临床误诊误治2023,Vol.36Issue(10) :128-132,138.DOI:10.3969/j.issn.1002-3429.2023.10.027

肃金方治疗感染后咳嗽患者的临床效果及对气道重塑、体液免疫的影响

Clinical Effect of Sujin Formula on Patients with Cough after Infection and Its Influence on Airway Remodeling and Humoral Immunity

张晓阳 马真 杨久清 刘彦伟 吴燕燕 庞硕勋 王玉栋
临床误诊误治2023,Vol.36Issue(10) :128-132,138.DOI:10.3969/j.issn.1002-3429.2023.10.027

肃金方治疗感染后咳嗽患者的临床效果及对气道重塑、体液免疫的影响

Clinical Effect of Sujin Formula on Patients with Cough after Infection and Its Influence on Airway Remodeling and Humoral Immunity

张晓阳 1马真 1杨久清 1刘彦伟 2吴燕燕 3庞硕勋 4王玉栋1
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作者信息

  • 1. 053000 河北 衡水,衡水市中医医院肺病科
  • 2. 052160 石家庄,石家庄市藁城中西医结合医院内科
  • 3. 067599 河北 平泉,平泉市医院重症医学科
  • 4. 050000 石家庄,石家庄市高新区宋营镇卫生院理疗科
  • 折叠

摘要

目的 探讨肃金方对感染后咳嗽患者中医证候积分、气道重塑、体液免疫的影响.方法 选择2020 年7 月—2023 年1 月收治的120 例感染后咳嗽为研究对象,根据随机数字表法分为对照组和观察组,每组 60 例.对照组给予二氧丙嗪治疗,观察组给予肃金方联合二氧丙嗪治疗.统计并对比 2 组中医疗效、不良反应,以及治疗前后中医证候积分、日间和夜间咳嗽症状积分、气道重塑指标[基质金属蛋白酶抑制剂-1(TIMP-1)、基质金属蛋白酶-9(MMP-9)]、体液免疫指标[免疫球蛋白 A(IgA)、免疫球蛋白 M(IgM)、免疫球蛋白 G(IgG)]、Leicester 咳嗽问卷(LCQ)评分.结果 观察组治疗总有效率96.67%(58/60)高于对照组的80.00%(48/60)(P<0.01).治疗后,观察组咳声重浊积分、干咳无痰积分、气急喉痒积分、日间和夜间咳嗽症状积分以及血清MMP-9、TIMP-1 水平均低于对照组(P<0.05).治疗后,观察组LCQ生理评分、心理评分、社会评分、总分以及血清IgA、IgM、IgG水平均高于对照组(P<0.05).2 组不良反应发生率比较差异无统计学意义(P>0.05).结论 肃金方联合二氧丙嗪治疗感染后咳嗽的效果确切,可抑制气道重塑,减轻临床症状,增强机体免疫力,提高生活质量,且安全性高.

Abstract

Objective To explore the impact of Sujin formula on Traditional Chinese Medicine(TCM)syndrome score,airway remodeling and humoral immunity in patients with cough after infection.Methods A total of 120 patients with post-infection cough admitted from July 2020 to January 2023 were selected as the research subjects,and were divided into control group and observation group according to random number table method,with 60 cases in each group.The control group was treated with Dioxypromazine,and the observation group was treated with Sujin formula combined with Dioxypromazine.The efficacy and adverse reactions of TCM in the two groups were analyzed and compared.TCM syndrome scores,daytime and nighttime cough symptom scores,airway remodeling indexes[tissue inhibitor of matrix metalloproteinase-1(TIMP-1),matrix metalloproteinase-9(MMP-9)],humoral immune indexes[immunoglobulin A(IgA),immunoglobulin M(IgM),immuno-globulin G(IgG)]and Leicester Cough Questionnaire(LCQ)score before and after treatment were compared between the two groups.Results The total effective rate of observation group was 96.67%(58/60),which was higher than that of control group[80.00%(48/60)](P<0.01).After treatment,the scores of heavy cough turbidity,dry cough without phlegm,acute breath and itchy throat,daytime and night cough symptom scores and serum levels of MMP-9 and TIMP-1 in the observa-tion group were lower than those in the control group(P<0.05).After treatment,the physiological score,psychological score,social score,and total score of LCQ as well as serum IgA,IgM and IgG levels in the observation group were higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Sujin formula combined with Dioxypromazine has a definite effect in the treatment of cough after infection,which can inhibit airway remodeling,reduce clinical symptoms,enhance body immunity,improve quali-ty of life,and have good safety.

关键词

咳嗽/感染/肃金方/二氧丙嗪/气道重塑/免疫,体液/证候/基质金属蛋白酶-9

Key words

Cough/Infection/Sujin formula/Dioxypromethazine/Airway remodeling/Immunity,humoral/Syn-drome/Matrix metalloproteinase-9

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基金项目

河北省中医药管理局科研计划项目(2020537)

出版年

2023
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量11
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