清热利湿化痰法治疗小儿支原体肺炎湿热闭肺证临床疗效观察.pdfVIP

提 要 目的：本研究以小儿肺炎支原体肺炎湿热闭肺型为研究对象，评价清热利湿化痰 法治疗小儿肺炎支原体肺炎的临床疗效。 方法：观察组 40 例，为山东中医药大学第一附属医院住院患儿，对照组 30 例， 来自山东中医药大学第二附属医院；观察组采用清热利湿化痰中药联合大环内酯类抗 生素治疗，对照组仅采用大环内酯类抗生素治疗，对比两组症状、体征等的改善情况。 结果：观察组与对照组疾病治疗总有效率分别为为 100%和 96.7% ，结果有显著 性差异；观察组在治疗后总积分改善方面优于对照组，差异具有统计学意义（P ＜ 0.05 ）。中医症候疗效比较两组差异显著，观察组与对照组总有效率分别为 100%和 90.0% ；观察组在腹胀、恶心呕吐、肢酸懒动、纳差等积分改善方面均优于对照组， 差异具有统计学意义（P ＜0.05 ）。 结论：清热利湿化痰法治疗湿热闭肺型小儿支原体肺炎临床疗效显著，具有重要 的临床意义。 关键词 清热利湿化痰法；肺炎支原体肺炎；湿热闭肺证；临床疗效观察 Therapeutic Effect Observation of Method of Clearing Heat and Removing Dampness and Resolving Phlegm on Mycoplasma Pneumonia with Syndrome of Obstruction of Lung by Damp-heat Specialty: Respiratory Disease Pediatrics of TCM Author: Zhou Xiujie Tutor: Associate Professor Zhang Guiju Abstract Objective ： This research took the children with mycoplasma pneumoniae pneumonia(MpP) with syndrome of Obstruction of Lung by Damp-heat as the research objects，to evaluate the method of clearing heat and removing dampness and resolving phlegm in treating pediatric pneumonia mycoplasma pneumonia clinical curative effect. Methods: 70 cases of pneumonia mycoplasma pneumonia children were divided into two groups according to entering the first or the second hospital, 40 cases in trail group and 30 cases in control group. The trail group were treated both the method of clearing heat and removing dampness and resolving phlegm and the western medicine method of large ring lactone class antibiotic treatment, the control group was only by a large ring lactone class antibiotic treatment, and to observe these two groups of symptoms and signs of improvement.Results: The total effective rate of trail group and the control group is 100% and 96.7% ，and the results of the two groups have differen