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Yinqiao Qingyan Particles of the Treatment of Children with Herpangina Clinical Research

Author: LiHongGui
Tutor: YuDeZuo
School: Guangzhou University of Traditional Chinese Medicine
Course: Chinese Academy of Pediatrics
Keywords: Yinqiao qingyan particles Herpetic angina Efficacy
CLC: R272
Type: Master's thesis
Year: 2011
Downloads: 34
Quote: 0
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Abstract


Herpes angina is a common disease in children, is a special type of outpatient pediatric upper respiratory tract infection. Infectious epidemic spread wide, occur in the summer and autumn. 1-7 year-old children the highest incidence of neonatal and adult illness. Pathogens Coxsackie group A virus, can also be found in the EB virus and mycoplasma infections caused. The major clinical manifestations of fever, sore throat, salivation, pharyngeal isthmus herpes. Western medicine treatment of this disease is an anti-virus and symptomatic treatment, there is no specific treatment drugs, most of the natural antiviral efficacy are not plausible side effects. According to the fifth edition of the textbook of the Chinese Academy of Pediatrics, the disease is attributable to the medicine, \But the incidence of the disease is rapid, and highly infectious, indeed different from that of the general types of mouth sores disease. Therefore, my mentor, I Tak Chiu, director of the Chinese medicine practitioners, according to the disease herpes multiple pharyngeal isthmus rather than inside the cheeks, gums, tongue and other parts, and infectious and other characteristics that due to disease-based wind-heat Immunotoxin attack the lungs, Bo knot throat , the febrile disease theory can be applied for diagnosis and treatment of the disease. Based on the physiological and pathological characteristics in children, the children feel the wind after the hot temperature evil mass change rapidly to the visit of the children not only showed the guard points or hot gas separation. Often Wei Qi same disease, treatment fooled Shufeng, detoxify, Liyan rule from the proposed Yinqiao qingyan particles achieved good clinical efficacy of the treatment of children with herpes angina, but there is still a lack of relevant clinical studies to evaluate its efficacy. The purpose use Yinqiao Qingyan granules treatment of herpes angina children observed before and after the clinical symptoms, signs, and other indicators, objective evaluation of the clinical efficacy and objective basis for its promotion in the clinical application. Methods 30 cases of confirmed cases of herpes angina were randomly divided into a treatment group and the control group, 15 cases each. The treatment group the Yin Qiao Qingyan particle therapy, the control group using treatment of ribavirin particles, 5 days for treatment. Changes of symptoms and signs were recorded before and after treatment, the use of statistical software SPSS13.0 statistical analysis of the results. 1, the findings show that after 5 days of treatment, children in the treatment group and the control group herpes score heat peaks scores, sore throat score Points were: treatment group was 0.13 ± 0.52,0.07 ± 0.26,0.20 ± 0.41, control group, 0.67 ± 0.72,0.53 ± 0.74,0.67 ± 0.72, t-test, compared with the control group, p values ??lt; 0.05 After treatment, there are significant differences in single symptoms and signs, the treatment group was significantly superior in the control group. 2, two groups of children in the treatment group and the control group herpes subsided time and antifebrile time compare: treatment group, 2.87 ± 0.92,2.47 ± 1.06, control group, 3.93 ± 1.28,3.60 ± 1.24, t-test, the control group, two groups of the improvement in the signs and symptoms of a significant difference (p lt; 0.05), herpes disappear time, fever clearance time of the treatment group were significantly shorter than the control group. 3, five days before and after the treatment, the two groups of children in the signs and symptoms total score compared treatment group: after treatment before treatment, 11.80 ± 2.18, 1.33 ± 2.66; control group: before treatment, 10.60 ± 1.68, after treatment, 3.80 ± 3.70; compared by t test, with the control group, p = 0.046 lt; 0.05 treatment in both groups after the integral change significant difference between the treatment group than the control group. Integral pre-treatment score compared each group after treatment, p are lt; 0.05, each group its own integral change significantly difference. 4, 5 days of treatment, the treatment group (15 cases), 10 cases were cured, effective in 4 cases, and 1 case, the total effective rate was 93.3%; control group, 15 cases, 5 cases were cured, effective in 7 cases, 3 cases, the total efficiency 80%, non-parametric tests, compared to the control group, p = 0.035 lt; 0.05, so the two groups after treatment efficacy significant difference between the treatment group than the control group. Conclusion Yinqiao Qingyan particle therapy dialectical wind-heat multiplied spleen Pediatric herpetic angina has a good clinical efficacy, can significantly alleviate the signs and symptoms of children with fever, sore throat, and herpes, the study results by the statistical analysis: Yinqiao the Qingyan particles efficacy of treatment group was significantly better than the control group ribavirin, worthy of clinical application.

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