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运用气机升降理论治疗感染后咳嗽的临床研究

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目的 观察运用气机升降理论治疗感染后咳嗽(PIC)的临床效果.方法 纳入山西省太原市中医医院2021 年12 月至2022 年12 月期间收治的PIC患者140 例,按照随机数字表法分为2 组,对照组70 例予常规药物治疗,治疗组70 例予升降止咳汤治疗.疗程14 天.比较2 组伴随症状改善情况、药物起效及咳嗽缓解与消失时间、咳嗽特异性生活质量问卷(CQLQ)评分,并统计临床疗效.结果 治疗组总有效率94.29%(66/70),对照组总有效率75.71%(53/70),治疗组临床疗效优于对照组(P<0.05).2 组治疗后各项伴随症状评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05).治疗组药物起效时间、咳嗽缓解及消失时间均短于对照组(P<0.05).2 组治疗后CQLQ各项评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05).治疗组不良反应发生率低于对照组(P<0.05).结论 运用气机升降理论治疗PIC有利于减轻患者的伴随症状,药物起效快,促进患者咳嗽症状缓解,因此值得在后续临床中应用.
Clinical effect of TCM therapy for post-infectious cough:Based on the Qi activity ascending/descending theory
Objective To observe the clinical effect of traditional Chinese medicine(TCM)therapy based on the Qi ac-tivity ascending/descending theory for post-infectious cough(PIC).Methods Totally 140 PIC patients admitted to Taiyuan Traditional Chinese Medicine Hospital from December 2021 to December 2022 were randomly assigned to receive either conven-tional therapy(the control group,n=70)or Shengjiang Zhike Decoction(the treatment group,n=70)for14 days.The aim was to compare accompanied symptoms,time todrug action,cough relief,cough disappearance,Cough-Specific Quality-of-Life Questionnaire(CQLQ)score.The curative effect was assessed.Results The overall effective rate in the treatment group was better than that in the control group(94.29%[66/70]vs 75.71%[53/70],P<0.05).After treatment,the accompanied symptom score in the both groups was significantly decreased(P<0.05),which decreased notably in the treatment group com-pared with the control group(P<0.05).The time to drug action,cough relief,cough disappearance were significantly shorter in the treatment group than in the control group(P<0.05).The CQLQ scores in the both groups were significantly decreased(P<0.05),the decrease in the treatment group was more common than the control group(P<0.05).The incidence of adverse reac-tions was significantly lower in the treatment group than in the control group(P<0.05).Conclusion TCM therapy based on the Qi activity ascending/descending theory is helpful to alleviate accompanied symptoms,shorten the drug onset time,and pro-mote the relief of cough symptoms in PIC patients,it is worthy of further application.

Post-infectious coughQi activity ascending/descending theoryTraditional Chinese medicine therapy

董晓云

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山西省太原市中医医院肺病科,山西 太原 030009

感染后咳嗽 气机升降理论 中药疗法

山西省卫生健康委员会2020年度中医药科研课题

2020ZYYC060

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(8)
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