中医药治疗病毒性肺炎热与痰证候关联动态疗效评价  

Assessment of the Dynamic Efficacy on TCM treatment for Viral Pneumonia basing on the Association between Heat Syndrome and Phlegm Syndrome

作　　者：艾军[1] 汪受传[2] 戴铭[1] 兰天莹[1] 吴红斌[3] 钟妮[1] 

机构地区：[1]广西中医药大学,南宁530001 [2]南京中医药大学,南京210029 [3]桂林医学院附属医院,桂林541001

出　　处：《世界中医药》2016年第9期1667-1669,共3页World Chinese Medicine

基　　金：国家自然科学基金项目(编号:81160419);江苏高校优势学科建设工程资助项目:南京中医药大学中医学一级学科开放课题(编号:YS2012ZYX210)

摘　　要：目的：客观评价中医药治疗病毒性肺炎的热与痰证候动态疗效。方法：运用关联规则方法观察297例小儿呼吸道合胞病毒肺炎治疗前后证候关联的动态疗效。结果：2组热与痰证候均逐日减轻,但作支持度比较,在多数时间上（治疗后2、3、5、6、7d或3、5d）,试验组低于对照组（P〈0.05,差异有统计学意义）,试验组比对照组提前1~3d消失。说明在改善热与痰关联病机方面,试验组效果优于对照组。结论：应用关联规则方法可以帮助评价中医证候的临床疗效,对探寻符合中医特色、遵循中医自身规律的临床疗效评价方法打下基础。Objective： To evaluate the dynamic efficacy on TCM treatment for viral pneumonia,basing on the association between heat syndrome and phlegm syndrome. Methods： Association rules were used to observe the dynamic efficacy of treatment of 297 infantile Respiratory Syntactical Virus Pneumonia cases with the association between heat syndrome and phlegm syndrome. Results：The heat and phlegm syndrome of two groups were relieved day by day. However,the support degree comparison showed that the data of the study group were lower than that of the control group most of the time（ 2nd,3rd,5th,6th,7th or 3rd,5th day after treatment）,and the difference was marked（ P〈0. 05）. The symptoms of the study group disappeared 1 ~ 3days sooner than the control group. This illustrated that the significant efficacy of the study group on improving heat and phlegm associated pathogenesis. Conclusion： By using the association rules method,the clinical effect of TCM syndrome could be evaluated. Besides,this method lays the foundation of the exploration of the evaluation method for the clinical efficacy which is consistent with characteristics of TCM and follows the laws of TCM.

关 键 词：病毒性肺炎 热与痰证候关联 动态疗效 

分 类 号：R272[医药卫生—中医儿科学]