我院协定方治疗小儿咳嗽痰湿证的临床疗效观察

文章信息/Info

• Title:我院协定方治疗小儿咳嗽痰湿证的临床疗效观察

• 卷期:2024年22卷1期

• 作者:邹乔

• 湖北科技学院附属麻城市人民医院药剂科 湖北麻城 438300

• Author(s):ZOU Qiao

• Department of Pharmacy, Macheng People's Hospital Affiliated to Hubei University of Science and Technology,  Macheng Hubei  438300

• 关键词痰湿证，小儿咳嗽，中药治疗，协定处方，中西医结合

• Keywords:phlegm-dampness syndrome, pediatric cough, Chinese medicine treatment, agreement prescription

• 摘要:目的：观察我院协定方治疗小儿咳嗽痰湿证的临床疗效。方法：选取我院2021年3月至2022年2月收治的50例咳嗽痰湿证患儿，按照治疗方法分为治疗组和对照组，各45例。对照组给予氨溴特罗口服溶液治疗，治疗组给予氨溴特罗口服溶液加协定方治疗，比较两组的临床效果。结果：治疗后，两组中医证候评分均降低，与对照组比较，治疗组中医症候反复咳嗽，痰多，胸部痞闷，身困神倦，四肢乏力，呕恶纳呆，改善幅度大幅降低(P＜0.05)，差异有统计学意义；治疗后，两组的咳嗽评分也均有降低，与对照组比较，治疗组的日间咳嗽和夜间咳嗽评分降低幅度大(P＜0.05) 差异有统计学意义；治疗后，对照组有效率77.8％，治疗组有效率91.1％，P＜0.05为组间差异有统计学意义。结论：我院协定方在小儿咳嗽痰湿证的治疗中，具有明显积极作用，可有效改善小儿反复咳嗽，痰多的症状，提升治疗效果，促进病情好转，值得临床推广应用。                                                                                                                                                                                

• Abstract: To observe the clinical efficacy of agreement prescription in the treatment of children cough phlegm-dampness syndrome in our hospital. Methods: Fifty children with cough phlegm-dampness syndrome admitted to our hospital from March 2021 to February 2022 were selected and divided into treatment group and control group according to the treatment method, with 45 cases in each group. The control group was treated with ambroterol oral solution, and the treatment group was treated with ambroterol oral solution plus protocol prescription. The clinical effects of the two groups were compared. Results: After treatment, the scores of TCM syndromes in both groups were reduced. Compared with the control group, the improvement range of TCM syndromes in the treatment group was significantly reduced (P < 0.05). After treatment, cough scores in both groups also decreased, compared with the control group, daytime cough and night cough scores in the treatment group decreased significantly (P < 0.05), the difference was statistically significant; After treatment, the effective rate was 77.8% in the control group and 91.1% in the treatment group, P < 0.05 indicating statistically significant difference between groups. Conclusion: The agreed prescription in our hospital has a significant positive effect on the treatment of children's cough and phlegm-dampness syndrome, which can effectively improve the symptoms of repeated cough and phlegm in children, improve the treatment effect and promote the improvement of the condition, which is worthy of clinical application.

  中医药治疗咳嗽具有悠久传统，目前多以专家经验为主[1]，痰湿证，中医病证名 ，是咳嗽证型其中一种。是指因脾虚失运，津液输布失常，水湿内停所致湿浊内停，日久成痰，痰浊阻肺，出现以咳嗽痰多，色白，胸部痞闷为主症的证候，可见于西医学的慢性气管炎。临床表现：咳嗽反复发作，咳声重浊，痰多，因痰而嗽，痰出咳平。