小青龙汤辨证加减治疗小儿咳嗽变异性哮喘的临床效果.docx

—100—ClinicalJournalofChineseMedicine2016Vol.(8)No.13

小青龙汤辨证加减治疗小儿咳嗽变异性哮喘的临床效果

TheclinicaleffectofsyndromedifferentiationoncoughvariantasthmainchildrenwiththeXiaoqinglongdecoction

李伟

(平定县冠山镇卫生院，山西阳泉，045200)

中图分类号：R256.12文献标识码：A文章编号：1674-7860(2016)13-0100-02证型：GDA

【摘要】目的：研究分析小青龙汤辨证加减治疗小儿咳嗽变异性哮喘的临床效果。方法：选取我院收治的100例小儿咳嗽变异性哮喘患者，随机分为对照组和观察组，各50例，对照组应用孟鲁司特钠片治疗，观察组患儿结合小青龙汤辨证加减治疗，对比分析两组患者的临床疗效，同时分析两组患者治疗后的通气功能情况。结果：对照组临床总有效率为80%,观察组临床疗效为98%,观察组临床疗效较好，P0.05。对照组用力呼吸量为(98.21±10.21)L,呼气峰流速为(90.22±7.62)L/min;观察组用力呼吸量为(90.01±6.34)L,呼气峰流速为(84.37±8.92)L/min;观察组患儿1s内的用力呼吸量和呼气峰流速均优于对照组，P0.05。结论：小儿咳嗽变异性哮喘患者应用小青龙汤辨证加减治疗，疗效好，对于患儿肺通气功能有着改善作用，值得临床推广和应用。

【关键词】小儿咳嗽变异性哮喘；小青龙汤；辨证加减；治疗

【Abstract】Objective:TostudyclinicalefficalyofsyndromedifferentiationoncoughvariantasthmainchildrenwiththeXiaoqinglongdecoction.Methods:100casesofcoughvariantasthmainourhospitalwererandomlydividedintothecontrolgroupandobservationgroup,50casesineach.Thecontrolgroupwastreatedwithmontelukastsodiumtablets;theobservationgroupwasgiventheXiaoqinglongdecoctionbasedonsyndromedifferentiation.Theclinicaleficacyandtheventilationfunctionintwogroupswerecomparedandanalyzed.Results:Thetotalefficiencywas98%intheobservationgroup,betterthan80%inthecontrolgroup,P0.05.Forcedexpiratoryvolumewas(98.21±10.21)L;andpeakexpiratoryflowratewas(9.022±7.62)L/mininthecontrolgroup.Thoserespectivelywere(90.01±6.34)Land(84.37±8.92)L/minintheobservationgroup.Forcedexpiratoryvolumewithin1sandpeakexpiratoryflowrateintheobservationgroupwereb