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三拗片联合强力枇杷露对感染后咳嗽的疗效与安全性

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目的 探究三拗片联合强力枇杷露对感染后咳嗽的疗效与安全性.方法 回顾性分析2022年1月至2023年12月浙江省丽水市人民医院收治的80例感染后咳嗽患者的临床资料.根据患者接受的不同治疗方案进行分组,将感染后咳嗽常规治疗的患者纳入常规组(37例),将三拗片联合强力枇杷露治疗的患者纳入联合组(43例),2组的治疗周期均为14 d.对比2组的治疗有效率,中医证候积分(咳嗽、气喘、咳痰、肺部啰音),日间、夜间咳嗽评分,免疫功能[免疫球蛋白(Ig)A、IgG、IgM];炎症水平[肿瘤坏死因子α(TNF-α)、白细胞介素(IL)-6、IL-8];药物不良反应(头晕、嗜睡、恶心呕吐).结果 联合组患者的治疗有效率为93%高于常规组76%(P<0.05);联合组患者的中医证候积分[咳嗽(1.24±0.35)分、气喘(1.17±0.29)分、咳痰(1.01±0.41)分、肺部啰音(1.33±0.45)分]低于常规组[咳嗽(1.85±0.42)分、气喘(1.74±0.37)分、咳痰(1.76±0.37)分、肺部啰音(1.69±0.32)分](P<0.05);联合组患者的日间咳嗽评分和夜间咳嗽评分[(0.78±0.21)分和(0.76±0.24)分]均低于常规组[(0.97±0.23)分和(0.91±0.22)分](P<0.05);联合组患者的 IgA、IgG、IgM[(1.63±0.24)g/L、(9.65±1.33)g/L、(1.21±0.37)g/L]均高于常规组[(1.27±0.21)g/L、(7.32±1.68)g/L、(0.88±0.25)g/L](P<0.05);联合组患者的 TNF-α、IL-6、IL-8 水平[(12.6±1.2)pg/ml、(162±8)pg/ml、(9.5±2.8)pg/ml]均低于常规组[(15.4±1.2)pg/ml、(176±10)pg/ml、(11.6±2.6)pg/ml](P<0.05);联合组不良反应发生率为 5%低于常规组的22%(P<0.05).结论 三拗片联合强力枇杷露对感染后咳嗽患者的疗效显著,可有效改善患者的咳嗽症状,提高免疫功能,降低炎症反应,且安全性高.
Curative effect and safety of San'ao Tablet combined with Qiangli Pipa Syrup in cough after infection
Objective To explore the curative effect and safety of San'ao tablet combined with Qiangli Pipa Syrup in cough after infection.Methods A retrospective analysis was performed on the clinical data of 80 patients with cough after infection in Lishui People's Hospital between January 2022 and December 2023.Ac-cording to different treatment methods,patients were divided into a routine group(37 cases,routine treatment)and a combination group(43 cases,San'ao Tablet combined with Qiangli Pipa Syrup).All patients were treated for 14 d.The response rate of treatment,scores of TCM symptoms(cough,asthma,expectoration,lung rales),daytime and nighttime cough,immune function[immunoglobulin A(IgA),immunoglobulin G(IgG),immunoglobulin M(IgM)],inflammatory factors[tumor necrosis factor α(TNF-α),interleukin-6(IL-6),interleukin-8(IL-8)]and adverse drug reactions(dizziness,drowsiness,nausea and vomiting)were compared between the two groups.Results The re-sponse rate of treatment in combination group was higher than that in the routine group(93%vs 76%,P<0.05).The scores of TCM symptoms(cough,asthma,expectoration,lung rales)in the combination group were lower than those in the routine group[(1.24±0.35)points,(1.17±0.29)points,(1.01±0.41)points,(1.33±0.45)points vs(1.85±0.42)points,(1.74±0.37)points,(1.76±0.37)points,(1.69±0.32)points;P<0.05].The scores of daytime and night-time cough in the combination group were lower than those in the routine group[(0.78±0.21)points,(0.76±0.24)points vs(0.97±0.23)points,(0.91±0.22)points;P<0.05].Levels of IgA,IgG and IgM were higher than those in the routine group[(1.63±0.24)g/L,(9.65±1.33)g/L,(1.21±0.37)g/L vs(1.27±0.21)g/L,(7.32±1.68)g/L,(0.88±0.25)g/L;P<0.05].Levels of TNF-α,IL-6 and IL-8 were lower than those in the routine group[(12.6±1.2)pg/ml,(162±8)pg/ml,(9.5±2.8)pg/ml vs(15.4±1.2)pg/ml,(176±10)pg/ml,(11.6±2.6)pg/ml;P<0.05].The incidence rate of adverse reactions was lower than that in the routine group(5%vs 22%,P<0.05).Conclusion Curative effect of San'ao Tablet combined with Qiangli Pipa Syrup is significant in patients with cough after infection,which can effectively improve cough symptoms and enhance immune function.This combination therapy with high safety also reduces inflammatory response.

CoughSan'ao tabletQiang Li Pi Pa LuTreatment outcome

徐荣荣、何婷、叶丽静、丁娅、尹章勇

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丽水市人民医院呼吸内科,浙江丽水 323000

咳嗽 三拗片 强力枇杷露 治疗结果

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(18)