摘要
[目的]观察辨证分型治疗咳嗽疗效。[方法]使用随机平行对照方法,将180例（住院/门诊）患者按（病志号抽签/就诊顺序号）方法随机分为两组。对照组90例干咳无痰-咳必清,25mg/次;咳嗽痰多-氨溴索,30mg/次,3次/d;头孢氨苄,250~500mg/次,4次/d。治疗组90例辨证分型：风寒、燥热、痰热、风热、痰湿、阴虚、脾肺两虚,根据病情,加减药物。连续治疗7d为1疗程。观测临床症状、咳嗽消失时间、不良反应。治疗1疗程,判定疗效。[结果]治疗组治愈52例,显效25例,有效10例,无效3例,总有效率96.66%。对照组治愈40例,显效24例,有效12例,无效14例,总有效率84.44%。治疗组疗效优于对照组（P〈0.05）。咳嗽消失时间治疗组优于对照组（P〈0.01）。[结论]辨证分型治疗咳嗽,疗效满意,无严重不良反应,值得推广。
[Objective]To observe the curative effect of treating cough with syndrome differentiation.[Methods]180 patients were randomly divided into two groups according to the number of patients with the disease.Control group（n=90）dry cough without phlegm-carbetapentane citrate,25mg/time;cough with abundance of phlegm-ambroxol,10ml/time,3 times daily;cephalexin,250~500mg each time,4 times daily.Treatment group（90 cases of syndrome differentiation treatment： cold,hot,phlegm heat,wind heat,phlegm,yin deficiency,deficiency of both spleen and lung,according to the condition changes,as appropriate,drug addition and subtraction.7d is a continuous treatment for 1 courses.Observation of clinical symptoms,cough disappeared time,adverse reactions.Treatment of 1 courses,determine the efficacy.Results： the treatment group cured 52 cases,markedly effective in 25 cases,effective in 10 cases,invalid in 3 cases,the total effective rate was 96.66%.In the control group,40 cases were cured,24 cases markedly effective,12 cases effective,14 cases ineffective,the total effective rate was 84.44%.The curative effect of the treatment group was better than that of the control group（P0.05）.The treatment group was better than the control group（P0.01）.[Conclusion]The treatment of cough,curative effect is satisfactory,no serious adverse reaction,is worth promoting.
出处
《实用中医内科杂志》
2015年第12期35-37,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
咳嗽
辨证分型
风寒
燥热
痰热
风热
痰湿
阴虚
脾肺两虚
咳嗽消失时间
中医药治疗
随机平行对照研究
cough
syndrome differentiation
cold
hot and dry
phlegm heat
wind heat
phlegm
Yin deficiency
deficiency of both lung and spleen
cough disappeared time
treatment of traditional Chinese medicine
randomized controlled study
