射干麻黄汤加味治疗小儿流行性喘憋性肺炎疗效观察  

Curative Effect of Modified Shegan Mahuang Tang for Epidemic Asthmatic Pneumonia in children

作　　者：何映[1] 吉贤 

机构地区：[1]白银市平川区人民医院,甘肃白银730900 [2]平川区兴平路街道社区卫生服务中心,甘肃白银730900

出　　处：《新中医》2017年第4期111-113,共3页New Chinese Medicine

摘　　要：目的:观察射干麻黄汤加味治疗寒饮停肺型小儿流行性喘憋性肺炎的临床疗效。方法:选取106例寒饮停肺型流行性喘憋性肺炎患儿,随机分为西药组37例、中药组35例和中西药联合组34例。西药组给予西药治疗,中药组给予射干麻黄汤加味治疗,中西药联合组同时采用上述药物。3组均治疗7天。比较3组临床疗效和不良反应发生率,观察3组喘憋消失时间和咳嗽缓解时间。结果:西药组治疗总有效率78.38%,中药组治疗总有效率94.28%,中西药联合组治疗总有效率97.06%。西药组的治疗总有效率均低于中药组和中西药联合组(P<0.05);中药组的治疗总有效率与中西药联合组比较,差异无统计学意义(P>0.05)。中药组喘憋消失时间及咳嗽缓解时间均短于西药组和中西药联合组(P<0.05),中西药联合组喘憋消失时间及咳嗽缓解时间均短于西药组(P<0.05)。西药组的不良反应发生率均高于中药组和中西药联合组(P<0.01,P<0.05)。结论:射干麻黄汤加味或联合西药治疗寒饮停肺型小儿流行性喘憋性肺炎,治疗总有效率均优于单纯西药治疗。在缓解喘憋和咳嗽症状方面,射干麻黄汤加味的治疗效果最显著。Objective：To observe the clinical effect of modified Shegan Mahuang tang in treating epidemic asthmatic pneumonia with syndrome of cold fluid retained in lung.Methods：Selected 106 cases of children with epidemic asthmatic pneumonia with syndrome of cold fluid retaining in lung,and divided them into 37 cases of western medicine group,35 cases of Chinese medicine group,and 34 cases of Chinese medicine combined with western medicine group randomly.Western medicine group was treated with western medicine,Chinese medicine group was treated with modified Shegan Mahuang tang,and Chinese medicine combined with western medicine group was treated with western medicine combined with modified Shegan Mahuang tang.Three groups received treatment for 7 days.Compared the clinical effect,and observed the disappearance time of wheezes and the remission time of cough in both groups.Results：The total effective rate was78.38%in western medicine group,94.28%in Chinese medicine group,and 97.06%in the Chinese medicine combined with western medicine group.The total effective rate in western medicine group was lower than that in Chinese medicine group and Chinese medicine combined with western medicine group（P〈0.05）.No significance was found in the comparison of the effective rate of Chinese medicine group and Chinese medicine combined with western medicine group（P〉 0.05）.The disappearance time of wheezes and the remission time of cough in Chinese medicine group were shorter than those in western medicine group and Chinese medicine combined with western medicine group（P〈0.05）;the disappearance time of wheezes and the remission time of cough in Chinese medicine combined with western medicine group were shorter than those in western medicine group（P〈0.05）.The incidence of adverse reations to the western medicine was higher than the Chinese medicine group and Chinese medicine combined with western medicine group（P〈0.01,P〈0.05）.Conclusion：The therapy of modified Shegan Mahuang tang for epidemic asthmati

关 键 词：流行性喘憋性肺炎 小儿 寒饮停肺型 射干麻黄汤 临床疗效 

分 类 号：R563.1[医药卫生—呼吸系统]