自拟止咳汤治疗小儿风寒咳嗽的临床疗效

刘轩　杨频

摘要：目的  观察自拟止咳汤治疗小儿风寒咳嗽的临床疗效。方法  选取2018年11月～2019年5月于甘肃卫生职业学院门诊部就诊的风寒咳嗽患儿94例，按照随机数字表法分为对照组和观察组，每组47例。对照组给予常规消炎止咳治疗，观察组在对照组基础上给予中药自拟止咳汤治疗，比较两组临床疗效、起效时间和症状消失时间以及复发率。结果  观察组治疗总有效率为95.74%，高于对照组的89.36%，差异有统计学意义（P<0.05）;观察组起效时间和症状消失时间均短于对照组[（4.23±0.79）d vs（5.45±1.17）d]、[（9.24±0.82）d vs（12.64±1.23）d]，差异有统计学意义（P<0.05）;观察组复发率为8.51%，低于对照组的21.28%，差异有统计学意义（P<0.05）。结论  自拟止咳方治疗小儿风寒咳嗽治疗效果较好，可缩短病程，促进症状的消失，且复发率较低。

关键词：自拟止咳汤;风寒咳嗽;宣肺止咳

中图分类号：R511.5                                  文献标识码：A                                DOI：10.3969/j.issn.1006-1959.2020.14.052

文章編号：1006-1959（2020）14-0161-02

The Clinical Effect of Self-made Zhike Decoction in Treating Infantile Wind-cold Cough

LIU Xuan1，YANG Pin2

（Organization Department1，Outpatient Department2，Gansu Health Vocational College，Lanzhou 730207，Gansu，China）

Abstract：Objective  To observe the clinical curative effect of self-made Zhike Decoction in treating children with cold and cough.Methods  From November 2018 to May 2019， 94 children with wind-cold cough who were treated in the Pediatric Outpatient Department of Gansu Provincial Traditional Chinese Medicine Hospital were selected and divided into a control group and an observation group according to the random number table method， with 47 cases in each group. The control group was given conventional anti-inflammatory and cough treatment， and the observation group was given traditional Chinese medicine cough decoction treatment on the basis of the control group. The clinical efficacy， onset time， symptom disappearance time and recurrence rate of the two groups were compared.Results  The total effective rate of treatment in the observation group was 95.74%， which was higher than 89.36% in the control group， the difference was statistically significant （P<0.05）; the onset time and the disappearance time of symptoms in the observation group were shorter than the control group[（4.23±0.79）d vs（5.45±1.17）d]、[（9.24±0.82）d vs（12.64±1.23）d]， the difference was statistically significant （P<0.05）; the recurrence rate of the observation group was 8.51%， which was lower than 21.28% of the control group， the difference was statistically significant （P<0.05）.Conclusion  The self-made Zhike prescription is effective in treating children's wind-cold cough， which can shorten the course of disease， promote the disappearance of symptoms， and has a low recurrence rate.

Key words：Self-made Zhike soup;Wind-cold cough;Anti-inflammatory cough

咳嗽（cough）常见于急性上呼吸道感染、急性支气管炎、急性支气管肺炎等疾病中，冬春季节及寒温不调之时尤为多见，是儿科常见的呼吸系统疾病[1]。该病如不能得到及时有效地治疗，容易反复发作，影响休息、睡眠及学习，严重者可发展至肺炎、哮喘等疾病。临床多以抗炎、止咳、化痰等方法进行对症治疗，患儿治疗时间长，使得患儿依从性较差，影响治疗效果。中医认为咳嗽是肺失宣肃，肺气不清而致的一种病证，《诸病源侯论》中提到“以四时更替，五脏六腑皆有咳嗽，各以其时感与寒而受病”[1]，指出咳嗽主要是外感风寒引起。本研究选取符合风寒咳嗽的94例患儿，在盐酸氨溴索口服溶液治疗的基础上加用自拟止咳方的中药治疗，旨在观察自拟止咳汤对风寒咳嗽的临床疗效，现报道如下。

1资料与方法

1.1一般资料  选取2018年11月～2019年5月于甘肃卫生职业学院门诊部就诊的符合风寒咳嗽的94例患儿，按照随机数字表法分为对照组和观察组，每组47例。……