现代中医临床
現代中醫臨床
현대중의림상
Journal of Beijing University of Traditional Chinese Medicine (Clinical Medicine)
2015年
4期
34-37
,共4页
咳嗽变异性哮喘%润肺调中降逆%中药治疗
咳嗽變異性哮喘%潤肺調中降逆%中藥治療
해수변이성효천%윤폐조중강역%중약치료
cough variant asthma%Runfei Tiaozhong Jiangni Decoction%treatment with Chinese Medcine
目的:观察润肺调中降逆汤治疗咳嗽变异性哮喘的临床疗效。方法将确诊为咳嗽变异性哮喘的78例患者随机分成治疗组36例,对照组32例。治疗组予润肺调中降逆汤治疗,对照组予西药布地奈德/福莫特罗吸入剂治疗,疗程为14 d。观察2组咳嗽总疗效及中医证候疗效。结果咳嗽总疗效:治疗组愈显率47.22%,总有效率83.33%;对照组分别为40.63%及71.88%,治疗组优于对照组(P <0.05)。中医证候综合疗效:治疗组控显率55.56%,总有效率86.11%;对照组分别为34.38%及65.63%,治疗组优于对照组(P <0.05)。其他单项症状:治疗组咽干、咽痒、胸闷气急症状改善情况优于对照组(P <0.05)。结论润肺调中降逆汤治疗咳嗽变异性哮喘疗效肯定。
目的:觀察潤肺調中降逆湯治療咳嗽變異性哮喘的臨床療效。方法將確診為咳嗽變異性哮喘的78例患者隨機分成治療組36例,對照組32例。治療組予潤肺調中降逆湯治療,對照組予西藥佈地奈德/福莫特囉吸入劑治療,療程為14 d。觀察2組咳嗽總療效及中醫證候療效。結果咳嗽總療效:治療組愈顯率47.22%,總有效率83.33%;對照組分彆為40.63%及71.88%,治療組優于對照組(P <0.05)。中醫證候綜閤療效:治療組控顯率55.56%,總有效率86.11%;對照組分彆為34.38%及65.63%,治療組優于對照組(P <0.05)。其他單項癥狀:治療組嚥榦、嚥癢、胸悶氣急癥狀改善情況優于對照組(P <0.05)。結論潤肺調中降逆湯治療咳嗽變異性哮喘療效肯定。
목적:관찰윤폐조중강역탕치료해수변이성효천적림상료효。방법장학진위해수변이성효천적78례환자수궤분성치료조36례,대조조32례。치료조여윤폐조중강역탕치료,대조조여서약포지내덕/복막특라흡입제치료,료정위14 d。관찰2조해수총료효급중의증후료효。결과해수총료효:치료조유현솔47.22%,총유효솔83.33%;대조조분별위40.63%급71.88%,치료조우우대조조(P <0.05)。중의증후종합료효:치료조공현솔55.56%,총유효솔86.11%;대조조분별위34.38%급65.63%,치료조우우대조조(P <0.05)。기타단항증상:치료조인간、인양、흉민기급증상개선정황우우대조조(P <0.05)。결론윤폐조중강역탕치료해수변이성효천료효긍정。
Objective To observe the curative effect of Runfei Tiaozhong Jiangni Decoction on cough varient asthma(CVA).Methods 78 patients were randomly divided into treatment group(n =36)and control group (n =32).Treatment group was treated with Runfei Tiaozhong Jiangni Decoction for 14 d, and control group,inhaled budesonide /formoterol (symbicort)for 14 d.The curative effects on TCM syndromes and cough were compared between two groups.Results The total effect of cough showed as follows:in treatment group,the total effective rate was 83.33% and the curative rate 47.22%;in con-trol group,the total effective rate was 71.88% and the curative rate 40.63% .The former was superior to the latter(P <0.05 ).The comprehensive effect of TCM symptoms were as follows:in treatment group,the total effective rate was 86.11% and the curative rate 55.56%;in control group,the total ef-fective rate was 65.63% and the curative rate 34.38% .The former was superior to the latter (P <0.05).Compared with control group,throat drying,throat itching,chest tightness and shortness of breath in the treatment group improved significantly(P <0.05).Conclusion Runfei Tiaozhong Jiangni Decoction has an obvious effect on patients with CVA.