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[中医内外合治法治疗小儿肺炎的临床疗效评价]

[Evaluation on clinical efficacy of treatment of children pneumonia by combined internal-external therapy of TCM].

作者信息

Wang Xue-feng, Liu Fang, Dong Dan

机构信息

Hospital Affiliated to Liaoning College of TCM, Shenyang.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2005 Jun;25(6):537-9.

Abstract

OBJECTIVE

To evaluate the clinical efficacy of combined internal-external therapy of TCM on children pneumonia. Adopting multi-center, randomized, controlled, double blinded principle, children with pneumonia were divided into 2 groups. Besides the basic treatment of western medicine, to the 406 children in the treated group internal administering of Chinese recipe prescribed according to syndrome differentiation and external applying of Fuxiong plaster were given additionally, while to the 411 children in the control group simulative placeboes were given for instead. The clinical efficacy of treatment on disease and syndrome, improvement of TCM syndrome and physical signs of lung between the two groups were compared after treatment.

RESULTS

The cured-markedly effective rate of treatment on disease and syndrome was 97.3%, 95.1% in the treated group and 89.8%, 86.6% in the control group, respectively, the differences of the two indexes between the two groups were significant (P < 0.05). The improvements on physical signs of lung, symptoms as cough, dyspnea and sputum expectorating in the treated group were significantly better than those in the control group (P < 0.05).

CONCLUSION

It was showed that the combined internal-external TCM treatment, which could significantly enhance the clinical efficacy, is an effective therapy for children pneumonia.

摘要

目的

评价中医内外合治小儿肺炎的临床疗效。采用多中心、随机、对照、双盲原则,将肺炎患儿分为2组。治疗组406例患儿在西医基础治疗的同时,加用辨证内服中药方剂及外敷敷胸膏;对照组411例患儿给予模拟安慰剂替代治疗。比较两组治疗后疾病与证候的临床疗效、中医证候改善情况及肺部体征。

结果

治疗组疾病与证候的痊愈显效率分别为97.3%、95.1%,对照组分别为89.8%、86.6%,两组上述两项指标差异有统计学意义(P<0.05)。治疗组肺部体征及咳嗽、气喘、咳痰等症状的改善情况明显优于对照组(P<0.05)。

结论

中医内外合治能显著提高临床疗效,是治疗小儿肺炎的有效疗法。

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