从湿热辨治小儿哮喘的理论和临床研究-中医儿科学专业论文.docxVIP

中 文 摘 要 目的：本文在回顾古代医家治疗小儿哮喘理论的基础上，结合现代临床研究报 道以及个人体会，认为小儿湿热哮喘这一证型临床常见，但未引起医家的足够重视， 以致临床往往辨证不清，疗效不佳。因此本文重点对小儿湿热哮喘这一证型，从病 因病机、临床证候、诊断特点、治疗原则及用药特点等方面做了全面系统的理论阐 述，以期使小儿哮喘的辨证论治体系更臻完善，达到明确诊断、提高疗效的目的。 方法：本文主要由理论探讨和临床研究两个部分组成。理论探讨部分，对有关 哮喘的中西医文献加以总结分析，着重概述了祖国医学及现代医学对湿热哮喘的认 识及现阶段的研究进展状况，并以此理论提出了以清热化湿、轻宣肺痹法治疗小儿 哮喘的重要治法。临床研究部分，着重观察清热化湿、轻宣肺痹法治疗小儿哮喘的 临床疗效。研究以 60 例符合小儿哮喘诊断，年龄在 2 岁到 16 岁之间的患儿为对象， 辨证属湿热哮喘者，系统观察综合临床疗效及治疗前后主症、次症积分的变化并进 行统计学处理分析。 结果：清热化湿、轻宣肺痹法能较快缓解哮喘患儿的症状体征，缩短病程，其 疗效肯定，安全性高，值得推广应用及进一步深入研究。 结论：1.小儿哮喘存在有湿热型，现有的分型标准已不能完全适应临床辨证治 疗需要，应突破前人，充分认识到湿热哮喘的普遍性和特殊性；2. 清热化湿、轻宣 肺痹法是小儿湿热哮喘的有效治法，在临床治疗中疗效肯定，值得进一步研究。 关键词:小儿哮喘 湿热型 辨证论治 Abstract Object: In this paper, author recalls ancient medical treatment of asthma in children home on the basis of theory, combined with modern clinical research reports and personal experience that children with asthma hot and humid this common clinical syndromes, but not sufficient cause to the doctor so often Syndrome unclear clinical efficacy poor. This paper focus on childrens asthma hot and humid this type certification from the etiology and pathogenesis of clinical syndromes, diagnostic characteristics, treatment principles and characteristics of drugs has done a comprehensive and systematic theoretical explanations with a view to asthma in children better Differential Treatment System achieve a clear diagnosis, enhance the effectiveness of purpose. Method: This paper mainly from theoretical and clinical research on the two components.Theory of part of the asthma in Western medicine literature to be analyzed, with emphasis on the medical and outlined the hot and humid asthma modern medical knowledge and progress at this stage of the situation and put forward a theory as Qingre Huashi, light Xuanfei Bi Treatment of asthma in children the importance of governance. Clinical research component, with emphasis on observation Qingre Huashi, light Xuanfei Stagnated treatment of asthma clinical efficacy. Research on 60 patients with the diagnosis of asthma i