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裸花紫珠颗粒在中小量咯血患者中的应用效果

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目的 探讨裸花紫珠颗粒在中小量咯血患者中的应用效果。方法 选取2022年6月至12月在江西省胸科医院治疗的80例中小量咯血患者为研究对象,采用随机数字表法分为研究组与对照组,每组各40例。对照组患者给予肾上腺色腙片、氨基己酸、垂体后叶素及氨甲苯酸治疗,研究组患者在对照组的基础上给予裸花紫珠颗粒治疗。比较两组患者的治疗效果、治疗前后的凝血功能及炎症因子水平。结果 研究组患者的治疗总有效率高于对照组,差异有统计学意义(P<0。05)。治疗前,两组患者的纤维蛋白原(FIB)、凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)水平比较,差异无统计学意义(P>0。05);治疗7 d后,两组患者的FIB水平均低于治疗前,PT、TT、APTT短于治疗前,差异有统计学意义(P<0。05);治疗7 d后,研究组患者的FIB水平低于对照组,PT、TT、APTT短于对照组,差异有统计学意义(P<0。05)。治疗前,两组患者的白介素-6(IL-6)、C反应蛋白(CRP)、降钙素原(PCT)水平比较,差异无统计学意义(P>0。05);治疗7 d后,两组患者的IL-6、CRP、PCT水平均低于治疗前,差异有统计学意义(P<0。05);治疗7 d后,研究组患者的IL-6、CRP、PCT水平低于对照组,差异有统计学意义(P<0。05)。结论 对于中小量咯血患者,在西药的治疗基础上给予裸花紫珠颗粒辅助治疗能提升治疗效果,其作用机制可能与改善患者凝血功能、降低炎症水平有关。
Application effect of Luohua Zizhu Granules in patients with moderate and small amount hemoptysis
Objective To investigate the application effect of Luohua Zizhu Granules in patients with moderate and small amounts of hemoptysis.Methods A total of 80 patients with small and medium-sized hemoptysis who were treated at the Jiangxi Chest Hospital from June to December 2022 were selected as the research subjects.They were divided into the study group and the control group by random number table method,with 40 cases in each group.The control group was treated with Carbazochrome Tablets,Aminocaproic Acid,Pituitrin and Aminotoluic Acid,while the study group was treated with Luohua Zizhu Granules on the basis of the control group.The therapeutic effect,coagulation function and inflammatory factor levels before and after treatment were compared between two groups.Results The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before treat-ment,there were no statistically significant differences in levels of fibrinogen(FIB),prothrombin time(PT),thrombin time(TT)and activated partial thromboplastin time(APTT)between the two groups(P>0.05).After 7 days of treatment,the FIB levels in both groups were lower than those before treatment,the PT,TT and APTT were shorter than those before treatment,with statistically significant differences(P<0.05).After 7 days of treatment,the FIB level in the study group was lower than that in the control group,and the PT,TT,APTT were shorter than those in the control group,with statistical significance(P<0.05).There were no statistically significant differences in the levels of interleukin-6(IL-6),C-reactive protein(CRP)and procalcitonin(PCT)between the two groups before treatment(P>0.05).After 7 days of treatment,the levels of IL-6,CRP and PCT in both groups were lower than those before treatment,and the differences were statistically significant(P<0.05).After 7 days of treatment,the levels of IL-6,CRP and PCT in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion For patients with moderate and small amounts of hemoptysis,the adjuvant treatment of Luohua Zizhu Granules on the basis of western medicine can improve the therapeutic effect,and its mechanism may be related to improving the coagulation function of patients and reducing the level of inflammation.

Luohua Zizhu GranulesModerate and minor hemoptysisCoagulation functionInflammation levelsMecha-nism of action

李希玖、洪炳、闵健水、钟益锴、张志大、刘乾中、漆融融

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江西省胸科医院呼吸一科,江西南昌 330000

裸花紫珠颗粒 中小量咯血 凝血功能 炎症水平 作用机制

江西省中医药管理局科技计划项目

2022B889

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(9)
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