本文選題：小兒咳嗽 + 痰濕蘊(yùn)肺　； 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察推拿治療小兒慢性咳嗽(痰濕蘊(yùn)肺)癥狀和體征的積分變化,以客觀評價(jià)推拿對于小兒慢性咳嗽的療效,發(fā)掘中醫(yī)在兒科疾病治療方面的潛力。方法:納入60例符合入組標(biāo)準(zhǔn)的患兒,按照隨機(jī)數(shù)字表法劃分為兩組,即治療組(30例)和對照組(30例)。治療組:小兒化痰去濕止咳推拿。對照組:口服橘紅痰咳液。用統(tǒng)計(jì)學(xué)方法對其結(jié)果進(jìn)行處理和分析,推拿每天一次,中成藥每天三次,一個(gè)療程為期7天,觀察期為1個(gè)療程,治療結(jié)束后評價(jià)患兒慢性咳嗽癥狀體征積分變化情況。結(jié)果:(1)臨床療效方面:治療組共30例,分別為治愈2例,顯效14例,有效12例,無效2例。對照組共30例,分別為治愈0例,顯效3例,有效19例,無效8例。治療療程結(jié)束后,小兒推拿組、中成藥組的總有效率分別為93.3%、73.3%。二組總療效比較,統(tǒng)計(jì)學(xué)差異上有顯著意義(P0.05),治療組的總有效率明顯高于對照組,提示慢性咳嗽(痰濕蘊(yùn)肺)患兒經(jīng)小兒推拿治療后,比中成藥常規(guī)治療整體療效顯著。(2)癥狀體征積分方面:經(jīng)治療后,兩組患兒的中醫(yī)癥狀體征積分均有所改善,一個(gè)療程治療后其差異有顯著統(tǒng)計(jì)學(xué)意義(P0.01);但小兒推拿組療效優(yōu)于中成藥組(P0.01),中成藥組與推拿組在改善咯痰癥狀方面無明顯差異(P0.05),而在改善咳嗽、肺部聽診及次要癥狀方面小兒推拿組均優(yōu)于中成藥組(P0.01)。以上結(jié)果表明,小兒推拿組療效總體較中成藥組好,小兒推拿治療小兒咳嗽(痰濕蘊(yùn)肺)有顯確切的臨床效果。結(jié)論:推拿治療小兒慢性咳嗽(痰濕蘊(yùn)肺)型,能明顯改善患兒多種癥狀,療效優(yōu)于使用中成藥組。
[Abstract]:Objective: to observe the integral changes of symptoms and signs of children with chronic cough (phlegm dampness and lung accumulation) treated by massage, to evaluate objectively the curative effect of massage on children with chronic cough, and to explore the potential of traditional Chinese medicine in the treatment of pediatric diseases. Methods: according to the random digital table method, 60 children were divided into two groups: treatment group (n = 30) and control group (n = 30). Treatment group: children remove phlegm dampness cough massage. Control group: oral tangerine phlegm cough liquid. The results were treated and analyzed by statistical method, massage once a day, Chinese patent medicine three times a day, a course of treatment for 7 days, observation period was a course of treatment, the changes of symptoms and signs of chronic cough in children were evaluated after treatment. Results: in the treatment group, 30 cases were cured, 14 cases were effective, 12 cases were effective, and 2 cases were ineffective. There were 30 cases in the control group, including 0 cases of cure, 3 cases of remarkable effect, 19 cases of effective and 8 cases of failure. After the course of treatment, the total effective rate of the children massage group and the traditional Chinese medicine group was 93. 3% and 73. 3% respectively. The total effective rate of the treatment group was significantly higher than that of the control group, which indicated that the children with chronic cough (phlegm and dampness in the lung) were treated with massage. Symptom and sign score: after treatment, the scores of TCM symptoms and signs were improved in both groups. After a course of treatment, the difference was statistically significant (P 0.01), but the curative effect of the children massage group was better than that of the traditional Chinese medicine group (P 0.01). There was no significant difference between the Chinese patent medicine group and the massage group in improving the symptoms of sputum emptying, but in improving the cough, there was no significant difference between the Chinese patent medicine group and the massage group in improving the sputum symptoms. In terms of pulmonary auscultation and minor symptoms, the children massage group was superior to the traditional Chinese medicine group (P 0.01). The results showed that the therapeutic effect of pediatric massage group was better than that of traditional Chinese medicine group, and the therapeutic effect of infantile massage on children cough (phlegm dampness and lung accumulation) was obvious. Conclusion: massage treatment of children with chronic cough (phlegm and dampness retention of lung) can significantly improve the symptoms of children, the curative effect is better than the use of traditional Chinese medicine group.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R244.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳樂坤;何挺;甘凱;;琥乙紅霉素聯(lián)合布地奈德、吸入用復(fù)方異丙托溴銨溶液對小兒慢性咳嗽的療效觀察[J];中國處方藥;2015年11期

2 黃藝蓉;劉佳;張健;連林生;;橘紅痰咳液治療慢性阻塞性肺疾病穩(wěn)定期咳嗽癥狀療效觀察[J];亞太傳統(tǒng)醫(yī)藥;2015年19期

3 宋海燕;;168例小兒慢性咳嗽的診療分析[J];檢驗(yàn)醫(yī)學(xué)與臨床;2015年16期

4 秦長宏;;中西醫(yī)結(jié)合治療小兒慢性咳嗽臨床分析[J];深圳中西醫(yī)結(jié)合雜志;2015年14期

5 白雪梅;徐影;宋華利;楊絮;;中西醫(yī)結(jié)合治療小兒慢性咳嗽臨床研究[J];亞太傳統(tǒng)醫(yī)藥;2015年14期

6 賽琴;尹艷艷;;小兒慢性咳嗽的病因分析及中醫(yī)證候分布[J];中外醫(yī)療;2015年15期

7 柯旭;;小兒慢性咳嗽的中西醫(yī)結(jié)合治療方案[J];醫(yī)學(xué)理論與實(shí)踐;2015年07期

8 李小艷;;小兒慢性咳嗽病因及影響因素分析[J];內(nèi)科;2015年01期

9 孔令霞;;針灸聯(lián)合中藥治療小兒過敏性咳嗽的臨床觀察[J];中國實(shí)用醫(yī)藥;2015年01期

10 何遠(yuǎn)方;陶蕾;施江艷;;中藥熱奄包治療慢性咳嗽56例觀察[J];中醫(yī)臨床研究;2014年30期

相關(guān)碩士學(xué)位論文 前8條

1 劉蘇偉;玄參升麻湯治療小兒慢性咳嗽的臨床療效研究[D];北京中醫(yī)藥大學(xué);2014年

2 智克;加減黃芪止嗽飲治療小兒慢性咳嗽肺脾氣虛證的臨床研究[D];南京中醫(yī)藥大學(xué);2014年

3 許多敏;加味二陳湯治療小兒痰濕蘊(yùn)肺型慢性咳嗽的臨床研究[D];廣州中醫(yī)藥大學(xué);2014年

4 胡文娟;小兒慢性咳嗽中醫(yī)臨床路徑的應(yīng)用研究[D];湖南中醫(yī)藥大學(xué);2013年

5 蘇海云;慢性咳嗽患兒五種中醫(yī)證型舌象特征分析[D];遼寧中醫(yī)藥大學(xué);2013年

6 翁澤林;疏肺理脾蠲痰法治療小兒風(fēng)痰互結(jié)型慢性咳嗽療效觀察[D];廣州中醫(yī)藥大學(xué);2009年

7 趙永華;肺脾同治法治療小兒慢性咳嗽（痰熱壅肺型）的臨床研究[D];成都中醫(yī)藥大學(xué);2008年

8 張雯;益氣活血肅肺湯治療小兒慢性咳嗽（肺脾氣虛型）的臨床研究[D];山東中醫(yī)藥大學(xué);2004年

，

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