【作者】 李斌；

【导师】 张葆青；

【作者基本信息】 山东中医药大学 ， 中医儿科学， 2011， 硕士

【摘要】 目的:观察验证小儿肺炎喘嗽急性期风热闭肺证、痰热闭肺证内治法的临床疗效，为进一步优化小儿肺炎中医诊疗方案奠定基础。方法:将120例肺炎喘嗽（风热闭肺证、痰热闭肺证）患儿随机分为试验组64例、对照组56例，对照组采用中成药喜炎平静滴及对症处理，试验组在对照组的基础上辨证予以中药口服，观察两组患儿症状、体征的改善情况。结果:风热闭肺证试验组愈显率为100%，痊愈率为87.5%，对照组愈显率为95.5%，痊愈率为59.1%；痰热闭肺证试验组愈显率为100%，痊愈率为82.5%；对照组愈显率为97.1%，痊愈率为61.8%。两证试验组在治疗后总积分比较，以及咳嗽、痰壅、气喘、肺部啰音听诊恢复正常天数方面均优于对照组，统计学分析差异具有统计学意义（P＜0.05）；在退热方面两证两组疗效相当，统计学分析差异无统计学意义（P＞0.05）。结论:小儿肺炎喘嗽风热闭肺证、痰热闭肺证内治法疗效显著，具有临床应用价值更多还原

【Abstract】 Objective: Evaluate clinical effect of the internal co-treatment method in children with Pneumonia Chuansou which the syndrome are wind-heat, phlegm-heat closed the lung.Methods: 120 cases of pediatric Pneumonia Chuansou which are wind-heat, phlegm-heat closed the lung are randomly divided into treated group with 64 cases and control group with 56 cases. The control group uses Xiyanping and treatment symptomaticly while the treated group uses the drugs based on the control group and plus oral Chinese medicine .We observe the improvement of the disease about symptoms and signs .Results:The cured-marked effective rate of the treated group in wind heat closed the lung is 100% .The cured rate of the treated group is 87.5%,while the others are 95.5% and 59.1%;The cured-marked effective rate of the treated group in phlegm heat closed the lung is 100% .The cured rate of the treated group is 82,5%,while the others are 97.1% and 61.8%.The results of treated groups are better respectively than the control groups after treatment in total score and syndromes such as fever,cough,phlegm,asthma,lung auscultation ,and the differences are statistically significant(P<0.05).Conclusion: The Internal co-treatment method has significant effect in treating children with Pneumonia Chuansou in Wind-heat and Phlegm-heat closed the lung ,and has important clinical value.更多还原