529例小儿肺炎临床疗效分析

1975年收治143例,用随机方法分两组观察.中药组72例,西药组71例,治愈率均在98%以上,症状体征消失天数两组相似。1976年收治277例,中药组138例,中西药组139例对照观察,后者治愈率高于前者,无无效病例,其他方面两组相似。1978年诊断为病毒性肺炎109例用中药治疗,治愈率为80.7%。并于实践中体会到,硝基四氮唑蓝试验(一)、WBC<15,000/ESR<30,可作为诊断病毒性肺炎的参考指标。

英文摘要:

319 out of 529 cases of pneumonia in children had been treated with traditional Chinese medicine from 1975 to 1978 with good results.The traditional Chinese medicine used was pneumonia mixture No 1,2 and 3.In cases with persistent high fever mixture No 3 was used.If fever was accompanied with cough mixture No 1 was used.If fever had subsided yet tales still existed,the first choice was mixture No 2.All depended on the patient’s condition.The mixtures might be used singlely or in combination.In 1975,143 cases were treated.They were divided by random sampling into two groups.One group consisting of 72 cases were treated with traditional Chinese medicine and the other group of 71 cases were treated with western medicine as control.The curative rates of these two groups were both above 98% and the number of days taken for the signs and symptoms to disappear was about the same.277 cases were treated in 1976,of which 138 cases were treated with traditional Chinese medicine exclusively and 139 cases with traditional and western medicine combined as control.The curative rate was slightly higher in the latter group,without ineffective cases and the other aspects were the same,which indicated that in serious cases better results could be achieved by treating with TCM and WM combined.In 1978,109 cases were diagnosed as virus pneumonia and treated with traditional Chinese medicine with curative rate of 80.7%.We found through practice that NBT(-),WBC<15,000/cmm and ESR<30mm/h could be used as referential criteria for the diagnosis of virus pneumonia.Finally,some proposals for increasing the effectiveness of treating pneumonia in children with traditional Chinese and western medicine combined were made.

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