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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:趙永華中請學(xué)位級別: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:通過對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用。方法:通過對文獻(xiàn)的綜合研究和導(dǎo)師的經(jīng)驗總結(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分為治療組和對照組,治療組30例,對照組3Q例。對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天為一個療
2、程,共治療一個療程,進(jìn)行對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;其對改善癥狀方面和臨床療效方面均優(yōu)于對照組;說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)免疫吸附測定GERgastroesophagealreflux胃食管反流GERDgastroesophagealrefluxdisease胃食管反流疾病SAPsymptomassociationprobabi1ity相