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[目的]观察清心化痰汤治疗小儿痰热咳嗽疗效。[方法]使用随机平行对照方法,将住院90例患者按抛硬币法随机分为两组。对照组45例肺力咳合剂,4~7岁10mL/次,>7岁15mL/次,3次/d,口服;细菌感染加头孢克洛,<20mg/次,1次/d,口服。治疗组45例清心化痰汤(杏仁、黄芩、茯苓各10g,瓜蒌9g,胆星、浙贝、法夏、陈皮各6g,枳壳、榔片、焦楂、甘草各3g),1剂/d,水煎200mL,3次/d,口服。治疗30d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈22例,显效12例,有效8例,无效3例,总有效率93.33%。对照组痊愈16例,显效8例,有效12例,无效9例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]清气化痰汤治疗小儿痰热咳嗽疗效显著,可明显改善患儿临床症状,减少痰液,临床价值高,值得推广。
[Objective] To observe the therapeutic effect of Qingxin Huatan Decoction on cough in children with phlegm-heat. [Method] Using randomized parallel control method, 90 hospitalized patients were randomly divided into two groups according to the coin tossing method. Control group of 45 cases of lung cough mixture, 4 to 7 years old 10mL / times,> 7 years old 15mL / times, 3 times / d, oral; bacterial infection plus cefaclor, <20mg / times, 1 time / d, orally. In the treatment group, 45 cases of Qingxin Huatan Decoction (Almond, Scutellaria baicalensis, Poria each 10g, Melon 蒌 9g, Gracilis, Zhebei, France summer, dried tangerine peel 6g, Citrus aurantium, / d, decoction 200mL, 3 times / d, orally. Treatment for 30d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Result] In the treatment group, 22 cases were cured, 12 cases were markedly effective, 8 cases were effective and 3 cases were ineffective. The total effective rate was 93.33%. Control group cured 16 cases, 8 cases markedly effective in 12 cases, 9 cases ineffective, the total effective rate 80.00%. The treatment group was better than the control group (P <0.05). [Conclusion] Qingqi Huatan Decoction has significant curative effect on phlegm-heat cough in children, which can obviously improve the clinical symptoms and reduce the sputum of children, which is worth to be popularized.