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[目的]观察辨证分期联合西药干预小儿肺炎疗效。[方法]使用随机平行对照方法,将50例住院患者按抛硬币法随机分为两组。对照组25例常规治疗,退热、给氧、抗感染等。治疗组25例分期辨证治疗,急性期发病2周内:风热闭肺以麻杏石甘汤(桑叶、芦根、桑黄皮、黄岑各10g,白芥子15g,杏仁5g,甘草6g,前胡15g,1剂/d,水煎150m L,早晚口服);风寒闭肺华盖散(半夏5g,薄荷6g,白芍10g,麦冬15g,生地黄10g,甘草、川贝母各5g,1剂/d,水煎140m L,早晚口服)。恢复期发病2周至6个月:阴虚肺热沙参麦冬汤(北沙参8g,玉竹9g,麦冬15g,天花粉10g,扁豆8g,桑叶、生甘草各5g,1剂/d,水煎150m L,早晚口服);肺脾气虚人参五味子汤(人参4g,漂白术、白云苓各5g,北五味2g,杭麦冬4g,炙甘草3g,1剂/d,水煎140m L,早晚口服);西药治疗同对照组。连续治疗30d为1疗程。观测临床症状、体温、咳嗽、肺部阴影、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈20例,有效4例,无效1例,总有效率96.00%。对照组痊愈16例,有效3例,无效5例,总有效率76.00%。治疗组疗效优于对照组(P<0.05)。体温、咳嗽、肺部阴影治疗组优于对照组(P<0.05)。[结论]辨证分期联合西药干预小儿肺炎效果显著,值得推广。
[Objective] To observe the effect of syndrome differentiation and western medicine intervention on pediatric pneumonia. [Method] Randomized parallel method was used to divide 50 hospitalized patients into two groups randomly according to the coin tossing method. Control group of 25 cases of conventional treatment, fever, oxygen, anti-infection. In the treatment group, 25 cases were treated by staging syndrome differentiation. Within 2 weeks after onset of acute phase, the wind-heat and closed lungs were treated with Maxingshigan Decoction (Morus alba, Rehmannia root, Phellinus linteus, Astragalus root each 15g, almonds 5g, licorice root 6g , Peucedanum 15g, 1 dose / d, decoction 150m L, sooner or later oral); cold closed lung Huagai San (Pinellia 5g, mint 6g, white peony root 10g, Ophiopogon 15g, Rehmannia 10g, licorice, Fritillaria 5g, 1 / d, decoction 140m L, sooner or later oral). Convalescent onset of 2 weeks to 6 months: Yin Deficiency Hyperactivity Senate Ophiopogon Decoction (Radix Bupleurum 8g, Polygonatum 9g, Radix 15g, TCS 10g, lentils 8g, mulberry leaves, licorice 5g, 1 / d , Decoction 150m L, sooner or later oral); lung spleen deficiency ginseng Schisandra soup (ginseng 4g, bleaching, Baiyun Ling the 5g, North flavors 2g, Hang Oolong 4g, Baked Licorice 3g, 1 / d, , Morning and evening oral); western medicine treatment with the control group. Continuous treatment of 30d for a course of treatment. Observation of clinical symptoms, body temperature, cough, lung shadow, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Result] In the treatment group, 20 cases were cured, 4 cases were effective, 1 case was ineffective, and the total effective rate was 96.00%. The control group cured 16 cases, 3 cases effective, 5 cases ineffective, the total effective rate 76.00%. The treatment group was better than the control group (P <0.05). Body temperature, cough, lung shadow treatment group than the control group (P <0.05). [Conclusion] The dialectical staging combined with Western medicine has significant effect on pneumonia in children and is worth promoting.