CAJ | 학술논문

目的研究小青龙汤为主治疗支气管哮喘急性发作的临床疗效.方法 ,采用随机数字表法将50例支气管哮喘患者随机分为两组,对照组26例口服茶碱缓释片,0.1 g～0.2g/次,2次/d;吸入喘乐宁气雾剂,200μg(2喷)/次,2次/d;必可酮气雾剂,100 μg(2喷)/次,2次/d;并给予抗生素控制感染,必要时吸氧、输液纠正水电解质失衡等对症治疗.治疗组在对照组的基础上加用小青龙汤加减,1剂/d.两组患者均治疗7 d为1个疗程,共治疗3个疗程,疗程结束后比较两组的临床疗效.结果治疗组总有效率为84.6%,对照组为66.7%,两组总有效率比较,差异有统计学意义(χ2=2.762,P＜0.05).结论小青龙汤为主治疗支气管哮喘急性发作,疗效优于单纯西药治疗.
목적 연구소청룡탕위주치료지기관효천급성발작적림상료효.방법 ,채용수궤수자표법장50례지기관효천환자수궤분위량조,대조조26례구복다감완석편,0.1 g～0.2g/차,2차/d;흡입천악저기무제,200μg(2분)/차,2차/d;필가동기무제,100 μg(2분)/차,2차/d;병급여항생소공제감염,필요시흡양、수액규정수전해질실형등대증치료.치료조재대조조적기출상가용소청룡탕가감,1제/d.량조환자균치료7 d위1개료정,공치료3개료정,료정결속후비교량조적림상료효.결과 치료조총유효솔위84.6%,대조조위66.7%,량조총유효솔비교,차이유통계학의의(χ2=2.762,P＜0.05).결론 소청룡탕위주치료지기관효천급성발작,료효우우단순서약치료.
Objective To observe clinical effect of treating bronchial asthma in the acute attack with xiaoqinglong decoction combined with western medicine. Methods 50 patients with bronchial asthma were randomly divided into two groups. The control group was treated with theophylline sustained release tablets, 0.1 g～0.2 g for each time, twice a day,salbutamol sulfate (inhaled), 200 μg (2 spray) for each time, twice a day, beclomethasone dipropionate aerosol (inhaled),100 μg (2 spray) for each time, twice a day, antibiotics, oxygen inhalation when necessary, infusion, and correcting water-electrolyte and acid-base imbalance if necessary. Based on the control group, the treatment group was treated with Xiaoqinglong decoction for continuous 3 courses, once a day, 7 days as a course. The clinical effect and adverse reaction were observed between control group and treatment group after the treatment. Results The total effective rate of the treatment group and the control group was 84.6% and 66.7% respectively. The clinical effect in the treatment group was significantly higher than that of the control group (χ2=2.762, P＜0.05). Conclusion Xiaoqinglong decoction combined with western medicine has better effects bronchial asthma in the acute attack than western medicine.