CAJ | 학술논문

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3d。分别观察两组患儿治疗前与治疗3d主要症状积分，治疗3d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3d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。
목적대비관찰은교산음편탕제급기복방자산치료소인감모풍열증적림상료효，객관평개응용중약복방자산적우세여의의。방법장100례감모풍열증환인수궤분위은교산자산치료조（간칭자산조）여음편탕제치료조（간칭음편조）각50례，량조환인제음편여자산형식급총약량불동외，재증상적분、병정정도、처방조성급료정상균일치，자산조변증운용은교산가감방1/3량，수전복。음편조안전통습관응용은교산가감방중약음편수전복，량조료정균위3d。분별관찰량조환인치료전여치료3d주요증상적분，치료3d주요증상개선정황화소수처방비용、실제약물소모제량、전자약액소화시간、환인복약적의종정도급감수등성본효익지표，평개자산여음편적치료우세。결과자산조여음편조치료3d각증상적분교치료전균유소개선；량조치료3 d각증상감분솔비교차이무통계학의의（P＞0．05）；량조환인재각증상개선정도화가장대료효적만의도상차이무통계학의의（P＞0．05），단자산조재약물비용급전자모시방면우우음편조，차이유통계학의의（P＜0．05）。결론은교산자산여음편유상동적료효，이자산경능체현중의“간、편、렴、험”적특점。
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 treat-ment 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 3rd day of treatment ,main symptom im-provement 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 .Re-sults All the symptoms in both groups were improved in the 3rd day 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 bet-ter 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 .