中医治疗鼻后滴漏综合征引起儿童慢性咳嗽40 例.pdf

l:2009-08-20Te:吴肖妮(1959-),女,主任医师,医学学士b研究方向:小儿呼吸a消化疾病的诊治bD0P88U40吴肖妮1,吴庆福2(1.bED,b313200；2.iED,i323800)K1:观察中医药治疗鼻后滴漏综合征引起儿童慢性咳嗽的临床疗效,并做误诊分析bZE40例患儿根据中医辨证分为两型b外感风热a肺气失宣型治以疏风清热,宣肺利窍；痰热内蕴a肺失宣降型治以清热化痰a宣肺通窍b两型均以10d为1个疗程,一般治疗13个疗程,治疗3月后复诊bT治愈16例,占40%；好转21例,占52.5%；无效3例,占7.5%b总有效率92.5%b中医药治疗鼻后滴漏综合征引起儿童慢性咳嗽疗效显著b1oM:鼻后滴漏综合征；慢性咳嗽；苍耳子散ms|:R256.11nullnullDSM:BnullnullcI|:1673-4297(2010)01-0029-02U8KnBb$Uh,7Uhy,b0P88UhyBbC|M1hTs,/b1null51.1null一般资料40(8S#2003M12008M12hb326,o14；M-214,(6.5null3.2),2512,61018,111410；h218,2618,71212,121810b(US1b1.2null临床表现1.21null症状Fh(UN,U-5,b0UbT,UUb!0a0aaC*brZ,Z?64b(1230):b-Zzaad0a+J,0,64,%rb?b:Da,py5,OH#|,H1arU,1Inh|a|,Fa|LAb#|a；%e；aKa90；aU；a；%azaa1jaad0a!a+JL|ib0,SY,Uv,rDb&29&612010M01nullnullnullnullnullnullnullnullnullD8SJnullPEDIATRICSOFTCMnullnullnullnullnullnullnullnullnullVolnull6nullNonull1Jannull20101.4null初诊情况4,3VU,205,45k,28k,4Mse0,30P8i5e0b1.5null鼻窦X线摄片或CT检查2680XL,14S0CT_bTAU:0Jg13,14,F8gv2,8,3b1.6null最终诊断85a8aX#0CT_bTAU:B013,025,F8gv2b2nullZEDOsb2.1null外感风热,肺气失宣型26,b,kLbZ90Fh:90aK(X)a=aaa?x8g,aa6g,(/)a35g,1Hb0(5(/)b2Fa!；LF%a(pb2.2null痰热内蕴,肺失宣降型14,EbakYLbZ90Fh:90aKa?xaaa28g,aaa6g,35gbhheFa+；:kh|FaFQb(10d1,B13,3,XL0CTb3nullT3.1null疗效标准(自拟):#8h,0XLCT_bz:#8A,0XLCT_T-1Azbr:#8A,0XLCT_-1AMb3.2null结果16,40.0%；z21,52.5%；r3,7.5%b9rq92.5%b4null)0P8ae0aJ5Q-8UKnvhy,0P8Knb0P808a0/,3hs08,0d0aga/,hsO?#M1,l8UBbhM,；,7aPbF40(U1,y7PF3,83aem6,098rBY,i；b0P8D0(U(Sb=yl8#,%byHS,yea,ka0Lbl8B(8,39a?,Hh,y|,V,Pse,VT=HW9,7,#40O(b(90aaK0L；?xahh；h|,#|bFa=aiV；Faa2abka；,k46ki,B6Bk?；3,；?k,?b；aFVr；0FFQ7L9:kb0,Mmd,h%,aH7bID:1Dhe0F.U2()J.,2005,28(11):738-744.&30&612010M01nullnullnullnullnullnullnullnullnullD8SJ