麻杏石宣汤治疗小儿湿热咳嗽72例临床观察
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Clinical Effect of Maxing Shixuan Decoction Treating 72 Cases of Children’s Cough Caused by Damp-heat Syndrome
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    摘要:

    目的:本文观察麻杏石宣汤治疗小儿湿热咳嗽的临床疗效及评价。方法:选取2016年9月至2017年2月期间成都中医药大学附属医院门诊就诊的咳嗽患儿,辨证属湿热证72例,按1:1比例分为观察组36例、对照组36例,观察组服用“麻杏石宣汤”,对照组服用“蒿芩化湿口服液”,治疗7 d后,进行治疗前后的2组自身比较,评价麻杏石宣汤的临床疗效。结果:2组患者总体疗效比较,差异有统计学意义(P<0.05),观察组优于对照组;在单个症状改善方面,除次症饮食习惯、小便黄赤2组疗效差异无统计学意义(P>0.05)外,在主症咳嗽、咯痰,次症发热、食欲不振方面观察组疗效显著优于对照组(P<0.01),在鼻塞喷嚏、流清涕,大便不调,舌脉方面观察组疗效优于对照组(P<0.05);观察组较对照组疗效显著。结论:麻杏石宣汤对小儿肺咳嗽湿热证有较好的疗效,值得临床推广以及进一步研究。

    Abstract:

    To observe curative effect of Maxing Shixuan Decoction on children’s cough caused by damp-heat syndrome.Methods:A total of 72 children diagnosed as cough caused by damp-heat syndrome were collected from Sept 2016 to Feb 2017 in Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,and they were randomly divided into test group of 36 and control group of 36.The test group were given the treatment of Maxing Shixuan Decoction,at the same time,the control group were given the Haoqin Huashi oral liquid.After a treatment period of 7 days,compared the efficacy of both groups with before and evaluated the clinical effect of Maxing Shixuan Decoction.Results:Compared the general efficacy between the two groups,there was significant differences(P<0.05),which showed that the general efficacy of the test group was superior to the control group.As for improving the single symptoms,the two groups had no significant difference at diet and urine,which were belong to minor symptoms(P>0.05),but the test group was obviously superior to the control group in terms of cough and phlegm belong to main symptoms as well as heating and anorexia belong to minor symptoms,the tested term significantly had better efficacy than control group(P<0.01).Also,test group had better efficacy than control group in terms of sneezing,runny nose,stool stem node,tongue and pulse,which belong to minor symptoms(P<0.05).Conclusion:Maxing Shixuan decoction has good curative effect on curing cough caused by damp-heat syndrome and it is worthy spreading and further studying.

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李高恩,常克.麻杏石宣汤治疗小儿湿热咳嗽72例临床观察[J].世界中医药,2017,(08).

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  • 收稿日期:2017-06-15
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  • 在线发布日期: 2017-08-28
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