摘要
目的观察麻杏石甘汤穴位离子导入治疗风温肺热病痰热壅肺证的临床疗效。方法选取2015年6—12月在亳州市华佗中医院被诊断为风温肺热病的病人,共60例,使用随机数字表法将病人分为对照组和治疗组各30例,对照组予以抗感染、化痰对症处理,治疗组在此基础之上加用麻杏石甘汤穴位离子导入,比较两组在住院第3天、住院第10天中医证候积分、白细胞计数(WBC)、C-反应蛋白(CRP)、胸部病灶吸收状况,以此来评估疗效。结果治疗第3天比较两组中医证候积分,对照组和治疗组分别为(12.23±1.30)分和(11.50±1.83)分,差异无统计学意义(t=1.704,P=0.094),两组治疗第10天中医证候积分比较,对照组和治疗组分别为(5.63±1.18)和(4.73±1.46)分,差异有统计学意义(t=3.247,P=0.002);治疗第10天后比较CRP,对照组和治疗组分别为(12.27±5.28),(8.90±3.45) mg/L,差异有统计学意义(t=3.766,P<0.001);治疗第10天后复查胸部X线比较胸部病灶吸收状况,对照组和治疗组胸部病灶吸收面积的例数比(吸收50%、吸收70%、完全吸收)分别为8∶1、10∶10、12∶19,两组资料经Ridit分析检验,差异有统计学意义(Z=2.371,P=0.021)。结论麻杏石甘汤穴位离子导入治疗风温肺热病痰热壅肺证,能有效改善病人中医证候、减少炎症指标、促进肺部病灶吸收,与对照组相比具有明显优势。
Objective To observe the clinical effect of treating wind-warm lung-heat disease in stagnation of phlegm-heat with Ma Xing Shi Gan Tang acupoint iontophoresis.Methods Sixty patients were differentiated by adopting the standard of TCM syndrome differentiation for wind-warm lung-heat disease in Bozhou Huatuo Hospital of Traditional Chinese Medicine from June 2015 to December 2015.The patients were randomly assigned into treatment group and control group using the random number table method,with 30 cases in each group.Both groups received a therapy of anti-infection and phlegm reduction.And treatment group was added with Ma Xing Shi Gan Tang acupoint iontophoresis.A comparison was made of TCM syndrome score,white blood cell(WBC),C-reactive protein(CRP),chest lesion absorption on the third day and tenth day of hospital admission to evaluate efficacy.Results Three days after the treatment,TCM syndrome scores in control group and treatment group were(12.23±1.30)and(11.50±1.83),respectively,and the difference was not statistically significant(t=1.704,P=0.094).Ten days after the treatment,TCM syndrome scores of two groups were(5.63±1.18)and(4.73±1.46),respectively,and the difference was statistically significant(t=3.247,P=0.002).After ten days of treatment,the levels of CRP in control group and treatment group were(12.27±5.28)and(8.90±3.45),respectively,and the difference was statistically significant(t=3.766,P<0.001).After ten days of treatment,chest X-ray test was conducted to compare chest lesion absorption in two groups.The number of cases with respective chest lesion absorption areas(absorbed 50%,absorbed 70%,completely absorbed)between control group and treatment group were 8∶1,10∶10 and 12∶19,respectively.Ridit analysis showed that there were significant differences between the two groups(Z=2.371,P=0.021).Conclusions Ma Xing Shi Gan Tang acupoint iontophoresis in treating wind-warm lung-heat disease in stagnation of phlegm-heat can effectively improve TCM syndromes,reduce inflammation and promote the absorption of lung lesions,which has obvious advantages over control group.
作者
王虹
何蕊
吴成明
WANG Hong;HE Rui;WU Chengming(Department of Respiratory Medicine,Bozhou Huatuo Hospital of Traditional Chinese Medicine,Bozhou,Anhui 236800,China)
出处
《安徽医药》
CAS
2019年第2期344-347,共4页
Anhui Medical and Pharmaceutical Journal
关键词
穴位离子导入
风温肺热病
社区获得性肺炎
痰热壅肺证
麻杏石甘汤
Acupoint iontophoresis
Wind-warm lung-heat disease
Community acquired pneumonia
Syndrome of stagnation of phlegm heat
Ma Xing Shi Gan Tang
