肺炎栓治疗小儿肺炎喘嗽痰热闭肺证临床观察
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摘要
目的:观察肺炎栓治疗小儿肺炎喘嗽痰热闭肺证的临床疗效,并观察其对患儿中医症状的影响。方法:60例肺炎喘嗽痰热闭肺证患儿随机平均分为观察组和对照组。观察组给予西医常规治疗联合肺炎栓纳肛,对照组西医常规治疗联合五虎汤合并葶苈大枣泻肺汤中药口服治疗。比较两组患儿临床疗效,比较发热、咳嗽、气喘、痰壅、肺部听诊、胸片等缓解情况。结果:观察组喘息、咳嗽、痰壅、发热症状及肺部听诊异常消失时间均明显短于对照组,差异有统计学意义(P<0.05);治疗后观察组中医主症评分低于对照组,差异有统计学意义(P<0.05);观察组有效率为96.55%,明显优于对照组的85.71%,差异有统计学意义(P<0.05)。结论:肺炎栓纳肛治疗小儿肺炎喘嗽痰热闭肺证在主要症状起效时间、主要症状的改善情况、综合疗效等方面效果显著。
Objective:To observe the clinical efficacy of pneumonia suppository in treatment of children with pneumonia and asthma,and to observe its effect on the symptoms of TCM in children. Methods: Sixty children with pneumonia,asthma,fever and closed lung syndrome were randomly divided into observation group and control group. The observation group was given conventional western medicine treatment combined with pneumonic suppository and anal,and the control group was treated with conventional western medicine combined with Wuhu Decoction combined with Chinese herbal medicine of Tingli Dazao Xiefei Decoction. The clinical efficacy of the two groups of patients was compared and the effects of fever,cough,asthma,sputum,lung auscultation,and chest radiograph were compared. Results:The wheezing,cough,sputum,fever symptoms and auscultation time in the lungs in the observation group were significantly shorter than those in the control group( P < 0. 05). The scores of the main symptom in the observation group were lower than those in the control group after treatment. The difference was statistically significant( P < 0. 05).The effective rate in the observation group was 96. 55%,which was significantly better than that in the control group(85. 71%).The difference was statistically significant( P < 0. 05). Conclusions:The clinical efficacy of pneumonia suppository in treatment of children with pneumonia and asthma is significant in the onset time of major symptoms,improvement of main symptoms,and comprehensive curative effect.
Objective:To observe the clinical efficacy of pneumonia suppository in treatment of children with pneumonia and asthma,and to observe its effect on the symptoms of TCM in children. Methods: Sixty children with pneumonia,asthma,fever and closed lung syndrome were randomly divided into observation group and control group. The observation group was given conventional western medicine treatment combined with pneumonic suppository and anal,and the control group was treated with conventional western medicine combined with Wuhu Decoction combined with Chinese herbal medicine of Tingli Dazao Xiefei Decoction. The clinical efficacy of the two groups of patients was compared and the effects of fever,cough,asthma,sputum,lung auscultation,and chest radiograph were compared. Results:The wheezing,cough,sputum,fever symptoms and auscultation time in the lungs in the observation group were significantly shorter than those in the control group( P < 0. 05). The scores of the main symptom in the observation group were lower than those in the control group after treatment. The difference was statistically significant( P < 0. 05).The effective rate in the observation group was 96. 55%,which was significantly better than that in the control group(85. 71%).The difference was statistically significant( P < 0. 05). Conclusions:The clinical efficacy of pneumonia suppository in treatment of children with pneumonia and asthma is significant in the onset time of major symptoms,improvement of main symptoms,and comprehensive curative effect.
引文
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[2]汪受传.中医儿科学[M].北京:中国中医药出版社,2004:19.
[3]中华中医药学会.中医儿科常见病诊疗指南[M].北京:中国中医药出版社,2012:17.
[4]刘世英.WHO小儿急性呼吸道感染的分类及评估简介[J].中国实用儿科杂志,1997,12(1):3-4.
[5]陆权.儿童社区获得性肺炎管理指南(试行)[J].中华儿科杂志,2007,6(2):83-90.
[6]汪受传,俞景茂.中医儿科临床研究[M].北京:人民卫生出版社,2008:166-179.
[7]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:78.
[8]汪受传,朱先康,李江全,等.开肺化痰解毒法治疗小儿病毒性肺炎的研究[J].辽宁中医杂志,2001,28(7):27-29.
[9]刘坤,孙轶秋.内外合治小儿肺炎喘嗽20例[J].中医儿科杂志,2011,20(3):471.
[10]李静,周耀铃,潘鸿,等.中西医结合治疗肺炎喘嗽(痰热闭肺证)临床观察[J].中国中医急症,2015,24(7):1275-1277.
[11]汪受传,赵霞,韩新民,等.小儿肺炎喘嗽中医诊疗指南[J].中医儿科杂志,2008,4(3):1-3.
[12]金成花,张新喜,楼琼卿.拔罐疗法佐治小儿肺炎喘嗽36例观察[J].浙江中医杂志,2015,50(11):821.
[13]张慈.涤痰化瘀贴辅治小儿肺炎喘嗽的疗效观察[J].临床合理用药,2015,8(7):83-84.
[14]张秋菊,张庆和,郭景春.柴胡陷胸汤保留灌肠治疗小儿痰热闭肺型肺炎喘嗽58例[J].中国中医药科技,1998,5(2):124.
[15]张欣,崔雅平.肺俞穴拔罐佐治小儿肺炎28例[J].包头医学院学报,2001,17(4):332.
[16]朱盛国,唐为勇,周飞.肺炎栓剂治疗小儿肺炎30例[J].上海中医杂志,1998,11(9):11-12.