首页|定喘汤合过敏煎加味治疗过敏性哮喘急性发作期痰热郁肺证患者的效果

定喘汤合过敏煎加味治疗过敏性哮喘急性发作期痰热郁肺证患者的效果

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目的:探讨定喘汤合过敏煎加味治疗过敏性哮喘急性发作期痰热郁肺证患者的效果。方法:选取 2022 年 10月—2023 年 10 月将乐县总医院治疗的 100 例过敏性哮喘急性发作期痰热郁肺证患者作为研究对象,根据双盲法将其分为对照组(50 例)和试验组(50 例),其中对照组采用常规西药治疗,试验组则在常规治疗的基础上额外增加定喘汤合过敏煎加味治疗,对两组治疗 4 周后的临床疗效、中医症候积分进行比较,同时观察两组治疗后肺功能改善情况以及不良反应发生情况。结果:对照组治疗总有效率为 76%,显著低于试验组的 90%,差异有统计学意义(P<0。05);相较于对照组,试验组治疗后中医症候积分水平均显著降低,差异有统计学意义(P<0。05);相较于对照组,试验组治疗后第 1 s用力呼气容积(FEV1)、第 1 s用力呼气容积/用力肺活量(FEV1/FVC)指标水平均显著上升,差异有统计学意义(P<0。05);对照组不良反应发生率为 10%,试验组为 8%,差异无统计学意义(P>0。05)。结论:在过敏性哮喘急性发作期痰热郁肺证患者的治疗中定喘汤合过敏煎加味展现出来积极的临床疗效,加速了患者症候的缓解,促进了肺部功能的改善,且安全性高,具有较高的临床应用价值。
Observation on the Therapeutic Effect of Dingchuan Tang Combined with Allergic Decoction for the Treatment of Patients with Phlegm Heat Depression and Lung Syndrome during Acute Exacerbation of Allergic Asthma
Objective:To explore the therapeutic effect of Dingchuan Tang combined with Allergic Decoction and modified ingredients in the treatment of patients with phlegm heat stagnation and lung syndrome in acute exacerbation of allergic asthma.Method:A total of 100 patients with acute exacerbation of allergic asthma with phlegm heat depression and lung syndrome treated at Jiangle County General Hospital from October 2022 to October 2023 were randomly selected.They were divided into two groups using a double-blind method.The control group consisted of 50 cases received conventional Western medicine treatment,while the experimental group consisted of 50 cases received additional treatment with Dingchuan Tang and Allergic Decoction in addition to conventional treatment.The clinical efficacy and traditional Chinese medicine symptom scores of the two groups after 4 weeks of treatment were compared,Simultaneously observe the improvement of lung function and the occurrence of adverse reactions in both groups after treatment.Result:The total effective rate of the control group was 76%,which significantly lower than the 90%total effective rate of the experimental group(P<0.05).Compared with the control group,the experimental group showed a significant decrease in the level of traditional Chinese medicine syndrome scores after treatment,with significant differences between the groups(P<0.05).Compared with the control group,the levels of FEV1,FEV1/FVC indicators in the experimental group significantly increased after treatment,the difference is statistically significant(P<0.05).The incidence of adverse reactions was 10%in the control group and 8%in the experimental group,the difference is not statistically significant(P>0.05).Conclusion:In the treatment of patients with phlegm heat stagnation and lung syndrome during acute attacks of allergic asthma,the combination of Dingchuan Tang and Allergic Decoction has shown positive clinical efficacy,accelerated the relief of symptoms,promoted the improvement of lung function,and has high safety,with high clinical application value.

Dingchuan TangAllergic decoctionAllergic asthmaAcute attack periodPhlegm heat stagnation lung syndrome

刘由敏、伍礼荣、黄河清

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将乐县总医院 福建 将乐 353300

定喘汤 过敏煎 过敏性哮喘 急性发作期 痰热郁肺证

三明市科技计划项目

2022-S-30

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(24)