gleditsia Tang period (hot pant) 30 patients (overall response rate was 93.33%), and the control group Granules treatment of children with cough and asthma in children with asthma exacerbation (hot pant) 30 patients (overall response rate was 73.33 %), after statistical processing, the two significant differences (P <0.01).
Conclusion: The resuscitation-pass method in improving lung failure closed down Xuan, lung canopy caused by coughing, Chuancu and other symptoms and positive signs, as well as the promotion of abnormal lung X-ray findings, blood abnormalities and other physical and chemical examination of the recovery much better than the control group. This study provides a clinical safe and convenient new treatment enriched the treatment of children with asthma exacerbation (hot pant) content, is worth promoting.
引文
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[2]王永言,王庆文主编.今日中医儿科.北京:人民卫生出版社,2000.168
[3]杨锡强,易著文主编.儿科学.北京:人民卫生出版社,2007.193
[4]于作洋.刘弼臣教授治疗小儿哮喘的经验.山西中医,1998,14(2):6
[5]隆红艳.蔡寅寿教授治疗小儿哮喘经验.长春中医药大学学报,2006,22(4):35
[6]鲁艳芳.陈陶后教授治疗小儿哮喘经验介绍.新中医,2003,35(10):10
[7]田玮,张满.小儿哮喘与IgG亚类低下的研究.中国实用儿科杂志,1998,13(3):159
[8]杜洪喆，任勤，杜春雁.防喘合剂治疗小儿哮喘127例疗效观察及抗病毒作用研究.时珍国医国药,2007,18(7):1742
[9]刘丽,鲁继荣,成焕吉等.β2肾上腺素能受体基因与小儿哮喘的关系.吉林大学学报(医学版),2004,30(2):259
[10]黄青.T细胞功能在小儿哮喘中的作用.首都医药,1999,6(7):49
[11]辛淑君,李志辉,张丽环等.白三烯E4动态变化与小儿夜间哮喘关系的研究.中国妇幼保健,2007,22(34):4831
[12]陈宪忠.分期辨治小儿哮喘39例.河南中医,2007,27(5):67
[13]林锋.陈进治疗小儿哮喘经验.江西中医学院学报,1998,10(2):49
[14]黄玲.化瘀安喘方治疗小儿哮喘急性发作的临床观察.湖北中医杂志,2004,26(12):31
[15]成华.麻杏三子汤治疗小儿哮喘110例.实用中医药杂志,1999,15(11):10
[16]韩新民,杨江,孙轶秋等.“泻肺平喘灵”治疗小儿热性哮喘55例临床观察.江苏中医药,2007,39(11):39
[17]罗磐真.金莱苈方治疗小儿哮喘56例.陕西中医,2006,27(10):1202
[18]邓德英.小儿哮喘从肾论治.河南中医,2007,27(12):76
[19]刘宏屿,孙海东.补养脾肺治疗小儿痰湿哮喘.吉林中医药,2006,26(6):52
[20]黎经兰.补肾纳气法治疗小儿支气管哮喘38例.中医研究,2005,18(1):39
[21]盛宾杰.定喘汤治疗小儿哮喘临床观察.光明中医,2008,23(2):199
[22]李七一.三拗汤合三子养亲汤治疗小儿哮喘54例.辽宁中医学院学报,1999, 1(1):54
[23]赵丽英,侯丽娟.六君子汤治疗小儿哮喘60例.中国乡村医药杂志,2003,10(6):33
[24]李帮贵.神秘汤治疗小儿哮喘.实用中医内科杂志,2000,14(1):45
[25]马长春,王延博.王烈分期辨治小儿哮喘经验.上海中医药杂志,2008,42(1):1
[26]蔡云飞,周小鸿,郑黎明等.加味葶苈散治疗小儿哮喘100例疗效观察.新中医,2005,37(1):36
[27]李维军,王健.胡氏定喘方治疗小儿支气管哮喘的临床观察.临床医药实践杂志,2007,16(6):538
[28]冯晓纯,崔松园.解痉定喘止哮汤加减治疗小儿支气管哮喘50例.长春中医药大学学报,2007,23(6):83
[29]傅喆暾，张鸣，黄雄伟.化瘀行气平喘方治疗发作期小儿哮喘45例临床报道.江西中医药,2006,2(37):31
[30]陈碧娟.黄龙四子汤治疗小儿支气管哮喘23例.实用中医药杂志,2005,21(10):607
[31]张晶樱,周士伟,袁凯.扶正化痰合剂防治小儿哮喘的临床观察.湖北中医杂志,2005,27(2):15
[32]魏刚.蛤贝石杏胶囊治疗小儿支气管哮喘.中国民间疗法,2006,14(4):4
[33]徐丽萍,蔡凤云.海石合剂治疗小儿支气管哮喘临床观察.湖北中医杂志,2007,29(9):31
[34]王孟清,朱晔,舒兰等.截哮口服液防治病毒诱发小儿哮喘的临床研究.中国中西医结合杂志,2003,23(12):902
[35]陈永新,李增清.阿奇霉素辅助治疗小儿轻中度哮喘的初步探讨.广东医学,2007,28(5):807
[36]赵敏.酚妥拉明、多巴胺治疗小儿难治性哮喘30例分析.中国误诊学杂志,2007,7(6):1309
[37]何月光,郑松青,刘诗琼等.氟替卡松治疗小儿哮喘的疗效观察.中国药物与临床,2004,4(2):150
[38]钟礼立,李云.辅舒酮治疗小儿哮喘115例疗效观察.医学临床研究,2004,21(2):181
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