涤痰止咳汤治疗儿童咳嗽变异性哮喘（顽痰伏肺证）的临床疗效观察-中医儿科学专业论文.docxVIP

万方数据 万方数据 中文摘要 研究目的： 观察涤痰止咳汤治疗儿童咳嗽变异性哮喘的临床疗效，作出客观评价，丰富 中医分型及治疗此病的方法，并对其应用机理加以探讨。 研究方法： 将符合儿童咳嗽变异性哮喘（顽痰伏肺证）的 60 例门诊患儿作为研究对象， 治疗组、对照组各 30 例，治疗组服用涤痰止咳汤加减治疗，对照组参照哮喘长 期治疗方案第 2～4 级治疗，疗程 4 周，随访 3 月，观察两组患儿治疗前后的临 床症状、体征情况，并对其评分，最后将收集得到的数据进行统计学处理和分析， 客观评价其临床疗效。 研究结果： 1、治疗组的总有效率及控制率为 96.7%、60%，对照组的总有效率及控制 率为 86.6%、23.3%，治疗组疗效优于对照组。 2、经治疗后两组患者多数症状均较治疗前有所改善，但组间比较，治疗组 优于对照组。 3、随访期比较，治疗组的远期疗效优于对照组。 4、过敏史方面，既往患有湿疹史的患儿占 85%，其家属患有哮喘病史或其 他过敏史分别占 16.7%、70%，结果印证过敏史是 CVA 的重要诊断标准之一。 5、辅助检查方面，过敏原检测阳性病例占 82.5%，肺功能检测，阳性占 80.6%， 两者均是诊断 CVA 的重要辅助检查。 研究结论： 1、通过文献研究，讨论了从诊断、治疗、病理学、药理研究、合并症、临 床护理等方面将中西医结合起来，具有优势互补，提高疗效作用。 2、涤痰止咳汤治疗咳嗽变异性哮喘（顽痰伏肺证）疗效确切，不仅能够有 效控制发作期症状，并能减少急性发作次数，缩短病程，且无不良反应出现。 关键词： 咳嗽变异性咳嗽 顽痰伏肺 涤痰止咳汤 临床研究 2 Abstract Objective： TO observe the clinical curative effect of Ditan Zhike Decoction in treating Children Cough Variant Asthma (CVA), we made a scientific evaluation to improve the method of traditional Chinese medicine for CVA, and its application mechanism was discussed in this paper. Methods： The children who conform to Chinese and western medicine diagnosis of Children Cough Variant Asthma were as the research object. The children were divided into treatment group and control group in 30 cases each. The treatment group took Ditan Zhike Decoction while the control group was applied the 2 ~ 4 step therapy of Long-term treatment for asthma. The course of treatment last for 4 weeks, and follow-up of was 3 months. After the treatment, the clinical symptoms of each group were observed and recorded. Finally, the collected data was processed and analyzed with the application of SPSS, and an objective evaluation of the clinical curative effect was made. Results： The total effective rate and control rate of the treatment group were 96.7% and 60% respectively while the total effective rate and control rate of the control group were 86.6% and 23.3% respectively. The 3 treatment group curative effect was better than that in the control group. Multi-symptoms of the two groups were improved b