宣肺止咳汤治疗感染后咳嗽54例临床疗效分析
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Clinical Analysis on 54 cases of Xuan fei Zhike Tang for Post-in fectious Cough
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    摘要:

    目的:观察宣肺止咳汤治疗感染后咳嗽(PIC)的临床疗效。方法:将108例PIC风盛挛急证患者随机分为对照组和观察组各54例。对照组口服孟鲁司特钠咀嚼片治疗,观察组以宣肺止咳汤治疗。2组疗程均为10天。治疗前后评定咳嗽症状评分[日间和夜间咳嗽情况、咳嗽视觉模拟评分法(VAS)评分],记录咳嗽缓解时间、消失时间,采用莱塞斯特咳嗽问卷(LCQ)评估患者治疗前后的生活质量。结果:观察组临床疗效优于对照组( P <0.05)。2组白天咳嗽评分、夜间咳嗽评分和VAS评分均较治疗前下降( P <0.01);观察组3项评分均低于对照组( P <0.01)。观察组咳嗽缓解时间和消失时间均较对照组缩短( P <0.05);观察组咳嗽消失率64.81%,高于对照组的42.59%,差异有统计学意义( P <0.05)。2组LCQ生理、心理、社会3个维度的评分和总分均较治疗前升高( P <0.01);观察组3个维度的评分和总分均高于对照组( P <0.01)。结论:宣肺止咳汤治疗PIC风盛挛急证可有效缓解咳嗽症状,促进咳嗽消失,缩短病程,提高患者的生活质量,临床疗效优于单纯服用孟鲁司特钠咀嚼片。

    Abstract:

    Objective: To observe the clinical effect of Xuanfei Zhike tang for post-infectious cough(PIC).Methods:Divided 108 cases of PIC patients with excessive w ind and spasm syndrome into the controlgroup and the observation group randomly,54 cases in each group.The control group received oral administration ofmontelukast sodium chew able tablets for treatment,while the observation group received Xuanfei Zhike tang.The two groups received treatment for ten days.Evaluated scores of cough symptoms including cough in daytime and nighttime and the scores of visual analogue scale(VAS),recorded the remission time and disappearance time of cough,and evaluated the quality of life of patients by Leicester Cough Questionnaire(LCQ)before and after treatment.Results:The clinical effect of the observation group was superior to that of the controlgroup( P <0.05).The scores of cough in daytime and nighttime and VAS scores in the two groups were decreased when compared with those before treatment( P <0.01);and the above three scores in the observation group were lower than those in the control group( P <0.01).The remission time and disappearance time of cough in the observation group were shortened when compared with those in the control group( P <0.05).The disappearance rate of cough was 64.81%in the observation group,higher than that of 42.59%in the control group,the difference being significant( P <0.05).Scores of physiology,psychology and society in LCQ and the total score were obviously increased when compared with those before treatment( P <0.01);and the scores of the three dimensions and the total score in the observation group were higher than those in the control group( P <0.01).Conclusion:The therapy of Xuanfei Zhike tang for PIC with excessive w ind and spasm syndrome can effectively relieve the cough,promote the disappearance of cough,shorten the disease course,improve the quality of life of patients,which has better clinicaleffect than that of simple montelukast sodium chew able tablets.

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李建真.宣肺止咳汤治疗感染后咳嗽54例临床疗效分析[J].新中医,2018,50(9):150-152

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  • 在线发布日期: 2018-09-04
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