首页|小柴胡汤合止嗽散加减治疗感冒后咳嗽的效果观察

小柴胡汤合止嗽散加减治疗感冒后咳嗽的效果观察

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目的:探讨小柴胡汤合止嗽散加减在感冒后咳嗽中的应用效果.方法:选择 2022 年 1 月—2023 年 12 月北京市丰台区蒲黄榆社区卫生服务中心收治的感冒后咳嗽患者 100 例,通过随机数字表法实施分组.参考组(n=50)予以常规西医治疗,研究组(n=50)在常规西医治疗基础上加用小柴胡汤合止嗽散加减治疗,两组均持续治疗 2 周.观察两组咳嗽症状积分、临床疗效、血液指标和不良反应发生情况.结果:两组治疗后的咳嗽症状各项积分均低于治疗前,且研究组均低于参考组,差异均有统计学意义(P<0.05);研究组治疗总有效率为 94.00%,明显高于参考组的 76.00%,差异有统计学意义(P<0.05);两组治疗后的白细胞计数(WBC)、C反应蛋白(CRP)均低于治疗前,且研究组均低于参考组,差异均有统计学意义(P<0.05);研究组不良反应总发生率为 18.00%,与参考组的 14.00%比较,差异无统计学意义(P>0.05).结论:小柴胡汤合止嗽散加减能够提高感冒后咳嗽临床疗效,缓解患者临床症状及炎症反应,且不会增加不良反应.
Observation on the Effect of Modified Xiaochaihu Decoction Combined with Zhisou Powder in the Treatment of Postinfectious Cough
Objective:To investigate the application effect of modified Xiaochaihu Decoction combined with Zhisou Powder in the treatment of postinfectious cough.Method:A total of 100 patients with postinfectious cough treated in Beijing Fengtai District Puhuangyu Community Health Service Center from January 2022 to December 2023 were selected and grouped by random number table method.The reference group(n=50)was treated with routine western medicine,and the study group(n=50)was treated with modified Xiaochaihu Decoction combined with Zhisou Powder on the basis of routine western medicine.Both groups were treated for 2 weeks.The integrations of cough symptom,clinical efficacy,blood indexes and occurrence of adverse reactions were observed in the two groups.Result:The integrations of cough symptoms in both groups after treatment were lower than those before treatment,and those in the study group were lower than those in the reference group,the differences were statistically significant(P<0.05).The total effective rate of the study group was 94.00%,which was significantly higher than 76.00%of the reference group,the difference was statistically significant(P<0.05).The white blood cell count(WBC),C reactive protein(CRP)levels after treatment in both groups were lower than those before treatment,and those in the study group were lower than those in the reference group,the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the study group was 18.00%,compared with 14.00%in the reference group,the difference was not statistically significant(P>0.05).Conclusion:Modified Xiaochaihu Decoction combined with Zhisou Powder can improve the clinical effect of postinfectious cough,relieve the clinical symptoms and inflammatory reaction of patients,and will not increase adverse reactions.

Xiaochaihu DecoctionZhisou PowderPostinfectious coughImmune function

蔡元元

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北京市丰台区蒲黄榆社区卫生服务中心中医科 北京 100075

小柴胡汤 止嗽散 感冒后咳嗽 免疫功能

首都卫生发展科研专项

首发2022-3-7054

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(12)
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