1. 上海交通大学医学院附属新华医院中医科,上海,200092
2. 复旦大学附属儿科医院中医科,上海,200032
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朱鹏程, 吴敏, 时毓民, 等. 射干合剂治疗小儿咳嗽的随机、阳性药对照、大样本临床试验[J]. 上海中医药杂志, 2016,50(9):48-51.
ZHU Peng-cheng, WU Min, SHI Yu-min, et al. Clinical research on infantile cough treated with Shegan Mixture:a randomized trials with positive controlled drug and large samples[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(9):48-51.
朱鹏程, 吴敏, 时毓民, 等. 射干合剂治疗小儿咳嗽的随机、阳性药对照、大样本临床试验[J]. 上海中医药杂志, 2016,50(9):48-51. DOI:
ZHU Peng-cheng, WU Min, SHI Yu-min, et al. Clinical research on infantile cough treated with Shegan Mixture:a randomized trials with positive controlled drug and large samples[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(9):48-51. DOI:
目的:观察射干合剂治疗小儿咳嗽的临床疗效。 方法:将285例咳嗽患儿随机分为治疗A组、治疗B组及对照组,每组90例。在常规治疗的基础上,治疗A组加用射干合剂、治疗B组加用宣肺止嗽合剂、对照组加用氨溴特罗口服液治疗。各组疗程均为7天,观察临床疗效及中医证候的变化情况。 结果:①试验期间,各组共脱落15例,脱落率5.26%(<10%);最终完成试验者270例,每组90例。②治疗A组、治疗B组及对照组临床总有效率分别为91.11%、80.00%和77.78%;组间临床疗效比较,差异有统计学意义,治疗A组明显优于治疗B组、对照组(P<0.05)。③治疗前后组内比较,各组中医证候积分差异均有统计学意义(P<0.05)。组间治疗后总体比较,中医证候积分差异有统计学意义(P<0.05);其中治疗A组中医证候积分减分差值显著大于治疗B组、对照组(P<0.05);治疗B组与对照组中医证候积分减分差值差异无统计学意义(P>0.05)。 结论:射干合剂治疗小儿咳嗽的疗效满意,可显著缓解患儿的临床症状。
Objective:To observe the clinical effect of Shegan mixture in the treatment of infantile cough. Methods285 children with cough were randomly divided into the treatment group A, treatment group B and control group, 90 cases in each group. Based on conventional therapy, the treatment group A was treated with Shegan mixture, treatment group B were treated with Xuanfei Zhike mixture, while the control group was treated with oral lipid of ambrocol,additionally,with a course of 7 days. The clinical effects and the changes of TCM syndromes were observed. Results:①15 cases were dropped totally and the expulsion rate was 5.26%(<10%)during the experiment.Finally, 270 cases were finished, 90 cases in each group. ②The clinical total effective rate of the treatment group A, treatment group B and control group was 91.11%, 80% and 77.78%,respectively.The difference of clinical curative effect between groups was statistically significant, the effect in the treatment group A was significantly better than that in the treatment group B and control group(P<0.05).③Compared within group before and after treatment,the difference of TCM syndrome score in each group was statistically significant(P<0.05). Compared between groups after treatment,the difference of TCM syndrome score was statistically significant(P<0.05);among,the reduction of TCM syndrome score in the treatment group A was significantly lower than that in the treatment group B and the control group(P<0.05);there was no significant difference on the reduction of TCM syndrome score between the treatment group B and control group(P>0.05). Conclusion:The curative effect of Shegan mixture in the treatment of infantile cough was significant,which obviously alleviated the clinical symptoms.
小儿咳嗽射干合剂阳性药物对照射干麻黄汤
infantile coughShegan mixturepositive control drugShegan Mahuang Decoction
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