清热平喘汤联合西药治疗支气管哮喘急性发作期热哮证临床观察
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R562.2+5

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Clinical Observation of Qingre Pingchuan Tang Combined with Western Medicine for Bronchial Asthma in Acute Attack Stage with Heat-wheezing Syndrome
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    摘要:

    目的:观察清热平喘汤联合西药治疗支气管哮喘急性发作期热哮证患者的临床疗效观察。方法:将84例支气管哮喘急性发作期热哮证患者按照随机数字表法分为对照组和观察组各42例。2组均应用西医常规治疗,观察组加用清热平喘汤。2组均治疗2周。观察并比较2组的临床疗效、起效时间、肺功能情况及不良反应情况。结果:观察组总有效率为95.24%,对照组总有效率为73.81%,2组比较,差异有统计学意义(P<0.01)。观察组控制咳嗽、咯痰、喘息、哮鸣音的起效时间均快于对照组,差异均有统计学意义(P<0.01)。2组第1秒钟用力呼气容积(FEV1)均较治疗前增加,差异均有统计学意义(P<0.01);观察组FEV1值高于对照组,差异有统计学意义(P<0.05)。2组患者治疗前后肝、肾功能均正常,对照组仅1例患者出现声音嘶哑。结论:在西医常规治疗基础上加用清热平喘汤治疗热哮型支气管哮喘急性发作期可有效改善患者的肺功能,迅速有效地控制主要症状,用药安全性良好。

    Abstract:

    Objective: To observe the clinical effect of Qingre Pingchuan tang combined with western medicine for patients with bronchial asthma in acute attack stage with heat-wheezing syndrome.MethodsDivided 84 cases of patients with bronchial asthma in acute attack stage with heat-wheezing syndrome into the control group and the observation group according to random number table method,42 cases in each group.Both groups receivedroutine western medicine,while the observation group additionally received Qingre Pingchuan tang,and the treatment of both groups lasted for 2 weeks.Observed and compared the clinical effect,onset time,lung function and adverse reactions in two groups.Results:The total effective rate was 95.24%in the observation group and was 73.81%in the control group,the difference being significant(P<0.01).The onset time of controlling cough,expectoration,wheezing and wheezing rale in the observation group was all shorter than that in the control group,difference being significant(P<0.01).The forced expiratory volume in one second(FEV1)in both groups was increased when compared with that before treatment(P<0.01).FEV1value in the observation group was higher than that in the control group,the difference being significant(P<0.05).The liver and kidney function of both groups was normal before and after treatment,and only 1 case of patient in the control group had hoarseness.ConclusionThe therapy of additional Qingre Pingchuan tang based on routine western medicine for bronchial asthma in acute attack stage with heat-wheezing syndrome can effectively improve the lung function of patients and control the main symptoms quickly and effectively with good drug safety.

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胡克崇.清热平喘汤联合西药治疗支气管哮喘急性发作期热哮证临床观察[J].新中医,2018,50(3):64-66

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  • 在线发布日期: 2018-03-04
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