麻杏石甘汤加减辨证分型治疗幼儿支气管肺炎64例临床观察

The Clinical Observation of the Treatment of 64 Cases of Infant Bronchial Pneumonia by Using Maxing Shigan Soup

[目的]观察麻杏石甘汤加减辨证分型治疗幼儿支气管肺炎疗效。[方法]使用前瞻性设计方法,64例（住院/门诊）患者麻杏石甘汤（炙麻黄、炒杏仁各3g,生石膏9g,前胡4g,川贝3g,黄芩4g,桔梗3g,生姜2g,炙甘草3g）,风热闭肺（炙麻黄4.5g,麻黄：石膏之比1：3,加二花、连翘各5g）,痰热闭肺（炙麻黄4g,石膏20g,麻黄：石膏之比1：5,加瓜蒌、葶苈子各5g,半夏2g）,阴虚肺热（养阴清肺。加麦冬3g,沙参、梨皮各4g）,肺脾气虚（加炒白术4g,云苓3g,太子参4g）,1剂/d,水煎200m L,分2-4次口服;连续治疗3d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]痊愈34例,好转26例,无效4例,总有效率93.75%。急性发作期,痊愈22例,好转18例,无效2例,总有效率95.23%。迁延期,痊愈12例,好转8例,无效2例,总有效率88.90%。[结论]麻杏石甘汤加减辨证分型治疗幼儿支气管肺炎,疗效满意,无严重不良反应,值得推广。

[Objective]To observe Maxing shigan soup treatment the clinical effective of infant bronchial pneumonia.[Methods]Choosing 64 cases of patients with infant bronchial pneumonia who have been treated with Maxing shigan soup by using a forward-looking design method. The composition of Maxing shigan soup are3 g ephedra, 3g almond, 3g honey-fried,9g gypsum,4g hogfennel, 3g fritillaria,4g scutellaria baicalensis, 3g platycoclon grandiflorum and 2g ginger.These cases are divided into four groups according to different syndrome, such as wind and heat blocking the lung syndrome, phlegm-heat obstracting lungs, yin deficiency and lung heat syndrome, deficiency of both lung and spleen. One dose a day. Decoction of 200 m L, 2 to 4 times of oral. Treatment for 3 consecutive days for a period of treatment. To observe the clinical symptoms and adverse reaction. After a period of treatment to treat it that can judge curative effect.[Results]34 cases of patients get cured, 26 cases have a sign of improvement, 4 cases are no avail, the general effectiveness rate arrives at 93.75 percent. Acute attack of bronchial pneumonia in infant, 22 cases of patients get cured, 8 cases have a sign of improvement,2 cases are no avail, the general effectiveness rate arrives at 95.23 percent. Lag phases of bronchial pneumonia, 12 cases of patients get cured, 8 cases have a sign of improvement, 2 cases are no avail, the general effectiveness rate arrives at 88.9 percent. [Conclusion] This method curative effect is distinct and it＇s no severe bad reaction, worthy of promotion.