“三部六病”调肺汤加减施治小儿支气管肺炎86例?692?光明中医2012年4月第27卷第4期CJGMCMApril2012.Vol27.4"三部六二邵/\病"调肺汤加减施治小儿支气管肺炎86例范梅红马文辉摘要:目的观察"三部六病"调肺汤加减施治小儿支气管肺炎临床疗效.方法179例病例随机分为两组,对照组93例,治疗组86例.两组病例均采用抗感染,退热,止咳,平喘,雾化治疗措施.对照组采用头孢噻肟钠,病毒唑,扑热息痛,氨茶碱,氨溴索,治疗组采用"三部六病"调肺汤加减抗感染,退热,止咳,平喘,氨溴索雾化.结果两组病例治疗后,显效率对照组62.4%,治疗组87.2%,经过统计学检验处理X=8.436,P《0.05差异有显着统计学意义.平均退热时间,止咳时间,哆音消失时间两组对比统计学处理P《0.05差异有显着统计学意义.结论"三部六病"调肺汤加减施治小儿支气管肺炎临床观察疗效显着,副作用小,值得在临床推广使用.关键词:"三部六病";调肺汤;支气管肺炎doi:10.3969/j.issn.1003—8914.2012.04.033:1003.8914(2012)-04.0692-02ClinicalObservationof86CasesofTreatmentforBronchialPnenmoniaofChildrenbyLungConditioningDecoctionwithTheoryof"ThreeSystemsSixSyndrons"FanMeihongMaWenhui(TheSecondHospitalofShanxiCollegeofTCMPediatrics,Shanxi,030024)Abstract:ObjectiveToobserveclinicaleffectoftreatmentforbronchialpneumoniaofchildrenbylungconditioningdecoctionwiththeoryof"threesystemssixsyndromes".Methods179patientsarerandomlydividedintotwogroups,93patientsincontrolgroup,86patientsintreatmentgroup.Bothtwogroupsusetreatmentsofanti—infection,feverclearance,stopingcough,smoothingasthmaandspraying.Thecontrolgroupusescefotaximesodium,ribavirin,paracetamol,aminophyllineandambroxo1.ThetreatmentgroupUSeSlungconditioningdecoctionwiththeoryofthreesystemssixsyndronstoanti—infection,feverclearance,stopingcough,smoothingasthmaandspraying.Results:Theefficiencyofthecontrolgroupis62.4%,87.2%intreatmentgroupaftertreatment.AfterstatisticalanalysisbyXtest,X=8.436andP《0.05.Differenceisstatisticallysignificant.Twosetsofdatasincludingmeantimeoffeverclearance,stopingcough,disappearanceofpulmonaryralesraleisstatisticallysignificant.ConclusionsThetreatmentforbronchialpneumoniaofchildrenbylungconditioningdecoctionwiththeoryofthreesystemssixsyndromshassignificanteffectandlesssideeffects.Itshouldbeusedinclinica1.Keywords:Threesystemssixsyndrons;Lungconditioningdecoction;Bronchialpneumonia支气管肺炎为A,JL最常见的肺炎,是威胁我国儿童健康的严重疾病,发病率和病死率均高于发达国家….该病大多数由细菌,病毒感染所致,由于近年来抗生素的滥用,造成抗药性的增加,使该病久治不愈.作者用中药"三部六病"调肺汤加减施治小儿支气管肺炎,自2005年1月～2008年12月治疗86例,取得显着疗效,现报道如下.1临床资料1.1观察对象179例病例均为我院门诊患者,随机分为两组,对照组93例,男52例,女41例;年龄0～1岁20例,2～3岁48例,4～8岁19例,9～10岁6例;体温37.5—38.5℃38例,38.5～39.5℃36例,39.5cI=以上19例;普通型72例,重型21例;轻:重=3.47.治疗组86例,男48例,女38例;年龄0～1岁18例,2～3岁46例,4～8岁17例,9～10岁5例;体温37.5作者单位:山西中医学院第二中医院(太原030024)一38.5℃35例,38.5—39.5℃33例,39.5℃以上17例;普通型67例,重型19例;轻:重=3.52.179例病例治疗前做胸片检查均有肺纹理增粗和点片状阴影存在.两组病例在性别,年龄,病情等方面经统计学分析无显着差异(P》0.05),具有可比性,所有病例均符合支气管肺炎诊断标准.以上患者不包括支原体或衣原体检测阳性者,严重营养不良者,伴有心力衰竭者,头孢菌素过敏者.1.2观察指标统一发放调查表家长配合测体温一13最少3次,咳嗽减轻和停止的时间,利用作雾化治疗时观察哕音减少和消失的时间.见于d,JL胸片副作用只少数复查,故未做为观察指标.2治疗方法两组病例均采用抗感染,退热,止咳,平喘,雾化治疗措施.对照组采用头孢噻肟...