中西医结合治疗小儿肺炎（痰热闭肺证）临床疗效

程玉惠

[摘要] 目的 探討中西医结合治疗痰热闭肺证肺炎患儿的临床效果。方法 方便搜集2015年3月—2017年3月间在江苏省徐州市丰县中医医院儿科确诊为痰热闭肺证肺炎患儿60例，将所有患儿进行分组对比，每组30例，分别采用中西医结合治疗（观察组）和西医治疗（对照组），比较两组患儿的中医症状积分、临床疗效及住院时间。 结果 治疗前，两组患儿的中医症状积分[（17.1±1.2）分vs （16.6±1.4）分]差异无统计学意义（P>0.05）；经过治疗后，两组患儿的中医症状积分均明显低于治疗前，且观察组（0.9±0.2）分明显低于对照组（3.4±0.6）分，差异有统计学意义（P<0.01）；观察组治疗总有效率（100.0%）明显高于对照组（83.3%），住院时间短于对照组，其差异有统计学意义（P<0.05）。 结论 小儿肺炎（痰热闭肺证）在西医常规治疗的基础上加用自拟的清肺化痰汤加减，能够明显改善患儿的临床症状、提高治疗效果，缩短患儿的住院时间。

[关键词] 中西医结合；痰热闭肺证；肺炎

[中图分类号] R725 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0169-03

Clinical Efficacy of Integrated Traditional Chinese and Western Medicine in Treatment of Children Pneumonia （Syndrome of Phlegm Heat in the Lung）

CHENG Yu-hui

Department of Pediatrics， Fengxian Hospital of TCM， Xuzhou， Jiangsu Province， 221700 China

[Abstract] Objective This paper tries to investigate the clinical effect of integrated traditional Chinese and Western medicine in the treatment of children with phlegm heat obstructing lung syndrome. Methods From March 2015 to March 2017， 60 cases of pediatric pneumonia were diagnosed as phlegm and pneumonia in this hospital. All the children were divided into 2 groups， with 30 cases in each group. Respectively adopting Western medicine combined treatment （observation group） and Western medicine treatment （control group）， compared the two groups of children with traditional Chinese medicine symptoms， clinical efficacy and hospital stay. Results Before treatment， there were no significant differences in TCM syndrome scores [（17.1±1.2）points vs（16.6±1.4）points] points between the two groups （P>0.05）. After treatment， the TCM symptom scores of the two groups were significantly lower （P<0.01）. The total effective rate of the treatment group （0.9±0.2） points was significantly lower than that of the control group （3.4±0.6）points， and the difference was statistically significant （P<0.05）； the total effective rate was 100.0% in the observation group， significantly higher than that of the control group （83.3%）， the hospitalization time was shorter than that of the control group， the difference was statistically significant （P<0.05）. Conclusion Pediatric pneumonia （syndrome of phlegm heat in the lung） on the basis of conventional treatment combined with self-made QingfeiHuatan Decoction， which can significantly improve the childrens clinical symptoms， improve the effect of treatment， can significantly improve the treatment effect， shorten the time of hospitalization.

[Key words] Integrated traditional Chinese and Western medicine； Phlegm heat obstructing lung syndrome； Pneumonia

小儿肺炎是一种具有较高发病率的感染性疾病，目前西医临床上多采用大环内酯类、头孢类药物进行治疗，但单纯应用西药治疗，往往疗程较长，部分患儿甚至会出现耐药现象，从而导致病情迁延难愈，造成治疗依从性差，影响治疗效果。该次病例方便选取2015年3月—2017年3月30例痰热闭肺证肺炎患儿的中西医结合治疗方法，为该种疾病患儿的治疗提供参考，现报道如下。

1 资料与方法

1.1 一般资料

方便选择符合纳入标准的患儿60例，所有患儿均确诊，辨证分型为痰热闭肺证[1]；排除其他证型患儿及合并有其他重症疾病者、患儿及家属不能接受中药治疗者。将该60例患儿进行随机对照研究，每组分别为30例，其详细临床资料如下：观察组男、女分别19例、11例，年龄6月～7.5岁，平均年龄（4.3±0.7）岁；对照组男、女分别17例、13例，年龄5月～8岁，平均年龄（4.5±0.9）岁；两……