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1、成都中醫(yī)約大學(xué)碩士學(xué)位論文肺脾同治法治療小兒慢性咳嗽（痰熱纏肺型）的臨床研究姓名：趙永華中請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：中醫(yī)兒科學(xué)指導(dǎo)教師：李秀亮2008-05中文摘要目的：通過(guò)對(duì)新制六安煎加減治療痰熱壅肺型小兒慢性咳嗽的療效觀察，探討肺脾同治法在小兒慢性咳嗽中的運(yùn)用。方法：通過(guò)對(duì)文獻(xiàn)的綜合研究和導(dǎo)師的經(jīng)驗(yàn)總結(jié)，制定臨床研究方案，將60例符合小兒痰熱壅肺型慢性咳嗽納入標(biāo)準(zhǔn)的門診患兒按1：1分為治療組和對(duì)照組,治療組30例，對(duì)照組3Q例。對(duì)兩組患兒的一般情況、病程、病因和主癥進(jìn)行比較，依據(jù)患兒年齡大小，治療組和對(duì)照組分別給予相應(yīng)劑量的新制六安煎及小兒消積止咳口服液，7天為一個(gè)療
2、程，共治療一個(gè)療程，進(jìn)行對(duì)兩組治療后在疾病療效和主癥改善上的比較。結(jié)果：(1)療程結(jié)束后，新制六安煎的療效明顯優(yōu)于小兒消積止咳口服液(P<0.01)o(2)治療組患兒主癥的改善明顯優(yōu)于對(duì)照組,差異顯著(p<0.01)o結(jié)論：新制六安煎治療小兒痰熱壅肺型慢性咳嗽的療效甚佳；其對(duì)改善癥狀方面和臨床療效方面均優(yōu)于對(duì)照組；說(shuō)明肺脾同治法在治療小兒痰熱純肺型慢性咳嗽中能取得滿意效果。關(guān)鍵詞：肺脾同治法小兒慢性咳嗽痰熱維肺型新制六安煎加減AbstractObjiect:InvestigatetheusingofLung-Spleentogethertreatmentonchron
3、icchildrencough,throughtreatmentresearchofNewmadeLiuanjianforSputumandHeatObstrctionLungtypeofchronicchildrencough.Method：Setupclinicalprojectthroughthecomprehensionstudyaboutdocumentandmytutorssummaryofexperience,divided60casespatientschildrenwhobelongtoSputumandHeatObstrctionLungtypeo
4、fchronicchildrencoughintotreatmentgroupandcontrolgroupby1:1.Andeachofthem30cases.Comparethegeneralsituationhistoryreasonandmainsymptomsbetween2groups-Thenaccordingtothechildrenpatients'age,offerNewmadeLiuanjianfortreatmentgroupandXiaoerXiaojiZhikeKoufuyeforcontrolgroupseparately.7daysas
5、oneperiodandoffer1period.Comparethetreatmenteffectandimprovementaftermainsymptomsbetween2groups.Result：(1)After1periodtreatment,thetreatmenteffectofNewmadeLiuanjiantreatmentgroupissuspectivelybetterthanXiaoerXiaojiZhikeKoufuye.(p<0.01).(2)Improvementofmainsymptomsoftreatmentgroupisbette
6、rthancontrolgroup.Conclusion：NewmadeLiuanjianiseffectivefortreatingSputumandHeatObstrctionLungtypeofchronicchildrencough.IFsbetterinimprovingsymptomsandclinicaleffectsthancontrolgroup.ItshowsthattogethertreatmentonLung-SpleencangetsatisfiedeffectsforSputumandHeatObstrctionLungtypeofchro
7、nicchildrencough.Keyword：Lung-Spleentogethertreatmentchronicchildren^coughSputumandHeatObstrctionLungNewmadeLiuanjian縮略詞表縮寫英文全稱中文譯名ELISAenzyme-linkedimmunosorbentassay酶聯(lián)免疫吸附測(cè)定GERgastroesophagealreflux胃食管反流GERDgastroesophagealrefluxdisease胃食管反流疾病SAPsymptomassociationprobabi1ity相
