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目的:探讨用加味二陈汤联合抗生素序贯治疗小儿肺炎(痰湿阻肺型)的临床效果。方法:对2010年1月~2013年2月期间我院收治的60例肺炎(痰湿阻肺型)患儿的临床资料进行回顾性研究。我们将这60例患儿随机分为对照组和观察组,每组各有30例患儿。我们使用抗生素对对照组患儿进行治疗,使用加味二陈汤联合抗生素对观察组患儿进行序贯治疗。治疗结束后,比较两组患儿的肺内痰鸣音、咳嗽、肺内中小水泡音等症状的改善情况及其精神状态、食欲、舌苔等的好转情况。结果:经过治疗,在观察组的30例患儿中,治疗结果为治愈者有25例,占患儿总数的83.33%,治疗结果为好转者有5例,占患儿总数的16.67%。在对照组的30例患儿中,治疗结果为治愈者有15例,占患儿总数的50%,治疗结果为好转者有15例,占患儿总数的50%。观察组患儿的治疗效果明显优于对照组,二者相比差异有显著性(P<0.05)。结论:用加味二陈汤联合抗生素序贯治疗小儿肺炎(痰湿阻肺型)的疗效确切。该疗法值得在临床上推广使用。
Objective: To investigate the clinical effect of sequential treatment of pediatric pneumonia (phlegm-damp lung type) with Jiawei Erchen Decoction combined with antibiotics. Methods: The clinical data of 60 children with pneumonia (phlegm damp lung type) admitted in our hospital from January 2010 to February 2013 were retrospectively studied. We will be 60 cases of children were randomly divided into control group and observation group, each group has 30 cases of children. We used antibiotics to treat children in the control group, and treated the observation group with sequential treatment with Jiawei Erchen Decoction and antibiotics. After the treatment, the improvement of the symptoms such as pulmonary phlegm, cough, small and middle ear blisters in the lungs, mental state, appetite and tongue coating in the two groups were compared. Results: After treatment, in the observation group of 30 cases of children, the treatment results were cured of 25 cases, accounting for 83.33% of the total number of children, the treatment outcome was improved in 5 cases, accounting for 16.67% of the total number of children. Of the 30 children in the control group, 15 were cured, accounting for 50% of the total number of children, and 15 were better, accounting for 50% of the total. The therapeutic effect of the observation group was better than that of the control group, the difference was significant (P <0.05). Conclusions: The sequential treatment of pediatric pneumonia (phlegm-damp lung type) with Modified Erchen Decoction combined with antibiotics has a definite effect. The therapy is worth promoting in clinic.