麻杏石甘汤（农本方）合穴位贴敷治疗小儿外感咳嗽的临床研究*

刘相朝 姜攀 莫大 梁瑞 李荣 高邓 凤云 王美全 李静 陆艳花 文晓涛 杨文进 安娜（广西壮族自治区百色市中医医院，广西百色533000）

麻杏石甘汤（农本方）合穴位贴敷治疗小儿外感咳嗽的临床研究*

刘相朝 姜攀 莫大 梁瑞 李荣 高邓 凤云 王美全 李静 陆艳花 文晓涛 杨文进 安娜
（广西壮族自治区百色市中医医院，广西百色533000）

目的观察麻杏石甘汤合穴位贴敷治疗小儿外感咳嗽的临床疗效。方法将100例患儿随机分为观察组40例、中药对照组和西药对照组各30例，观察组采用中药麻杏石甘汤加味口服，外加中药（咳喘膏）贴敷天突、肺俞穴。中药对照组予相同中药口服，不予中药外敷。西药对照组予小儿氨酚黄那敏、利巴韦林颗粒、氨溴特罗溶液口服，治疗6 d，比较各组临床症状与阳性体征消失时间，证候疗效。结果观察组在症状与体征消失时间优于中药对照组和西药对照组（P＜0.05）。而两对照组组间比较，差异无统计学意义（P＞0.05）。中医证候疗效总有效率观察组为92.11%，西药对照组为76.67%，中药对照组为68.97%，观察组分别与中药对照组和西药对照组比较，差异均具有统计学意义（P＜0.05）。结论麻杏石汤合穴位贴敷治疗小儿外感咳嗽疗效肯定，简便易行。

小儿外感咳嗽麻杏石甘汤穴位贴敷咳喘膏农本方

【Abstract】Objective：To observe the clinical effect of Maxing Shigan Decoction（Nongbenfang）combined with acupoint application on Children cough.M ethods：100 cases were randomly divided into the observation group （40 cases），TCM control group（30 cases）and WM control group（30 cases）.The observation group orally took Maxing Shigan Decoction combined with TCM（Cough plaster）on Tiantu point and Feishu point.TCM control group orally took Maxing Shigan Decoction，while WM control group took Pediatric paracetamol，atificial cow-bezoar and chlorphenaminemaleate，Ribavirin granules and Ambrocol oral solution.The treatment lasted for 6 days，and the clinical symptoms，disappearance time of positive signs and symptomatic curative effectwere compared among the three groups.Results：As for disappearance time of symptoms and signs，the observation group was superior to TCM control group and WM control group（P＜0.05）.However，there was no statistical significance between the control groups（P＞0.05）.As for efficacy of TCM symptoms，the observation group was 92.11%，WM control group 76.67%and TCM control group 68.97%.There was statistical significance between the observation group and the control groups（P＜0.05）.Conclusion：Maxing Shigan Decoction（Nongbenfang）combined with acupoint application has an exacteffecton Children cough，convenientand easy to take.

【Key words】Children cough；Maxing Shigan Decoction；Acupoint application；Cough plaster；Nongbenfang

咳嗽是小儿最常见的疾病，占儿科门诊的50%以上［1］，小儿咳嗽又以外感咳嗽为多见［2］。小儿外感咳嗽可见于上呼吸道感染，急性气管炎、支气管炎，肺炎等症，给患儿带来极大的痛苦，目前西药治疗一般以消炎、抗病毒、祛痰镇咳等治疗，但治疗效果不甚理想。……