CAJ | 학술논문

目的：探讨中西医结合治疗妊娠合并支气管哮喘急性发作的临床效果。方法选取我院妇产科、内科和中医门诊收治的60例妊娠合并支气管哮喘急性发作患者，随机分为观察组和对照组。对照组30例，予以头孢类抗炎、补液等治疗，并雾化吸入抗炎药物糖皮质激素布地奈德混悬液和β2受体激动剂盐酸特布他林雾化溶液，对于β2受体激动剂不耐受患者，可用抗过敏药物氯雷他定或短期小量静脉用激素地塞米松；观察组30例，在对照组用药基础上加施中医辨证论治。观察并记录两组患者的临床疗效。结果中西医结合治疗妊娠合并支气管哮喘急性发作总有效率为93.3%，明显高于单纯西医治疗的总有效率66.7%，差异具有统计学意义﹙P<0.05﹚。结论中西医结合疗法可减少妊娠合并支气管哮喘急性发作，对妊娠合并支气管哮喘有所控制，临床效果良好，值得推广。
목적：탐토중서의결합치료임신합병지기관효천급성발작적림상효과。방법선취아원부산과、내과화중의문진수치적60례임신합병지기관효천급성발작환자，수궤분위관찰조화대조조。대조조30례，여이두포류항염、보액등치료，병무화흡입항염약물당피질격소포지내덕혼현액화β2수체격동제염산특포타림무화용액，대우β2수체격동제불내수환자，가용항과민약물록뢰타정혹단기소량정맥용격소지새미송；관찰조30례，재대조조용약기출상가시중의변증론치。관찰병기록량조환자적림상료효。결과중서의결합치료임신합병지기관효천급성발작총유효솔위93.3%，명현고우단순서의치료적총유효솔66.7%，차이구유통계학의의﹙P<0.05﹚。결론중서의결합요법가감소임신합병지기관효천급성발작，대임신합병지기관효천유소공제，림상효과량호，치득추엄。
Objective To analyze the clinical effect of combined traditional Chinese and western medicine in the treatment of pregnancy with bronchial asthma. Methods 60 pregnancy women with bronchial asthma were randomly divided into the observation group and the control group, with 30 cases in each group. Patients in the observation group received traditional Chinese medicine and conventional western medicine treatment, while patients in the control group received conventional western medicine treatment only. The clinical effects of two groups were observed and compared. Results The total effective rate of observation group was 93.3%, significantly higher than 66.7%of control group, and the difference between two groups was statistically significant (P<0.05). Conclusions The combined therapy of traditional Chinese and western medicine has significant clinical effect in the treatment of pregnancy with bronchial asthma, which is worthy of clinical promotion.