麻杏化瘀汤联合常规疗法治疗小儿痰热闭肺夹瘀型肺炎疗效观察  

Effect Observation of Maxin Huayu Tang Combined with Conventional Therapy in Treating Pneumonia Children of Phlegm Heat Obstructing Lung with Stasis Syndrome

作　　者：沈建春 SHEN Jianchun

机构地区：[1]桐乡市妇幼保健院,浙江桐乡314500

出　　处：《新中医》2017年第1期118-120,共3页New Chinese Medicine

摘　　要：目的:观察麻杏化瘀汤联合常规疗法治疗痰热闭肺夹瘀型小儿肺炎的临床疗效。方法:选取124例痰热闭肺夹瘀型肺炎患儿为研究对象,随机分为对照组与观察组各62例。2组均予头孢曲松抗菌及维持水、电解质平衡等常规治疗,观察组再予麻杏化瘀汤治疗。比较2组治疗后体温恢复正常时间、气促改善时间及啰音消失时间,以及观察2组治疗前后证候积分的变化情况。结果:治疗后,观察组体温恢复正常时间、气促改善时间及啰音消失时间均短于对照组(P<0.05)。治疗前,2组证候积分比较,差异无统计学意义(P>0.05)。治疗后,2组证候积分均较治疗前降低(P<0.01);观察组的证候积分低于对照组(P<0.01)。愈显率对照组为69.4%,低于观察组的87.1%(P<0.05)。结论:麻杏化瘀汤联合常规疗法治疗痰热闭肺夹瘀型小儿肺炎,可有效改善患儿的症状、体征,临床疗效优于常规治疗。Objective：To observe the clinical effect of Maxin Huayu tang combined with conventional therapy in treating pneumonia children of phlegm-heat obstructing lung with stasis syndrome.Methods：Selected 124 cases of pneumonia children of phlegm-heat obstructing lung with stasis syndrome as study objects,and divided them into the control group and the observation group randomly,62 cases in each group.The conventional therapy of ceftriaxone antibiotic and maintaining water and electrolyte balance was given to both groups,and the observation group received additional treatment of Maxin Huayu tang.Compared the temperature recovery time,the improvement time of shortness of breath and rale disappearance time in both groups after treatment,and observed changes of syndrome integral score in both groups.Results：After treatment,the temperature recovery time,the improvement time of shortness of breath and rale disappearance time in the observation group were all shorter than those in the control group（P〈0.05）.Compared changes of syndrome integral scores in both groups before treatment,there was no significance in the difference（P〉0.05）.After treatment,integral scores in two groups were both reduced（P〈0.01）;the integral scores in the observation group were lower than those in the control group（P〈0.01）.The cured and markedly effective rate in the control group was 69.4%,being lower than 87.1%of the observation group（P〈0.05）.Conclusion：The therapy of Maxin Huayu tang combined with conventional therapy for pneumonia children of phlegm-heat obstructing lung with stasis syndrome can effectively improve symptoms and physical signs.It has better clinical effect than conventional therapy.

关 键 词：小儿肺炎 痰热闭肺型 麻杏化瘀汤 临床疗效 

分 类 号：R563.1[医药卫生—呼吸系统]