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[目的]观察射干麻黄汤治疗小儿肺炎疗效。[方法]使用随机平行对照方法,将60例住院患者按病志号抽签简单随机分两组。对照组30例细菌感染-阿奇霉素;病毒感染-干扰素;对症治疗:1控制体温<38℃:物理降温(枕部冷敷、温水擦浴),体温不降可药物,APC5~10mg/kg·次,氯丙嗪与异丙嗪静注或肌注;惊厥,10%水合氯醛每次60mg/kg灌肠,如无效改用安定0.3mg/kg·次,肌注或静注;2祛痰止咳平喘,口服氯化胺合剂,1m L/次·岁,3次/d;必嗽平0.7mg/kg·d,分3次口服;痰稠咳嗽剧烈超声雾化吸入,喘甚口服咳喘宁1m L/岁,3次/d,0.5mg/kg·d,每12h1次,咳剧肌注维生素K1,1mg/kg·次。治疗组30例射干麻黄汤(麻黄、射干各1.5g,生姜2g,细辛1.5g,紫菀2.5g,半夏、五味子各3g,厚朴、杏仁各1.5g,大枣2枚),1剂/d,水煎60~120m L,分3~6次温服。连续治疗7d为1疗程。观测临床症状、体温、肺部啰音、不良反应。治疗1疗程,判定疗效。[结果]临床疗效治疗组优于对照组(P<0.05)。症状消失时间治疗组优于对照组(P<0.05,P<0.01)。[结论]射干麻黄汤治疗小儿肺炎,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Shegan Mahuang Decoction in treating pediatric pneumonia. [Methods] Using randomized parallel control method, 60 inpatients were randomly divided into two groups randomly according to the patient’s lot number. The control group of 30 cases of bacterial infection - azithromycin; virus infection - interferon; symptomatic treatment: 1 control body temperature <38 ℃: Physical cooling (occipital cold, warm water sponge bath), body temperature does not fall to the drug, APC5 ~ 10mg / , Chlorpromazine and promethazine intravenous or intramuscular; convulsions, 10% chloral hydrate each 60mg / kg enema, if the switch to the use of diazepam 0.3mg / kg times, intramuscular or intravenous; 2 expectorant cough Asthma, oral amine chloride mixture, 1m L / times · years old, 3 times / d; cough level 0.7mg / kg · d, 3 times orally; sputum thick cough severe ultrasonic inhalation, asthma and oral cough Ning 1m L / year, 3 times / d, 0.5mg / kg·d, every 12h1 times, intramuscular injection of vitamin K1 cough, 1mg / kg · times. In the treatment group, 30 cases of Shegan Mahuang Decoction (Ephedra, Radix each 1.5g, ginger 2g, Asarum 1.5g, Aster 2.5g, Pinellia, Schisandra each 3g, Magnolia, almond 1.5g, jujube 2), 1 / d, decoction 60 ~ 120m L, points 3 to 6 times warm clothes. Continuous treatment 7d for a course of treatment. Observed clinical symptoms, body temperature, pulmonary rales, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The clinical curative effect was better than the control group (P <0.05). Symptoms disappeared in the treatment group than in the control group (P <0.05, P <0.01). [Conclusion] Shegan Mahuang decoction can treat pediatric pneumonia with satisfactory curative effect and no serious adverse reactions, which is worth to be popularized.