徐氏六味小青龙汤治疗痰饮郁肺型小儿肺炎的临床观察

A Clinical Trial of Xu's Xiaoqinglong Decoction's Effect on Children's Pneumonia with Syndrome of Phlegm Blocking in the Lung

目的:观察徐氏六味小青龙汤治疗痰饮郁肺所致的肺炎喘嗽的临床疗效。方法:将86例中医辨证为痰饮郁肺型的肺炎喘嗽患儿随机分为2组,每组各43例。治疗组给予徐氏六味小青龙汤颗粒剂口服,对照组给予三坳汤颗粒剂口服,2组疗程均为7天,结束后观察临床疗效及中医证候积分改善情况。结果:治疗组临床总有效率为95.34%,高于对照组81.39%(P<0.05)。治疗后两组中医证候积分改善情况相比,治疗组亦优于对照组(P<0.05)。其对于单纯痰饮郁肺型肺炎的改善优于脾虚痰盛型(P<0.05)。结论:徐氏六味小青龙汤治疗痰饮郁肺型肺炎喘嗽疗效确切,值得推广,更宜应用于单纯实证肺炎患儿或肺炎早期单纯实证阶段。

Objective： To observe the clinical effect of Xu＇s Liu Wei Xiaoqinglong Decoction on children＇s pneumonia with the syndrome of phlegm blocking in the lung. Method： 86 cases were randomly divided into 2 groups, 43 cases in each.Treatment group was treated by Liuwei Xiaoqinglong Decoction（granules）, Control group was treated by San Ao Decoction（granules）, both taken orally, twice per day, for 7 days. The clinical effects and syndrome integrals improvement were observed.Result：The total effective rate of the treatment group was 95.34% and it was 81.39% in the control group, the difference between the 2 groups was statistically significant（P〈0.05）. And the syndrome improvement of the treatment group was also significantly better than that of the control group. The disappearing time of major symtoms was statistically significantly shorter than that of the control group（P〈0.05）. Conclusion： Xu＇s Liu Wei Xiaoqinglong Decoction has certain effect on children＇s pneumonia with the syndrome of phlegm blocking in the lung and it should be applied in patient with simple syndrome of phlegm blocking in the lung, or in early stage of phlegm blocking in the lung,compared with cases with syndrome of phlegm blocking in the lung accompanied by spleen deficiency.