加味取渊汤治疗小儿上气道咳嗽之热证的临床疗效观察  

Clinical observation on the curative effect of modified Quyuan decoction in the treatment of heat syndrome of upper airway cough in children

作　　者：张瑾 李英会[1] 刘呈祥[1] 朱立春[1] 杨环玮 Zhang Jin;Li Yinghui;Liu Chengxiang;Zhu Lichun;Yang Huanwei(Qin Huangdao Hospital Of Traditional Chinese Medicine,Qin Huangdao 066000,China)

机构地区：[1]河北省秦皇岛市中医医院儿科,066000

出　　处：《现代养生》2023年第17期1304-1306,共3页Health Protection and Promotion

基　　金：秦皇岛市科技研发计划(编号:201805A157)。

摘　　要：目的 观察加味取渊汤治疗小儿上气道咳嗽综合征(UACS)的临床疗效。方法 将2016年9月-2019年3月科室收治的UACS热证患儿84例,在组间基线资料均衡可比的原则上,采用随机数字表法分为观察组及对照组,每组42人。两组均给予基础治疗,观察组给予中药加味取渊汤治疗,对照组给予地氯雷他定干混悬剂及孟鲁司特钠咀嚼片治疗。比较两组患儿咳嗽症状积分、总症状积分及临床疗效。结果 治疗后,两组患儿咳嗽症状积分、总症状积分均明显降低,但观察组患儿低于对照组,差异有统计学意义(P<0.05)。观察组患者的总有效率为95.24%,对照组为83.3%,观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。结论应用加味取渊汤治疗小儿上气道咳嗽综合征疗效明确,对患儿咳嗽症状积分、总症状积分的影响及总有效率均优于口服西药孟鲁司特钠及地氯雷他定干混悬剂。Objective To observe the clinical effect of modified Quyuan decoction on upper airway cough syndrome(UACS) in children.Methods A total of 84 children with UACS heat syndrome admitted to our department from September 2016 to March 2019 were divided into observation group and control group by random number table method,with 42 patients in each group.The two groups were given basic treatment,the observation group was given modified Quyuan decoction treatment,the control group was given desloratadine dry suspension and Montelukast sodium chewable tablets treatment.The cough symptom score,total symptom score and clinical efficacy of the two groups were compared.Results After treatment,the cough symptom score and total symptom score in observation group were lower than those in control group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was 95.24%,and that of the control group was 83.3%.The clinical effect of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The therapeutic effect of modified Quyuan decoction in the treatment of children with upper airway cough syndrome was clear,and the effect on the cough symptom score and the total symptom score and the total effective rate were better than the oral western medicine Montelukast sodium and desloratadine dry suspension..

关 键 词：上气道咳嗽 小儿 加味取渊汤 中医治疗 

分 类 号：R272[医药卫生—中医儿科学]