运脾固表法防治小儿反复呼吸道感染临床研究.docVIP

运脾固表法防治小儿反复呼吸道感染临床研究 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：运脾固表法防治小儿反复呼吸道感染临床研究 1 1临床资料 2 11小儿ＲＲＴＩ的诊断标准 2 12中医辨证分型标准 3 13一般资料 3 文2：运脾固表法防治小儿反复呼吸道感染的肠道微生态机制研究 6 1 临床资料 7 2 方法 8 3 结果 9 4 讨论 9 参考文摘引言： 10 原创性声明（模板） 12 文章致谢（模板） 12 正文 运脾固表法防治小儿反复呼吸道感染临床研究 文1：运脾固表法防治小儿反复呼吸道感染临床研究 Abstract： ObjectiveTo observe the preventive and therapeutic effect of spleeninvigorating and superficiescoolidating therapy for children recurrent respiratory tract infection (RRTI).MethodsSixty RRTI children were equally divided into two groups by simple randomization:the treatment group received Fugan Ning Prescription (FNP,mainly composed of Radix seu Folium Ipomoeae Cairicae,Radix Pseudostellariae,Poria,Carpophorum Hericii Erinacei,Radix Pentapanax leschenaultia,Semen Coisis,Endothelium Corneum Gigeriae Galli and Radix Glycyrrhizac),and the control group received bifid weeks cotituted one treatment coue,and a 6month followup was carried therapeutic effect was evaluated and the changes of main symptoms scores were effect on relieving symptoms of deficiency of lung and spleen in the treatment group was superior to that in the control group (P＜001),and the total effective rate on reducing attack frequency and severity of RRTI was 90% in the treatment group and 60% in the control group (P＜005).Conclusiopleeninvigorating and superficiescoolidating therapy is effective for the prevention and treatment of children recurrent respiratory tract infection through relieving the symptoms of 反复呼吸道感染（recurrent respiratory tract infection,RRTI）是指根据不同的年龄段，呼吸道感染每年发病在一定次数以上者。其临床特点为反复发作的上、下呼吸道感染，病程较长，部分患儿上感后可迅速 发展 为支气管炎或肺炎，少数则诱发哮喘。本课题组于２００６年１２月～２００８年５月，采用运脾固表法防治肺脾气虚型小儿ＲＲＴＩ ３０例，并与30例口服培菲康散治疗作比较，现将结果报道如下。 1临床资料 11小儿ＲＲＴＩ的诊断标准 参照１９８７年全国第一届小儿呼吸道疾病学术会议制定的ＲＲＴＩ诊断标准［１］：每年上呼吸道感染次数分别为０～２岁≥７次，３～５岁≥６次，６～１２岁≥５次。每年下呼吸道感染次数分别为０～２岁≥３次，３～５岁≥２次，６～１２岁≥２次。上呼吸道感染第２次距第１次至少７d以上。若上感次数未达到标准，可加下呼吸道感染次数，反之则不成立，至少观察１年。 12中医辨证分型标准 肺脾气虚的辨证参照《中医病证诊断疗效标准》［2］拟定：面色淡白或萎黄，汗多，神疲懒言，纳呆，消瘦或虚胖，食后