肺脾同治法治疗小儿慢性咳嗽(痰热壅肺型)的临床研究

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1、成都中医约大学硕士学位论文肺脾同治法治疗小儿慢性咳嗽（痰热缠肺型）的临床研究姓名：赵永华中请学位级别：硕士专业：中医儿科学指导教师：李秀亮2008-05中文摘要目的：通过对新制六安煎加减治疗痰热壅肺型小儿慢性咳嗽的疗效观察，探讨肺脾同治法在小儿慢性咳嗽中的运用。方法：通过对文献的综合研究和导师的经验总结，制定临床研究方案，将60例符合小儿痰热壅肺型慢性咳嗽纳入标准的门诊患儿按1：1分为治疗组和对照组,治疗组30例，对照组3Q例。对两组患儿的一般情况、病程、病因和主症进行比较，依据患儿年龄大小，治疗组和对照组分别给予相应剂量的新制六安煎及小儿消积止咳口服液，7天为一个疗

2、程，共治疗一个疗程，进行对两组治疗后在疾病疗效和主症改善上的比较。结果：(1)疗程结束后，新制六安煎的疗效明显优于小儿消积止咳口服液(P<0.01)o(2)治疗组患儿主症的改善明显优于对照组,差异显著(p<0.01)o结论：新制六安煎治疗小儿痰热壅肺型慢性咳嗽的疗效甚佳；其对改善症状方面和临床疗效方面均优于对照组；说明肺脾同治法在治疗小儿痰热纯肺型慢性咳嗽中能取得满意效果。关键词：肺脾同治法小儿慢性咳嗽痰热维肺型新制六安煎加减AbstractObjiect:InvestigatetheusingofLung-Spleentogethertreatmentonchron

3、icchildrencough,throughtreatmentresearchofNewmadeLiuanjianforSputumandHeatObstrctionLungtypeofchronicchildrencough.Method：Setupclinicalprojectthroughthecomprehensionstudyaboutdocumentandmytutorssummaryofexperience,divided60casespatientschildrenwhobelongtoSputumandHeatObstrctionLungtypeo

4、fchronicchildrencoughintotreatmentgroupandcontrolgroupby1:1.Andeachofthem30cases.Comparethegeneralsituationhistoryreasonandmainsymptomsbetween2groups-Thenaccordingtothechildrenpatients'age,offerNewmadeLiuanjianfortreatmentgroupandXiaoerXiaojiZhikeKoufuyeforcontrolgroupseparately.7daysas

5、oneperiodandoffer1period.Comparethetreatmenteffectandimprovementaftermainsymptomsbetween2groups.Result：(1)After1periodtreatment,thetreatmenteffectofNewmadeLiuanjiantreatmentgroupissuspectivelybetterthanXiaoerXiaojiZhikeKoufuye.(p<0.01).(2)Improvementofmainsymptomsoftreatmentgroupisbette

6、rthancontrolgroup.Conclusion：NewmadeLiuanjianiseffectivefortreatingSputumandHeatObstrctionLungtypeofchronicchildrencough.IFsbetterinimprovingsymptomsandclinicaleffectsthancontrolgroup.ItshowsthattogethertreatmentonLung-SpleencangetsatisfiedeffectsforSputumandHeatObstrctionLungtypeofchro

7、nicchildrencough.Keyword：Lung-Spleentogethertreatmentchronicchildren^coughSputumandHeatObstrctionLungNewmadeLiuanjian缩略词表缩写英文全称中文译名ELISAenzyme-linkedimmunosorbentassay酶联免疫吸附测定GERgastroesophagealreflux胃食管反流GERDgastroesophagealrefluxdisease胃食管反流疾病SAPsymptomassociationprobabi1ity相