摘要
目的观察升降散合银翘散加减治疗小儿急性扁桃体炎肺胃热盛证的临床疗效。方法 86例急性扁桃体炎肺胃热盛证患儿随机分为治疗组(43例)和对照组(43例),对照组给予青霉素钠注射液,2次/d;炎琥宁注射液,1次/d。治疗组在对照组治疗基础上给予升降散合银翘散加减,2组均连续治疗5 d后,比较2组临床主要症状和体征评分、临床疗效、不良反应。结果治疗组愈显率(90.7%)明显优于对照组(62.8%),差异具有统计意义(P<0.05);治疗组总有效率(97.7%)与对照组(95.3%)比较差异无统计意义(P>0.05)。治疗组治疗后症状和体征评分明显优于对照组,差异有统计意义(P<0.05)。治疗组退热时间、渗出物消失时间、扁桃体缩小时间、充血缓解时间均明显优于对照组,差异均有统计意义(P<0.05或P<0.01)。2组患儿治疗期间均未出现明显不良反应。结论升降散合银翘散加减治疗小儿急性扁桃体炎肺胃热盛证具有良好的临床疗效,可有效改善临床症状和体征,无明显不良反应,值得临床推广使用。
Objective To observe the clinical efficacy of Shengjiang Powder combined with Yinqiao Powder in treating acute tonsillitis with excessive heat disease of lung and stomach syndrome in children. Methods A total of 86 children who infected with acute tonsillitis matching excessive heat disease of lung and stomach in our hospital were randomly divided into two groups, the control group （43 patients） and the treatment group （43 patients）. The control group was given Benzylpenicillin Sodium for Injection, 1 time a day and Yanhuning intravenous drip in- jection, 1 time a day. The treatment group was given Shengjiang Powder combined with Yinqiao Powder based on control group. Both groups were treated for 5 days. Then observed the main clinical symptoms and signs of scoring, the clinical efficacy and adverse reactions. Results The treatment group markedly effective rate （90.7%） was significantly better than the control group （62.8%） , and the difference was statistically significant （P〈0.05）. The total effective rate of treatment group （97.7%） and that of the control group （95.3%） showed no significant difference （P〉0.05）. After treatment, the scores of symptoms and signs were significantly better than those of the control group, and the difference was statistically significant （P〈0.01）. Pyretolysis time, exudate disappearing time, tonsil shrink time and congestion relief time was significantly better than those in the control group, and the difference was statistically significant （P〈0.05）. There was no obvious adverse effects during the treatment in the patients of two groups. Conclusion Shengjiang Powder combined with Yinqiao Powder has good curative effect in treating acute tonsillitis with excessive heat disease of lung and stomach in children, and can improve the clinical symptoms and signs of patients, without significant adverse reactions, worthy of clinical use.
出处
《中医儿科杂志》
2015年第3期31-34,共4页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
升降散
银翘散加减
小儿急性扁桃体炎
肺胃热盛证
临床疗效
Shengjiang Powder
Yinqiao Powder
acute tonsillitis in children
excessive heat of lung and stomach syndrome
clinical curative effect
