首页|射干麻黄汤联合隔姜灸治疗外寒内饮型咳嗽变异性哮喘疗效观察

射干麻黄汤联合隔姜灸治疗外寒内饮型咳嗽变异性哮喘疗效观察

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目的 探讨射干麻黄汤联合隔姜灸治疗外寒内饮型咳嗽变异性哮喘(Cough variant asthma,CVA)的有效性及安全性.方法 选取 2023 年 7 月至 2024 年 2 月我院收治的 80 例诊断为外寒内饮型CVA患者为研究对象,采用随机数字表法分为对照组和观察组各 40 例.两组均给予吸入布地奈德福莫特罗粉吸入剂(160 μg/4.5 μg),观察组基于对照组治疗方案上加用射干麻黄汤联合隔姜灸,疗程为 2 周.观察两组治疗前后的中医证候评分改善情况.结果 观察组治疗总有效率为 90.0%,高于对照组的 77.5%,差异有统计学意义(P<0.05);两组治疗后中医证候评分均有改善,且观察组改善程度更明显,差异有统计学意义(P<0.05).结论 两组均可以改善外寒内饮型咳嗽变异性哮喘(CVA)患者中医证候评分,且观察组改善程度优于对照组.
Observation on the Curative Effect of Shegan Mahuang Decoction Combined with Ginger Moxibustion in the Treatment of Cough Variant Asthma with External Cold and Internal Fluid Type
Objectives This study aims to investigate the efficacy and safety of Shegan Mahuang Decoction combined with ginger moxibustion in the treatment of cough variant asthma(CVA)with external cold and internal fluid type.Methods A total of 80 patientswith CVA diagnosed asexternal cold and internal fluid type in our hospital from July 2023 to February 2024 were selected as the research objects.They were divided into control group and observation group,with 40 patients in each group.Both groups received budesonide formoterol powder inhalant(160 μg/4.5 μg).The observation group wastreated with Shegan Mahuang decoction combined with ginger moxibustion on this basis.The course of treatmentwas 2 weeks.The improvementof TCM syndrome scores before and after treatment were observed in both groups.Results The total effective rate of treatment in the observation group was 90.0%,which was significantly higher than the 77.5%in the control group(P<0.05).After treatment,the TCM syndrome scores of both groups were significantly improved,and the improvement in the observation group was more obvious(P<0.05).Conclusions Both the control group and the observation group demonstrated improvements in TCM syndrome scores for patients with cough variant asthma(CVA)characterized by external cold and internal fluid,but the degree of improvement was greater in the observation group.

Shegan Mahuang DecoctionGinger MoxibustionCough variant asthma of external cold and internal fluid type

罗来恒、李重、梁磊、郭春垣、干丽萍

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江西省中西医结合医院,江西 南昌 330003

射干麻黄汤 隔姜灸 外寒内饮型咳嗽变异性哮喘

2024

现代诊断与治疗
南昌市医学会 南昌市医学科学研究所

现代诊断与治疗

影响因子:0.736
ISSN:1001-8174
年,卷(期):2024.35(17)