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止嗽降气汤治疗慢性咳嗽的临床分析(1)
http://www.100md.com 2018年5月5日 《中外医疗》 201813
     [摘要] 目的 探讨止嗽降气汤治疗慢性咳嗽的临床效果。方法 从2014年1月—2015年12月期间进入该院的慢性咳嗽患者中方便选取90例展开研究,根据治疗方式不同分组,对照组45例行氨溴特罗口服溶液治疗,观察组45例行止嗽降气汤治疗,对比分析临床疗效、肺功能指标以及症状积分。 结果 观察组的临床总有效率为95.56%,明显高于对照组的80.00%(χ2=5.074 8,P<0.05);且治疗后,观察组的咳嗽积分、咳痰积分和气逆上冲积分分比为(0.57±0.19)分、(0.28±0.11)分、(0.26±0.14)分,均显著低于对照组的(1.52±0.57)分、(0.94±0.19)分、(1.23±0.09)分(t=-10.606 6、-20.166 3、-39.096 5,P<0.05)。 结论 止嗽降气汤应用于慢性咳嗽患者中,能够提升治疗疗效,降低各项症状积分,保证患者肺功能,值得推广。

    [关键词] 氨溴特罗;止嗽降气汤;慢性咳嗽;临床效果

    [中图分类号] R2565 [文献标识码] A [文章编号] 1674-0742(2018)05(a)-0179-03

    Clinical Analysis of Zhisou Jiangqi Tang in Treatment of Chronic Cough

    LU Jun

    Department of TCM, Tongzhou District Eighth People’s Hospital, Nantong, Jiangsu Province, 226361 China

    [Abstract] Objective To study the clinical effect of zhisou jiangqi tang in treatment of chronic cough. Methods 90 cases of patients with chronic cough admitted and treated in our hospital from January 2014 to December 2015 were convenient selected and divided into two groups with 45 cases in each, the control group used the oral administration of ambrocol, while the observation group were treated with zhisou jiangqi, and the clinical curative effect, lung function index and symptoms integral were compared and analyzed. Results The total clinical treatment effective rate in the observation group was obviously higher than that in the control group(95.56% vs 80.00%)(χ2=5.074 8, P<0.05) , after treatment, the cough integral, expectoration and integral of air reverse impact integrals in the observation group were obviously lower than those in the control group, [(0.57±0.19)points, (0.28±0.11)points,(0.26±0.14)points vs (1.52±0.57)points, (0.94±0.19)points, (1.23±0.09)points],(t=-10.606 6,-20.166 3, -39.096 5, P<0.05). Conclusion The application of zhisou jiangqi tang in treatment of chronic cough can improve the curative effect, reduce various integrals of symptoms and ensure the lung function of patients, and it is worth promotion.

    [Key words] Ambrocol; Zhisou jiangqi tang; Chronic cough; Clinical effect

    慢性咳嗽是常见的呼吸道多发性疾病之一,学者将3周以上持续咳嗽,无明显肺疾病证据的咳嗽称为慢性咳嗽[1]。中医认为该疾病屬于外感风邪疾病,且该疾病夹杂寒热痰液,采用中药进行调理方可改善症状[2],当前临床上常采用止嗽降气汤进行治疗。该文从2014年1月—2015年12月期间方便选取90例慢性咳嗽患者展开研究,旨在研究止嗽降气汤治疗慢性咳嗽的实践价值,现报道如下。

    1 对象与方法

    1.1 研究对象

    方便选取90例慢性咳嗽患者展开研究,根据治疗方式的不同进行分组,其中,对照组45例,23例(51.11%)男/22例(48.89%)女,10~60岁,平均(29.94±1.43)岁;病程2~20个月,平均病程(10.02±1.49)个月。研究组45例,24例(53.33%)男/21例(46.67%)女,10~61岁,平均(31.24±1.54)岁;病程2~21个月,平均病程(11.03±1.21)个月。该研究所有患者均签署研究同意书,通过伦理委员会的批准,且该研究排除对该次药物严重过敏者。两组患者在临床资料信息比较中差异无统计学意义(P>0.05),可进行深入研究比较。, 百拇医药(鲁军)
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