基于“肺与大肠相表里”理论运用通法治疗儿童支原体肺炎临床观察

Clinical Observation on Treatment of Mycoplasma Pneumonia in Children by Dredging Method Based on Theory of “Lung and Large Intestine Being Exteriorly-Interiorly Related”

目的基于"肺与大肠相表里"理论,运用通法治疗儿童支原体肺炎并观察其临床疗效。方法选取125例支原体肺炎患儿为研究对象,按照治疗方案随机分为对照组41例,治疗A组及治疗B组各42例。对照组采用阿奇霉素序贯疗法,治疗A组采用阿奇霉素单程疗法联合豁痰通络方内服,治疗B组在治疗A组的基础上联合大黄、玄明粉敷胸膏外敷。观察3组患儿症状改善情况,以评价基于"肺与大肠相表里"理论,应用通法治疗儿童支原体肺炎的临床疗效。结果治疗7 d后发热改善情况:治疗B组优于对照组、治疗A组(P <0.05);治疗7 d后喘促改善情况:治疗B组优于对照组(P <0.05)。治疗20 d后咳嗽改善情况:治疗A组优于对照组(P <0.05),治疗B组优于对照组、治疗A组(P <0.05);治疗20 d后痰壅改善情况:治疗B组优于对照组、治疗A组(P <0.05)。3组中医证候疗效、临床疗效比较,治疗A组优于对照组,治疗B组优于对照组、治疗A组(P <0.05)。结论基于"肺与大肠相表里"理论,运用通肺络联合通腑治疗支原体肺炎患儿,可有效改善患儿发热、咳嗽、痰壅及喘促症状,临床疗效显著。

Objective Based on the theory of"lung and large intestine being exteriorly-interiorly related",to treat children’s mycoplasma pneumonia with dredging method and observe its clinical efficacy. Methods A total of 125 children with mycoplasma pneumonia were randomly divided into control group( 41 cases),treatment group A( 42 cases) and treatment group B( 42 cases). The control group was treated with Azithromycin Sequential therapy. The treatment group A was treated with azithromycin one-way therapy combined with Huotan Tongluo Formula. The treatment group B was treated with Dahuang( rhubarb) and Xuanming Powder on the basis of treatment group A. We observed the improvement of the symptoms of three groups and evaluated the clinical efficacy of dredging method in the treatment of mycoplasma pneumonia in children based on the theory of"lung and large intestine being exteriorly-interiorly related". Results After 7 days of treatment,the improvement of fever in group B was better than that in control group and group A( P < 0. 05),and the improvement of asthma in group B was better than that in control group( P < 0. 05). The improvement of cough after 20 days of treatment in group A was better than that in control group( P <0. 05),that in group B was better than that in control group and treatment group A( P < 0. 05). After 20 days of treatment,the phlegm obstruction improvement in group B was better than that in control group and treatment group A( P < 0. 05). Comparing the curative effect and clinical effect of TCM syndromes in three groups,that of group A was better than that of the control group.The effect of group B was better than that of the control group and group A( P < 0. 05). Conclusion Based on the theory of"lung and large intestine being exteriorly-interiorly related",dredging lung collateral method combined with dredging Fu-organs method can effectively improve the symptoms of fever,cough,phlegm obstruction and wheezing in children with mycoplasma pneumonia.