首页|银黄清肺胶囊治疗慢性支气管炎急性发作痰热壅肺证的临床观察

银黄清肺胶囊治疗慢性支气管炎急性发作痰热壅肺证的临床观察

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目的 探究银黄清肺胶囊治疗慢性支气管炎(chronicbronchitis,CB)急性发作痰热壅肺证的有效性和安全性.方法 将60例患者随机分为治疗组和对照组各30例,对照组予以阿奇霉素片;复方福尔可定口服溶液;盐酸氨溴索口服溶液;布洛芬缓释胶囊治疗.治疗组在对照组的基础上加用银黄清肺胶囊.治疗5 d后,比较2组的临床疗效、中医症状积分、止咳时间、祛痰时间、退热时间、炎症因子和不良反应率.结果 治疗组临床总有效率为93.33%,对照组为73.33%,2组的临床疗效比较,差异具有统计学意义(P<0.05);与治疗前比较,2组治疗后的中医症状积分、C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子α(TNF-α)均显著降低(P<0.05);与对照组比较,治疗组治疗后的中医症状积分、止咳时间、祛痰时间、退热时间、CRP、IL-6、TNF-α均显著低于对照组治疗后(P<0.05);2组的不良反应率相当(P>0.05).结论 银黄清肺胶囊具有良好的治疗CB急性发作痰热壅肺证的有效性和安全性,能够加速缓解临床症状和控制炎症反应,具有临床应用的前景.
Clinical Observation of Yinhuang Qingfei Capsule in the Treatment of Phlegm-Heat Obstructing Lung Syndrome of Acute Episodes of Chronic Bronchitis
Objective:To study the efficacy and safety of Yinhuang Qingfei Capsule in the treatment of acute epi-sodes of chronic bronchitis(CB)with phlegm-heat obstructing lung syndrome.Methods:60 CB patients were ran-domly divided into a treatment group and a control group.30 cases each group.The control group was given Azithro-mycin tablets,compound Vorcodine oral solution,Ambroxol hydrochloride oral solution and Ibuprofen sustained re-lease capsule and the treatment group was added Yinhuang Qingfei capsule on the basis treatment of the control group.After 5 days of treatment,the clinical efficacy,TCM symptom score,cough relief time,expectorant time,fever reduc-tion time,inflammatory factors and adverse reaction rate of the two groups were compared.Results:The total effective rate was 93.33%in the treatment group and 73.33%in the control group.The difference between the two groups was statistically significant(P<0.05).Compared with those of the prior treatment,TCM symptom score,C-reactive protein(CRP),interleukin-6(IL-6)and tumor necrosis factor α(TNF-α)were significantly decreased in the two groups after treatment(P<0.05).Compared with the control group,the TCM symptom score,cough relief time,expectorant time,fever time,CRP,IL-6 and TNF-α in the treatment group were significantly lower than those in the control group after treatment(P<0.05).The adverse reaction rate of the two groups was similar(P>0.05).Conclusion:Yinhuang Qingfei Capsule has good efficacy and safety in the treatment of acute episode of chronic bron-chitis with phlegm-heat obstructing lung syndrome,can accelerate the relief of clinical symptoms and control inflam-matory response,and has the prospect of clinical application.

Yinhuang Qingfei CapsuleChronic BronchitisAcute EpisodesPhlegm-Heat Obstructing LungClinical Observation

熊靖、赵四林

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湖南中医药大学中医临床学院,湖南长沙 410007

银黄清肺胶囊 慢性支气管炎 急性发作 痰热壅肺 临床观察

湖南省自然科学基金

2022JJ70115

2024

云南中医中药杂志
云南省中医中药研究院,云南省中医药学会

云南中医中药杂志

影响因子:0.598
ISSN:1007-2349
年,卷(期):2024.45(4)
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