“肺炎消”方促进婴幼儿肺炎恢复期罗音消散疗效观察

Effects of “Feiyanxiao” decoction on promoting the recovery of infant pneumonia

目的探讨名老中医任宝成经验方＂肺炎消＂对婴幼儿肺炎恢复期促进罗音消散的作用。方法全部病例来源于2013年11月至2014年3月就诊于天津中医药大学第二附属医院儿科的肺炎患儿。将83例肺炎患儿随机分为治疗组42例和对照组41例,两组均给予西药常规治疗,治疗组在此基础上予以根据培土生金法拟定的＂肺炎消＂方治疗。采用SPSS 14.0统计软件进行统计分析,计数资料用χ^2检验,计量资料采用t检验。结果两组临床疗效比较,治疗组42例,痊愈18例,好转22例,无效2例,总有效率95.24%（40/42）;对照组41例,痊愈17例,好转17例,无效7例,总有效率83.33%（34/41）,治疗组疗效优于对照组（χ^2=4.12,P〈0.01）。两组中医证候比较,治疗组痊愈18例,好转17例,愈显率83.80%,对照组痊愈10例,好转17例,愈显率66.50%,治疗组优于对照组（χ^2=17.97,P〈0.05）。结论任宝成经验方＂肺炎消＂能明显促进婴幼儿肺炎恢复期罗音消散,明显改善患儿咳嗽、排痰困难等中医证候,缩短治疗疗程,并能改善患儿的预后,值得临床推广。

Objective To evaluate the effects of Ren Bao cheng＇s ＂Feiyanxiao＂ decoction on promoting the recovery of infants pneumonia. Methods Eighty-three cases with pneumonia of Second Affiliated Hospital of Tianjin University of traditional Chinese medicine pediatric from November 2013 to March 2014 were selected and then randomly divided into Chinese medicine group（treatment group, n=42） and control group（n=41）. The two groups were given conventional Western medicine treatment. The treatment group was given ＂Feiyanxiao＂ decoction in addition to the conventional treatment. Statistical method of SPSS14.0 software was used for data analysis. The measurement data was expressed as χ ±s,The efficiency was compared using χ^2 test and t-test was used in the comparison between the two groups,Statistically significance was considered when P〈0.05. Results Compared the clinical efficacy of the two groups, 18 cases were cured, 22 cases were improved and 2 cases were ineffective in treatment group, the total effective rate was 95.24%（40/42）; 17 cases were cured, 17 cases were improved and 7 cases were invalid, with effective rate of 83.33%（34/41） in control group. The clinical efficacy was much better in treatment group than that of control group（χ^2 = 4.12, P〈0.01）. Traditional Chinese medicine（TCM） syndrome was much better in treatment group（18 cases recovered, 17 cases improved and effective rate was 83.80%） compared with control group（10 cases cured, 17 cases improved and effective rate was 66.50%, χ^2=17.97,P〈0.05）. Conclusion ＂Feiyanxiao＂ could significantly promote the recovery of infants pneumonia, including the improving difficult cough and expectoration, shortening the treatment course and improving the prognosis. Professor Ren Baocheng＇ s clinical experience is worthy of promotion.