摘要
目的 观察理中温肺法治疗慢性支气管炎急性加重期(风寒袭肺证)患者的临床疗效。方法 将选取符合要求的70例患者,随机分为观察组与对照组各35例,两组均根据咳嗽诊疗指南接受常规治疗,观察组在此基础上加服理中温肺法指导的苓甘五味姜辛汤加减方,每日2次。14 d后,比较两组患者治疗前后证候量化积分、血白细胞计数(WBC)、C反应蛋白(CRP)、白细胞介素-6(IL-6)、IgG、IgA、IgM水平,评价其疗效及预后。结果两组治疗14 d后,观察组证候量化积分明显比治疗组低(P <0.05)。同治疗前相比,两组治疗后WBC、CRP、IL-6明显降低,观察组上述指标低于对照组(P <0.05)。治疗后IgG、IgA、IgM均较前有所降低,其中观察组IgA、IgM比对照组偏高(P <0.05)。观察组总有效率优于治疗组。结论 理中温肺汤法可明显缩短慢性支气管炎急性加重期(风寒袭肺证)的病程,减轻患者的临床症状,改善预后。
Objective:To observe the clinical efficacy of conditioning medium focus and warm lung method in the treatment of acute exacerbation of chronic bronchitis(AECB) patients with wind-cold attacking the lung.Methods:A total of 70 patients who met the requirements were selected and randomly divided into the observation group and the control group,with 35 cases in each group. Both groups received conventional treatment according to cough diagnosis and treatment guidelines. The observation group was added with oral administration of Linggan Wuwei Jiangxin Decoction,twice a day. After 14 days,the changes of Syndrome Quantitative Score Table,WBC,CRP,IL-6,IgG,IgA,IgM before and after treatment were compared to evaluate its curative effect and prognosis. Results:After 14 days,Syndrome Quantitative Score Table of the observation group was lower than the treatment group(P < 0.05). After treatment,the levels of WBC,CRP,IL-6 in the observation group were significantly lower than those in the control group(P < 0.05). After treatment,the levels of IgG,IgA and IgM were lower than before treatment;the levels of IgA and IgM in the observation group were higher than those in the control group(P < 0.05). The curing rate of the observation group was better than that of the treatment group. Conclusion:Conditioning medium focus and warm lung method can significantly shorten the course of AECB with cold-wind attacking lung type,relieve the clinical symptoms of patients,and improve the prognosis.
作者
徐航
刘攀
戴小华
Xu Hang;Liu Pan;Dai Xiaohua(Anhui Provincial Hospital of Traditional Chinese and Western Medicine,Anhui,Hefei 230031,China)
出处
《中国中医急症》
2022年第7期1206-1209,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
国家重点研发计划项目(2017YFC1700306)。
关键词
慢性支气管炎
急性加重期
理中温肺法
风寒袭肺证
苓甘五味姜辛汤加减方
Chronic bronchitis
Acute exacerbation
Conditioning medium focus and warm lung method
Coldwind attacking lung type
Modified Linggan Wuwei Jiangxi Decoction
