宣肺运脾清瘟汤治疗手足口病肺脾湿热证的临床探究.pdfVIP

提 要 目的：从理论、临床方面对宣肺运脾清瘟汤治疗小儿手足口病的疗效进行系统研 究，并探讨其作用机理。 方法：遵循随机的原则，将符合西医小儿手足口病和中医小儿手足口病肺脾湿热 证诊断标准的 60 例患儿，随机分为对照组 30 例，试验组 30 例，对照组给予利巴韦 林注射液；试验组给予宣肺运脾化瘟汤和利巴韦林，疗程为 8 天，观察肺脾湿热型手 足口病的所有症状体征及相关的实验室指标，进行治疗前后对照比较、观察研究。 结果：分别观察两组治疗前、治疗第 4 天及治疗第 8 天患儿的症状、体征、理化 检查结果: 热退时间、疱疹消退时间、咳嗽、食欲不振等指标好转情况，试验组均优 于对照组，临床安全性指标研究结果，宣肺运脾清瘟汤未显示对于重要脏器有毒副作 用。 结论：宣肺运脾化瘟汤治疗小儿手足口病肺脾湿热证，在临床症状改善方面效果 明显，能减轻患儿痛苦，在常规用量范围内是安全有效的。 关键词 宣肺运脾清瘟汤 手足口病 肺脾湿热证 临床研究 Clinical Studies on Evil committed Feipi of HFMD Treated with Xuanfei Yunpi Qingwen Decoction Specialty:Respiratory and Urinary Disease,Pediatries Medicine of TCM Author :Xu Ping Ping Tutor :Gao Shuying Abstract Objective: To observe and evaluate the efficacy and clinical aspets in the treatment of hand,foot and mouth disease on the Xuanfei Yunpi Qingwen decoction to HFMD on Evils committed Feipi card,and explore its mechanism in ord to facilitate better use of the prevention and treatment of Chinese medicine ，and discuss the mechanism of action. Methods ：According to the rule of randomization, all subjects were divided into two groups, test group and controlled group. The unified lists about cases were filled to study the difference between the status before cases being cured and after cases. The test group was given Xuanfei Yunpi Qingwen decoction ,The controlled group was treated with conventional westen therapy improvement of symptoms daily during the treatment. The observing course was 8 days.After observation,mke statistics. Results: Two groups were observed before treatment, treatment day 4 and treatment of childrens day 8.The effect of test group was much better than of the controlled group. Compared with the controlled group, the indexes of test group