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小柴胡汤合麻杏石甘汤治疗小儿肺炎痰热闭肺型的临床研究 被引量:9

Clinical Study on Xiaochaihu Decoction Combined with Maxing Shigan Decoction in the Treatment of Infantile Pneumonia of Phlegm Heat Blocking Lung Type
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摘要 目的探讨小柴胡汤合麻杏石甘汤治疗小儿肺炎痰热闭肺型的临床效果。方法选取2016年2月—2017年8月82例小儿肺炎痰热闭肺型患儿,数字随机抽取分成观察组与对照组,对照组采用常规西医治疗,观察组采用小柴胡汤合麻杏石甘汤治疗,对比2组临床治疗效果、临床症状及体征消失时间。结果观察组患儿治疗愈显率为92.68%(38/41),显著高于对照组愈显率73.17%(30/41)(P<0.05);观察组患者发热消退时间、喘息消除时间、咳嗽消除时间、肺啰音消除、胸片恢复正常时间、住院时间均少于对照组(P<0.05)。结论小柴胡汤合麻杏石甘汤治疗小儿肺炎痰热闭肺型具有显著临床效果,促进患者康复,值得推广使用。 Objective To explore the clinical effect of Xiaochaihu decoction combined with Maxing Shigan decoction in the treatment ofinfantile pneumonia of phlegm heat blocking lung type. Methods In our hospital from February 2016 to August 2017, 82 cases ofchildren with infantile pneumonia phlegm heat closed type were digital randomly divided into observation group and control group. Thecontrol group was treated with conventional western medicine treatment, and the observation group used Xiaochaihu decoction combinedwith Maxing Shigan decoction. The clinical curative effect, clinical symptoms and signs disappeared time was compared. Results Thetotal therapeutic efficiency of the observation group was 92.68%, which was significantly lower than 73.17% (30/41) of the controlgroup (P〈0.05) . In the observation group, the duration of fever subside, wheezing subside, cough subside, lung murmur subside, chestradiograph restoration and hospitalization were all less than those in the control group (P〈0.05). Conclusion Xiaochaihu decoctioncombined with Maxing Shigan decoction has significant clinical effect on phlegm, heat, and pulmonary type of pneumonia in children.
作者 王增玲 吴航 WANG Zengling;WU Hang(Department of Pediatrics,the First Clinical Hospital of Jilin Academy of Traditional Chinese Medicine,Jilin Province,Changchun 130021,China;Department of ENT,the Affiliated Hospital of Changchun University of Chinese Medicine,Jilin Province,Changchun 130021,China)
出处 《中国中医药现代远程教育》 2018年第21期109-111,共3页 Chinese Medicine Modern Distance Education of China
关键词 小柴胡汤 麻杏石甘汤 小儿肺炎 痰热闭肺型 经方 Xiaochaihu decoction Maxing Shigan decoction infantile pneumonia phlegm heat blocking lung type classical prescription
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