首页|基于中医治未病理论综合干预治疗慢性支气管炎痰湿质患者临床研究

基于中医治未病理论综合干预治疗慢性支气管炎痰湿质患者临床研究

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目的 观察基于中医治未病理论综合干预治疗慢性支气管炎(CB)痰湿质患者的临床疗效.方法 选择2019 年1 月至2020 年12 月收治的92 例CB痰湿质患者为研究对象,按照随机数字表法分为 2 组,对照组 46 例予西医常规干预治疗,治疗组46 例在对照组的基础上予基于中医治未病理论的综合干预治疗.2 组均连续干预 12 周,比较 2组治疗前后痰湿质体质量表评分、肺功能指标[包括用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)及FEV1/FVC]及炎症因子[包括C反应蛋白(CRP)、肿瘤坏死因子α(TNF-α)及白细胞介素6(IL-6)]水平变化情况.结果 与本组治疗前比较,2 组治疗后痰湿质体质量表评分均降低(P<0.05),且治疗组治疗后痰湿质体质量表评分低于对照组(P<0.05).与本组治疗前比较,2 组治疗后肺功能指标FVC、FEV1 及FEV1/FVC水平均升高(P<0.05),且治疗组治疗后FVC、FEV1 及FEV1/FVC水平均高于对照组(P<0.05).与本组治疗前比较,2 组治疗后炎症因子血清CRP、TNF-α及IL-6 水平均降低(P<0.05),且治疗组治疗后血清CRP、TNF-α及IL-6 水平均低于对照组(P<0.05).结论 基于中医治未病理论综合干预CB痰湿质患者临床疗效确切,可有效改善患者痰湿质状况,提高肺功能,减轻机体的炎症反应,积极控制病情.
Clinical effect of comprehensive intervention based on the theory of treating disease on chronic bronchitis patients with phlegm dampness
Objective To explore the effect of comprehensive intervention based on the theory of treating disease on chronic bronchitis(CB)with phlegm dampness.Methods A total of 92 cases of CB patients with phlegm dampness in our hos-pital from January 2020 to December 2021 were selected and randomly divided into control group(n =46)and the treatment group(n =46).All patients were given routine Western medicine(RWM),and those in the treatment group were addtionally given comprehensive intervention based on the theory of treating disease.After 12 weeks of intervention,the curative efficacy of the two groups was calculated,the phlegm-dampness constitution scale,lung function indexes(including forced vital capacity[FVC],forcedexpiratoryvolumein1 second[FEV1]and FEV1/FVC),inflammatory factor(including C-reactive protein[CRP],tumornecrosisfactoralpha[TNF-α],interleukin-6[IL-6])wereincludedascomparatorsbetweengroupsbefore and after intervention.Results After intervention,the scores of phlegm-dampness constitution scale in the both groups were significantly lower than those before intervention(P<0.05),especially in the treatment group(P<0.05).The levels of FVC,FEV1 and FEV1/FVC in the both groups were significantly higher than those those before intervention(P<0.05),and the in-crease was more in the treatment group relative to the control group(P<0.05).Thelevelsof CRP,TNF-α and IL-6 in the both groups were significantly lower than those before intervention(P<0.05),and the decrease was more in the treatment group relative to the control group(P<0.05).Conclusion The comprehen-sive intervention based on the theory of treating disease on CB pa-tients with phlegm-dampness syndrome has a definite clinical effect.It can significantly improve the condition of phlegm-dampness constitution,increase lung function,reduce inflammatory response,and actively control the disease.

Chronic bronchitisTheory of treating diseasePhlegm dampnessTraditional Chinese medicine therapy

陈嫚嫚、张静、张群

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山东省济南市中医医院治未病科,山东 济南 250012

山东省济南市中医医院肺病科,山东 济南 250012

慢性支气管炎 治未病论 痰湿质 中医疗法

国家中医药局中医药标准化项目

SATCM-2015-BZ367

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(4)
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