ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2013, Vol. 5 ›› Issue (4): 303-305.doi: 10.3969/j.issn.1674-3865.2013.04.007

• 临床论著 • 上一篇    下一篇

银翘散复方煮散治疗小儿感冒风热证的疗效及成本效益分析

王力宁，高冲，陈金月，刘利明，钟李英，姚勇志，蒙春雪   

  1. 530023 南宁，广西中医药大学第一附属医院儿科（王力宁，姚勇志）；广西中医药大学第一附属医院药学部（陈金月）；广西中医药大学研究生学院（高冲，刘利明，钟李英，蒙春雪）
  • 出版日期:2013-08-25 发布日期:2019-04-25
  • 作者简介:王力宁(1956-)，女，教授，硕士研究生导师。研究方向：小儿哮喘与肺系疾病的防治，Email：wln21@126.com。
  • 基金资助:
    广西科技攻关课题资助（桂科攻1110700938）

Analysis of the effect and economic indexes in the treatment of pediatric windheat syndrome by Yinqiao powder and decoction

Wang Lining，Gao Chong，Chen Jinyue，et al.   

  1. The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine，530023 Nanning，China
  • Online:2013-08-25 Published:2019-04-25

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摘要：
目的:对比观察银翘散饮片汤剂及其复方煮散治疗小儿感冒风热证的临床疗效，客观评价应用中药复方煮散的优势与意义。
方法:将100例感冒风热证患儿随机分为银翘散煮散治疗组（简称煮散组）与饮片汤剂治疗组（简称饮片组）各50例，两组患儿除饮片与煮散形式及总药量不同外，在症状积分、病情程度、处方组成及疗程上均一致，煮散组辨证运用银翘散加减方1/3量，水煎服。饮片组按传统习惯应用银翘散加减方中药饮片水煎服，两组疗程均为3 d。分别观察两组患儿治疗前与治疗3 d主要症状积分，治疗3 d主要症状改善情况和所需处方费用、实际药物消耗剂量、煎煮药液所花时间、患儿服药的依从程度及感受等成本效益指标，评价煮散与饮片的治疗优势。
结果:煮散组与饮片组治疗3 d各症状积分较治疗前均有所改善；两组治疗3 d各症状减分率比较差异无统计学意义（P>0.05）；两组患儿在各症状改善程度和家长对疗效的满意度上差异无统计学意义（P>0.05），但煮散组在药物费用及煎煮耗时方面优于饮片组,差异有统计学意义（P<0.05）。
结论:银翘散煮散与饮片有相同的疗效，而煮散更能体现中医“简、便、廉、验”的特点。

Abstract:
Objective:To observe the clinical effect of Yinqiao powder in the treatment of pediatric windheat syndrome and to objectively evaluate advantages and significance of traditional Chinese medicine complex powder.
Methods :A total of 100 children with windheat syndrome were randomly divided into powder group and traditional decoction group(50 cases in each group).In both groups,only the dosage and forms of medicine were different.The symptom scores,severity extent,composition of formula,and the treatment course were of no statistical difference.The dose of powder group was a third of that of the traditional decoction group.The traditional decoction group used Yinqiao powder;both treatment course was three days.Compare the difference in chief symptoms before and in the 3rdday of treatment,main symptom improvement after treatment,expense of treatment,real consumption of herbs,time consumption,compliance of patients,their reaction,and other costeffect indexes,evaluating therapeutic advantage of Yinqiao powder.
Results:All the symptoms in both groups were improved in the 3rdday of the treatment,and the improvement of symptoms in both groups showed no statistic difference（P＞0.05）.The courses and the satisfaction extent of the family member had no difference,but the cost in medicine and time consumption in Yinqiao powder group were better than those of Yinqiao decoction group.
Conclusions:The same therapeutic effect can be achieved in both Yinqiao powder group and Yinqiao decoction group,but powder really is simple,convenient,cheap and effective．