辽宁中医杂志2025,Vol.52Issue(1) :5-10.DOI:10.13192/j.issn.1000-1719.2025.01.002

宣肺止嗽合剂治疗急性支气管炎(风邪犯肺证)的有效性及安全性的随机、安慰剂对照、双盲、多中心临床研究

Efficacy and Safety of Xuanfei Zhisou Mixture(宣肺止嗽合剂)for Acute Bronchitis(Wind Evil Invading Lung Type):A Randomized,Double-Blinded,Placebo and Parallel-Controlled Multicenter Trial

杨道文 张洪春 崔红生 高峰 封继宏 杨佩兰 罗光伟 朱佳 李明 郭栋伟 梁爱武 何咏 耿立梅 林志成 黄燕 刘杰军 赵建清 邝敏 苏海华 李兴芳 令乾 吕红霞
辽宁中医杂志2025,Vol.52Issue(1) :5-10.DOI:10.13192/j.issn.1000-1719.2025.01.002

宣肺止嗽合剂治疗急性支气管炎(风邪犯肺证)的有效性及安全性的随机、安慰剂对照、双盲、多中心临床研究

Efficacy and Safety of Xuanfei Zhisou Mixture(宣肺止嗽合剂)for Acute Bronchitis(Wind Evil Invading Lung Type):A Randomized,Double-Blinded,Placebo and Parallel-Controlled Multicenter Trial

杨道文 1张洪春 1崔红生 2高峰 3封继宏 4杨佩兰 5罗光伟 6朱佳 7李明 8郭栋伟 9梁爱武 10何咏 11耿立梅 12林志成 13黄燕 14刘杰军 15赵建清 16邝敏 17苏海华 18李兴芳 19令乾 20吕红霞21
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作者信息

  • 1. 中日友好医院,北京 100029
  • 2. 北京中医药大学第三附属医院,北京 100029
  • 3. 中国中医科学院望京医院,北京 100102
  • 4. 天津中医药大学第二附属医院,天津 300150
  • 5. 上海中医药大学附属岳阳中西医结合医院,上海 200437
  • 6. 武汉市中西医结合医院,湖北武汉 430030
  • 7. 江苏省中医院,江苏南京 210004
  • 8. 通化市中心医院,吉林 通化 134099
  • 9. 柳州市中医医院,广西柳州 545026
  • 10. 广西中医药大学附属瑞康医院,广西南宁 530011
  • 11. 郑州市中医院,河南郑州 450006
  • 12. 河北省中医院,河北石家庄 050013
  • 13. 白山市中医院,吉林 白山 134399
  • 14. 内蒙古自治区中医医院,内蒙古呼和浩特 010020
  • 15. 德州市人民医院,山东德州 253052
  • 16. 河北北方学院附属第一医院,河北 张家口 050051
  • 17. 南宁市第二人民医院,广西南宁 530031
  • 18. 新疆生产建设兵团医院,新疆乌鲁木齐 830092
  • 19. 甘肃省中医院,甘肃兰州 730050
  • 20. 甘肃普安制药股份有限公司,甘肃武威 733006
  • 21. 北京康义堂中医研究院,北京 101100;北京康众时代医药科技集团有限公司,北京 100070
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摘要

目的 评价宣肺止嗽合剂治疗急性支气管炎(风邪犯肺证)的安全性和有效性.方法 采用随机、双盲、安慰剂对照研究,在19个平行中心进行观察,将240例急性支气管炎(风邪犯肺证)患者分为试验组和对照组,每组120例.试验组口服宣肺止嗽合剂,对照组口服宣肺止嗽合剂模拟剂,疗程均为7 d.比较两组咳嗽视觉模拟(VAS)评分、咳嗽缓解和消失情况、临床疗效和安全性.结果 最终完成试验者232例,其中试验组118例,对照组114例.治疗后,两组咳嗽VAS评分降低,且试验组降低更为明显,两组上述指标在治疗第4天后较基线的差值、治疗后较基线的差值均有统计学意义(P<0.05或P<0.01).试验组咳嗽缓解率及消失率均明显高于对照组(P<0.01).PPS与FAS分析结果一致.试验组治疗有效率为 97.44%(FAS)和 97.37%(PPS),高于对照组的 81.42%(FAS)和 81.25%(PPS)(P<0.001).两组患者一般生命体征和实验室检测指标治疗前后均无显著性差异(P>0.05).试验组7名受试者发生11例次不良事件,对照组4名受试者发生4例次不良事件,组间差异无统计学意义(P>0.05).经分析,上述不良事件均可能与试验药物无关.结论 宣肺止嗽合剂治疗急性支气管炎(风邪犯肺证)临床疗效确切,可有效改善患者咳嗽症状,安全性较好.

Abstract

Objective To evaluate the safety and efficacy of Xuanfei Zhisou(宣肺止剂)for acute bronchitis of wind evil invading lung type.Methods Randomized,controlled and placebo-controlled parallel trial design was adopted,the observation was conducted in 19 parallel centers,and 240 cases were randomly divided into trial group and control group,with 120 cases in each group.The trial group was administered with Xuanfei Zhisou Mixture,while the control group was given Xuanfei Zhisou Mix-ture simulation agent.The treatment course was 7 days.The cough visual analogue scale(VAS),cough relief and disappearance,clinical efficacy and safety were compared.Results There were 232 cases completed this trial,including 118 cases in the trial group and 114 cases in the control group.After treatment,cough VAS decreased in both groups,and the VAS score of the trial group decreased greatly than that of the control group(P<0.05 or P<0.01).The differences between the 4th day after treatment and baseline,and differences between within 3 days after treatment and baseline of VAS score showed statistical significance(P<0.05 or P<0.01).The cough relief rate and disappearance rate in the trial group was higher than those in the control group(P<0.01),and the results of per protocol set(PPS)and full analysis set(FAS)were similar.The treatment efficiency in the trial group was 97.44%(FAS)and 97.37%(PPS),respectively,both were higher than those in control group[81.42%(FAS)and 81.25%(PPS)](P<0.001).There was no significant difference in general vital signs or laboratory test indexes between the two groups before and after treatment(P>0.05).In the trial group,there was 11 adverse events occurred in 7 subjects,4 adverse e-vents occurred in 4 subjects in the control group,and there were no statistical difference between two groups(P>0.05).After a-nalysis,the above adverse events may not be related to the test drug.Conclusion Xuanfei Zhisou Mixture is effective and safe in treating acute bronchitis(wind evil invading lung type),which can effectively improve the cough symptoms of patients with a good safety profile.

关键词

宣肺止嗽合剂/急性支气管炎/风邪犯肺/安全性/有效性

Key words

Xuanfei Zhisou Mixture(宣肺止嗽合剂)/acute bronchitis/wind evil invading lung/safety/effectiveness

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出版年

2025
辽宁中医杂志
辽宁中医药大学,辽宁省中医药学会

辽宁中医杂志

北大核心
影响因子:0.815
ISSN:1000-1719
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