摘要
目的观察解表清里法对急性支气管炎临床症状及检验学指标的改善情况并探讨其作用机制。方法选取符合纳入标准患者100例按抽签法分为治疗组与对照组。治疗组采用解表清里法治疗,对照组采用西医治疗。观察症状积分及检验指标的改善情况。结果治疗组总有效率93.62%与对照组86.79%差别不大(P> 0.05)。治疗后,两组中性粒细胞水平均较治疗前明显改善(均P <0.05),均恢复到正常水平,但治疗组与对照组比较两者之间差别不大(P> 0.05)。治疗后,两组日、夜间咳嗽证候积分较治疗前均有所改善(均P <0.05),但组间差别均不大(均P> 0.05)。观察期间两组均未发生青霉素过敏、中药过敏、肝肾功能损害,但是治疗组中有3例患者在治疗后出现腹泻症状,给予加入补益脾胃中药后症状缓解;对照组未出现不良反应。观察期间未见其他不良反应发生。结论单纯中药治疗急性支气管炎同样有一定疗效。
Objective:To observe the improvement of clinical symptoms and laboratory indicators of acute bronchitis with Jiebiao Qingli method and explore its mechanism.Methods:100 patients were divided into the treatment group and the control group by drawing lots.The treatment group was treated with Jiebiao Qingli method.The control group was treated with Western medicine.The improvement of symptoms integral and test index was observed after treatment.Results:The total effective rate was 93.62%in the treatment group and 86.79%in the control group,with little difference(P >0.05).After treatment,the levels of neutrophils in both groups were significantly improved compared with those before treatment,and both groups recovered to normal levels(all P<0.05),and the scores of cough symptoms at night and day in both groups were improved,but there was little difference between the two groups(P >0.05).During the observation period,no penicillin allergy,Chinese medicine allergy,liver and kidney function damage occurred in the two groups.However,three patients in the treatment group developed diarrhea symptoms after treatment,and the symptoms were relieved after adding Chinese medicine for tonifying the spleen and stomach,while no adverse reactions occurred in the control group.No other adverse reactions occurred during the observation period.Conclusion:Simple traditional Chinese medicine has certain curative effect on acute bronchitis.
作者
张涛
李耀辉
刘改霞
唐秀林
Zhang Tao;Li Yaohui;Liu Gaixia(Shaanxi University of Traditional Chinese Medicine,Shaanxi,Xianyang 712046,China)
出处
《中国中医急症》
2019年第2期280-282,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
陕西省中医管理局(LCMSO033)
