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目的:观察祛风化痰法治疗小儿上气道咳嗽综合征风痰郁肺证的临床疗效。方法:将60例患儿随机分为2组各30例,治疗组采用祛风化痰法辨证治疗,对照组口服西替利嗪糖浆,均以7天为1疗程,观察2疗程。结果:总有效率治疗组为96.67%,对照组为76.67%,2组比较,差异有显著性意义(P<0.05)。治疗后治疗组咳嗽、咯痰、鼻塞、流涕、鼻痒喷嚏、咽痒及咽部体征等均明显改善,与治疗前比较,差异有非常显著性意义(P<0.01);治疗组改善咳嗽、咯痰、鼻塞、咽痒及咽部体征等均优于对照组,差异均有显著性意义(P<0.05)。1月复发率治疗组为6.67%,对照组为30.00%,2组比较,差异有显著性意义(P<0.05)。结论:祛风化痰法辨证治疗小儿上气道咳嗽综合征风痰郁肺证疗效确切,并能减少复发。
Objective: To observe the curative effect of expelling wind and removing phlegm method on phlegm and lungs syndrome in children with upper airway cough syndrome. Methods: Sixty children were randomly divided into two groups of 30 cases. The treatment group was cured by the method of expelling wind and resolving phlegm. The control group was treated with cetirizine syrup by 7 days for 1 course of treatment. Two courses of treatment were observed. Results: The total effective rate was 96.67% in the treatment group and 76.67% in the control group. There was significant difference between the two groups (P <0.05). After treatment, the treatment group cough, expectoration, nasal congestion, runny nose, nasal itching sneeze, itchy throat and pharyngeal signs were significantly improved, compared with before treatment, the difference was significant (P <0.01); treatment group to improve cough , Expectoration, nasal congestion, pharyngeal itching and pharyngeal signs are better than the control group, the difference was significant (P <0.05). The recurrence rate in January was 6.67% in the treatment group and 30.00% in the control group. There was significant difference between the two groups (P <0.05). Conclusion: Expelling phlegm and resolving phlegm method treating infantile upper airway cough syndrome, phlegm and stagnation lung syndrome has definite curative effect and can reduce relapse.