内外合治法治疗小儿肺炎临床疗效评价

目的 评价内外合治法治疗小儿肺炎的临床疗效。方法 采用随机、对照、双盲、多中心方法，将患儿随机分为治疗组(406例)和对照组(411例)，治疗组采用西医基础治疗加中医辨证论治内服药合敷胸膏外用的方法，对照组以基础治疗加与治疗组内外治法中药外形相同的安慰剂，两组进行疾病和证候总体疗效、中医证候和肺部体征改善情况比较。结果 治疗组疾病和中医证候的愈显率分别为97．3％、95．1％，对照组分别为89．8％、86．6％，两组比较，差异均具有显著性(P<0．05)；治疗组患儿肺部体征、咳嗽、喘促和痰症状的改善情况明显优于对照组(P<0．05)。结论 内外合治法可明显提高小儿肺炎的临床疗效。

Evaluation on Clinical Efficacy of Treatment of Children Pneumonia by Combined Internal-External Therapy of TCM

ObjetiveTo 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.