麻黄附子细辛汤加味治疗小儿哮喘性支气管炎的临床疗效研究中医儿科学专业毕业论文.docx

PAGE PAGE 2 和气阳虚弱为本。同时，临床观察发现，饮热夹杂为该病的主要证候特 点。麻黄附子细辛汤为主方治疗，正是遵循了以“温”为主，寒者热之、 虚则补之、痰从温化、血得温而行的原则，使其在临床治疗上效果更加 显著。 关键词 麻黄附子细辛汤；中西医疗法；哮喘性支气管炎 Clinical Study On The Effects Of Jia Wei Ma Huang Fu Zi Xi Xin Decoction Therapy To Asthmatoid Bronchitis ABSTRACT Objective: To observe the curative effect of Jia Wei Ma Huang Fu Zi Xi Xin Decoction(JWMHFZXXD) on asthmatoid bronchitis and to make a tentative investigation of its possible mechnism of action. Methods: 77 patients(including both in-patients and out-patients) were chosen after an overall systematic examination, which showed they were qualified for the experiment, and they were divided at random into an experiment group of 39 patients and the control group of 38 patients. The former were to be treated with the traditional medicine(based on an overall analysis of each patients illness and codition)combined with western medicine and the latter with western medicine alone. After 7 days of treatment, clinical symptoms before and after the treatment were contrasted and subjected to integral evaluation, and also time asthma in each patient took to disappear was recorded. All the data were statistically processed and analysed using SPSS 13.0 for windows. Results: With experiment group: clinical control 14; conspicuous efectiveness 23; effective 2; ineffective 0. Total effective rate 100%(clinical control 35.90%;conspicuous effectiveness 58.97%; effectiveness 5.13%). With control group, clinical control 1; conspicuous effectiveness 13; effectiveness 15; ineffective 0. Total effective rate 100%(clinical control 26.32%; marked effectiveness 34.21%; effective 39.47%). Statistical analysis showed that the difference between the curative effect of the two groups held statistical significance(P＜0.05), so did the difference between the time taken to relieve asthma and cough(P ＜ 0.05). Result showed that while great improvement was achieved on the patients in both groups in terms of their pathological signs, the experime