内服外治法治疗小儿急性肺炎85例  

Combined Internal and External Treatment for 85 Children with Acute Pneumonia

作　　者：吴文[1] 姜永红[1] 李文[1] 郭爱华[1] 叶飞[1] 徐彬彬[1] 姜之炎[1] 

机构地区：[1]上海中医药大学附属龙华医院儿科,上海200032

出　　处：《上海中医药杂志》2008年第9期31-33,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金："十五"国家攻关项目(2004BA721A05)

摘　　要：目的观察内服外治法治疗小儿急性肺炎的临床疗效。方法采用随机对照、双盲法,将166例急性肺炎患儿随机分为治疗组(85例)和对照组(81例)。治疗组予西医基础治疗加中药内服及敷胸膏外敷,对照组予西医基础治疗加内服、外敷安慰剂,观察各组疾病疗效和中医证候疗效。结果普通肺炎治疗组总体疗效和中医证候疗效愈显率分别为83.33%、87.5%,对照组分别为65.22%、69.57%,两组比较,差异均具有统计学意义(P<0.05);支原体肺炎治疗组总体疗效和中医证候疗效的愈显率分别为81.08%、83.78%,对照组分别是60.00%、62.86%,两组比较,差异均具有统计学意义(P<0.05)。结论内服外治法治疗小儿急性肺炎具有良好的临床疗效。Objective To observe the therapeutic effect of combined internal and external treatment for childhood acute pneumonia. Methods 166 children with acute pneumonia were divided into treatment group（n=85）and control group （n=81） in a randomization and double blind triM. Treatment group was given conventional western medical treatment and combined internal and external treatment of herbs, and control group received the conventional treatment combined with internal and external placebos. Clinical efficacy and effect of TCM syndromes were observed. Results The cure and remarkable effective rates of clinical efficacy and effect of TCM syndromes in patients with bacterial pneumonia in treatment group was 83.33% and 87.5%, and were 65.22% and 69.57% in control group respectively. The cure and remarkable effective rates of clinical efficacy and effect of TCM syndromes in patients with mycoplasmal pneumonia in treatment group were 81.08% and 83.78%, and were 60.00% and 62.86% in control group respectively. Conclusion Combined internal and external treatment of TCM has good effects on acute pneumonia.

关 键 词：小儿肺炎 辨证论治 外治法 中医证候 

分 类 号：R725.6[医药卫生—儿科]