中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
15期
13-16
,共4页
中医%慢性咳嗽%月经失调
中醫%慢性咳嗽%月經失調
중의%만성해수%월경실조
Traditional Chinese medicine%Chronic cough%Menstrual disorder
目的：探讨在高气道反应性慢性咳嗽合并月经失调患者中使用中西医结合治疗方法的效果。方法以我院2011年1月~2013年7月收治的高气道反应性慢性咳嗽合并月经失调患者110例为研究对象，随机分为A组与B组，所有患者均进行常规西医治疗，A组患者在此基础上，增加中医治疗方案。比较两组患者临床症状、肺功能、炎症因子水平和体内激素水平之间的差异。结果 A组患者治疗后咳嗽和月经失调中医症候积分分别为（2.13±0.89）分和（2.01±0.99）分，B组为（4.42±1.06）分和（3.48±1.02）分，A组显著低于B组（P＜0.05），A组治疗后FVC%、FEV1%和MMEF%分别为（112.27±4.49）、（112.17±9.47）和（75.58±5.51），显著高于B组（104.37±4.11）、（95.58±8.36）和（70.16±4.09），A组患者气道炎症反应强度低于B组，其体内E2、PRL和LH/FSH分别为（350.17±39.66）pmol/L、（0.98±0.18）nmol/L和（1.94±0.48）IU/L， A组患者PRL和LH/FSH显著低于B组（P＜0.05），E2显著高于B组（P＜0.05）。结论中西医结合可以有效治疗高气道反应性慢性咳嗽合并月经失调，其可有效改善患者临床症状，提高患者肺功能，降低患者气道炎症水平，调解患者体内激素水平。
目的：探討在高氣道反應性慢性咳嗽閤併月經失調患者中使用中西醫結閤治療方法的效果。方法以我院2011年1月~2013年7月收治的高氣道反應性慢性咳嗽閤併月經失調患者110例為研究對象，隨機分為A組與B組，所有患者均進行常規西醫治療，A組患者在此基礎上，增加中醫治療方案。比較兩組患者臨床癥狀、肺功能、炎癥因子水平和體內激素水平之間的差異。結果 A組患者治療後咳嗽和月經失調中醫癥候積分分彆為（2.13±0.89）分和（2.01±0.99）分，B組為（4.42±1.06）分和（3.48±1.02）分，A組顯著低于B組（P＜0.05），A組治療後FVC%、FEV1%和MMEF%分彆為（112.27±4.49）、（112.17±9.47）和（75.58±5.51），顯著高于B組（104.37±4.11）、（95.58±8.36）和（70.16±4.09），A組患者氣道炎癥反應彊度低于B組，其體內E2、PRL和LH/FSH分彆為（350.17±39.66）pmol/L、（0.98±0.18）nmol/L和（1.94±0.48）IU/L， A組患者PRL和LH/FSH顯著低于B組（P＜0.05），E2顯著高于B組（P＜0.05）。結論中西醫結閤可以有效治療高氣道反應性慢性咳嗽閤併月經失調，其可有效改善患者臨床癥狀，提高患者肺功能，降低患者氣道炎癥水平，調解患者體內激素水平。
목적：탐토재고기도반응성만성해수합병월경실조환자중사용중서의결합치료방법적효과。방법이아원2011년1월~2013년7월수치적고기도반응성만성해수합병월경실조환자110례위연구대상，수궤분위A조여B조，소유환자균진행상규서의치료，A조환자재차기출상，증가중의치료방안。비교량조환자림상증상、폐공능、염증인자수평화체내격소수평지간적차이。결과 A조환자치료후해수화월경실조중의증후적분분별위（2.13±0.89）분화（2.01±0.99）분，B조위（4.42±1.06）분화（3.48±1.02）분，A조현저저우B조（P＜0.05），A조치료후FVC%、FEV1%화MMEF%분별위（112.27±4.49）、（112.17±9.47）화（75.58±5.51），현저고우B조（104.37±4.11）、（95.58±8.36）화（70.16±4.09），A조환자기도염증반응강도저우B조，기체내E2、PRL화LH/FSH분별위（350.17±39.66）pmol/L、（0.98±0.18）nmol/L화（1.94±0.48）IU/L， A조환자PRL화LH/FSH현저저우B조（P＜0.05），E2현저고우B조（P＜0.05）。결론중서의결합가이유효치료고기도반응성만성해수합병월경실조，기가유효개선환자림상증상，제고환자폐공능，강저환자기도염증수평，조해환자체내격소수평。
Objective To analyse and discuss the curative effect of integrated Chinese and western medicine in the treatment of chronic cough induced by airway hyper-responsiveness complicated with menstrual disorder. Methods 110 patients with chronic cough induced by airway hyper-responsiveness complicated with menstrual disorder who were admitted to our hospital from January 2011 to July 2013 were selected as research subjects, and randomly allocated to group A and group B. All patients received regular treatment of western medicine, and patients in group A further received the treatment of traditional Chinese medicine. Clinical symptoms, pulmonary functions, levels of inflammatory factors and hormone levels between the two groups were compared. Results After the treatment, TCM symptom scores of coughing and menstrual disorder were(2.13±0.89) and(2.01±0.99) respectively in group A and(4.42±1.06) and(3.48±1.02) respectively in group B, and the scores in group A were significantly lower than those in group B(P < 0.05). FVC%, FEV1% and MMEF% in group A after the treatment were(112.27±4.49), (112.17±9.47) and(75.58±5.51) respectively, significantly higher than those of(104.37±4.11),(95.58±8.36) and (70.16±4.09) respectively in group B. Intensity of airway inflammatory responses in group A was lower than that in group B,and E2,PRL and LH/FSH in group A were(350.17±39.66)pmol/L,(0.98±0.18)nmol/L and(1.94±0.48) IU/L respectively. PRL and LH/FSH in group A were significantly lower than those in group B(P < 0.05), and E2 was significantly higher than that in group B(P < 0.05). Conclusion Integrated Chinese and Western medicine is effective in the treatment of chronic cough induced by airway hyper-responsiveness complicated with menstrual disorder. It is effective in alleviating patients' clinical symptoms, improving patients' pulmonary functions, lowering patients' airway inflammatory responses and adjusting patients' hormone levels.
