吉林中医药2024,Vol.44Issue(10) :1208-1211.DOI:10.13463/j.cnki.jlzyy.2024.10.020

温脾消痈散结汤治疗间质性肺疾病脾肾虚冷,瘀毒化痈证

Clinical efficacy of Wenpi Xiaoyong Sanjie Tang in the treatment of interstitial lung disease with the syndrome of stasis-toxin transforming into carbuncles due to deficient cold in the spleen and kidney

袁成波 余红 孙鹏浩 王明媚
吉林中医药2024,Vol.44Issue(10) :1208-1211.DOI:10.13463/j.cnki.jlzyy.2024.10.020

温脾消痈散结汤治疗间质性肺疾病脾肾虚冷,瘀毒化痈证

Clinical efficacy of Wenpi Xiaoyong Sanjie Tang in the treatment of interstitial lung disease with the syndrome of stasis-toxin transforming into carbuncles due to deficient cold in the spleen and kidney

袁成波 1余红 2孙鹏浩 1王明媚1
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作者信息

  • 1. 长春中医药大学附属医院肺病科,长春 130021
  • 2. 上海曹安医院,上海 201804
  • 折叠

摘要

目的 观察温脾消痈散结汤治疗间质性肺疾病脾肾虚冷,瘀毒化痈证的临床疗效.方法 选择长春中医药大学附属医院疗区就诊的72例间质性肺疾病患者,随机分为治疗组和对照组,各36例.治疗组口服温脾消痈散结汤;对照组口服乙酰半胱氨酸泡腾片,每次600 mg,每日3次.4周后,观察患者临床疗效、症状积分、呼吸困难评分、全肺CT评分,肺功能6 min步行距离.结果 治疗组总有效率91.67%,优于对照组总有效率58.33%(P<0.05);2组治疗后主要症状积分、呼吸困难CAT评分、全肺CT评分,肺功能6 min步行距离均较治疗前好转(P<0.05),且治疗组优于对照组(P<0.05).结论 温脾消痈散结汤可用于温脾助阳、消痈散结,有效降低间质性肺疾病病死率、延缓病情进展,提高患者生活质量.

Abstract

Objective To observe the clinical efficacy of Wenpi Xiaoyong Sanjie Tang in the treatment of interstitial lung disease with the syndrome of stasis-toxin transforming into carbuncles due to deficient cold in the spleen and kidney.Methods A total of 72 patients with interstitial lung disease who visited the Affiliated Hospital of Changchun University of Chinese Medicine were randomly divided into a treatment group and a control group,with 36 patients in each group.The treatment group took Wenpi Xiaoyong Sanjie Tang orally,while the control group took orally acetylcysteine effervescent tablets,600 mg each time,three times a day.After 4 weeks,the patients'symptoms,lung function,whole lung CT scores,6-minute walking distance,and respiratory distress CAT scores were observed in both groups.Results The total effective rate was 91.67%in the treatment group,which was better than that in the control group(58.33%,P<0.05).After treatment,both groups showed an improvement in the lung function scores,whole lung CT scores,6-minute walking distance,and respiratory distress CAT scores compared to before treatment(P<0.05),and the treatment group was superior to the control group(P<0.05).Conclusion Wenpi Xiaoyong Sanjie Tang has a significant therapeutic effect in the treatment of interstitial lung disease and is worthy of promotion.

关键词

间质性肺疾病/温脾消痈散结汤/脾肾虚冷/瘀毒化痈

Key words

interstitial lung disease/Wenpi Xiaoyong Sanjie Tang/deficient cold in the spleen and kidney/stasis-toxin transforming into carbuncle

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基金项目

吉林省教育厅资助项目(JJKH20230974KJ)

出版年

2024
吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
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