摘要
目的:观察加味小青龙汤联合沙美特罗替卡松治疗支气管哮喘的临床效果。方法:将147例患者按照就诊顺序分为观察组(72例)和对照组(75例),给予两组患者止咳化痰、抗感染、吸氧等基础治疗。对照组给予患者沙美特罗替卡松进行治疗,观察组在此基础上给予加味小青龙汤进行治疗。治疗2周后,观察两组患者临床疗效及临床症状、体征消失时间、治疗前后日间哮喘症状评分及生活质量评分的变化情况。结果:有效率观察组为91.7%(66/72),对照组为76.0%(57/75),两组比较差异有统计学意义(P<0.05)。止咳时间、肺啰音消失时间、气喘消失时间、哮鸣音消失时间两组比较差异有统计学意义(P<0.05)。日间哮喘症状评分及生活质量评分治疗前两组比较,差异无统计学意义(P>0.05);治疗前后两组组内比较,差异有统计学意义(P<0.05);治疗后两组组间比较,差异也有统计学意义(P<0.05)。结论:加味小青龙汤联合沙美特罗替卡松治疗支气管哮喘的效果显著,可有效缩短患者的临床症状及体征消失时间,同时缓解其日间哮喘症状,提升生活质量。
Objective:To observe clinical effects of modified XiaoQinglong Tang joined with salmeterol fluticasone in treating bronchial asthma.Methods:A total of 147 patients were separated into the the observation group(72 cases)and the control group(75 cases)according to random number table method,both groups accepted basic therapy of stopping cough,removing phlegm,anti-inflammation,oxygen inhalation and others.The control group were treated by salmeterol fluticasone,and the observation group took modified XiaoQinglong Tang based on the therapy that the control group accepted,to compare clinical effects,clinical symptoms,the disappearing time of body signs,the changes of daytime asthma symptom scores and quality of life scores before and after treating.Results:The effective rate of the observation group was 91.7%(66/72),higher than 76.0%(57/75)of the control group,and the difference had statistical meaning(P<0.05).The difference showed statistical meaning in cough-stoping time,lung rales disappearing time,asthma disappearing time and disappearing time of wheezing rale between both groups(P<0.05).The difference had no statistical meaning in daytime asthma symptom score and the scores of quality of life between both groups before treating(P>0.05);the difference was statistically significant within both groups before and after treating(P<0.05);the difference showed statistical meaning between both groups after treating(P<0.05).Conclusion:Modified XiaoQinglong Tang joined with salmeterol fluticasone could obtain nobtable effects in treating bronchial asthma,it could effectively shorten disappearing time of clinical symptoms and body signs,simultaneously relieve daytime asthma symptoms and lift quality of life.
作者
李亚
李春梅
陈茜
LI Ya;LI Chunmei;CHEN Qian(Xi'an City Gaoling District Hospital,Xi'an 710200,China;The Forth Medical University Tangdu Hospital;Zhen'an County People's Hospital)
出处
《西部中医药》
2020年第4期103-105,共3页
Western Journal of Traditional Chinese Medicine
基金
国家级公益性行业科研专项(201402024)。
