【摘要】 目的:观察麻杏石甘汤辨证加减治疗小儿支气管肺炎的临床疗效。方法:将180例小儿支气管肺炎患者随机分为对照组和治疗组各90例。对照组采用常规西医治疗;治疗组采用麻杏石甘汤辨证加减治疗。治疗10天后比较2组的临床疗效、2组发热、咳嗽、痰鸣、喘息等中医症状的消失时间、不良反应率及随访6月复发率。结果:治疗后,总有效率治疗组为96.67%,对照组为82.22%,2组比较,差异有统计学意义(P<0.05);治疗组患儿发热、咳嗽、痰鸣、喘息的消失时间均较对照组短(P<0.05);治疗组不良反应率为2.22%,随访6月复发率为1.11%;对照组不良反应率为16.67%,随访6月复发率为10.00%,2组比较,差异均有统计学意义(P<0.05)。结论:麻杏石甘汤辨证加减治疗小儿支气管肺炎临床疗效显著,能有效缓解患儿症状,减少不良反应和复发,安全性较高,值得临床推广使用。更多还原

【Abstract】 Objective:To observe the clinical effect of syndrome differentiation of modified Maxingshigan tang for children with bronchopneumonia.Methods:Divided 180 cases of children with bronchopneumonia into the control group and the treatment group randomly,90 cases in each group.The control group was given routine western treatment,while the treatment group was given syndrome differentiation of modified Maxingshigan tang for treatment.After ten days of treatment,compared the clinical effect of two groups,the disappearance time of Chinese medicine symptoms of fever,cough,rale and wheezing,the incidence of adverse reactions and the recurrence rate of six-month follow-up in the two groups.Results:After treatment,the total effective rate was 96.67% in the treatment group and 82.22% in the control group,the difference being significant(P<0.05).The disappearance time of fever,cough,rale and wheezing in the treatment group was shorter than that in the control group(P<0.05).The incidence of adverse reactions was 2.22%and the recurrence rate of six-month follow-up was 1.11% in the treatment group,while the incidence of adverse reactions was16.67% and the recurrence rate of six-month follow-up was 10.00% in the control group,the differences all being significant(P<0.05).Conclusion:The therapy of syndrome differentiation of modified Maxingshigan tang has significant effect in treating children with bronchopneumonia,which can effectively relieve the symptoms of children and reduce the adverse reactions and the recurrence with high safety.It is worthy of promotion and application in clinical practice.更多还原