疏风宣肺汤治疗急性支气管炎40例

目的 观察疏风宣肺汤加减治疗急性支气管炎的临床疗效.方法 将80名患者随机分为两组,每组40例,治疗组予疏风宣肺汤加减治疗,对照组予急支糖浆口服,疗程均为7天.结果 治疗组总有效率为95%明显高于对照组87.5%,具有显著性差异（P＜0.05）.结论疏风宣肺汤加减治疗急性支气管炎临床疗效确切,值得推广应用.     

痰热清注射液治疗急性支气管炎临床疗效观察

目的观察痰热清注射液治疗急性支气管炎的临床疗效。方法210例急性支气管炎患者随机分为痰热清组和对照组,分别加用痰热清注射液和0.9%氯化钠溶液,两组均同时使用头孢他定注射液,比较治疗7d后血清肿瘤坏死因子-α(TNF-α)的变化及治疗总有效率。结果治疗前两组患者血清TNF-α水平及年龄间差异均无显著性意义(P>0.05),治疗后,痰热清组不仅血清TNF-α较对照组比较显著降低(P<0.05),而且治疗的总有效率与对照组相比差异亦有显著性意义(P<0.05)。结论急性支气管炎患者在抗生素治疗同时加用痰热清注射液能加强抗感染作用,缩短疗程,是治疗急性支气管炎的有效药物。     

杏苏散加减治疗小儿急性支气管炎60例临床观察

目的:探讨杏苏散加减治疗小儿急性支气管炎的效果。方法:把我院收治的小儿支气管炎患儿60例平均分成两组,治疗组用杏苏散加减,对照组应用头孢曲松、地塞米松、病毒性静脉滴注,比较疗效。结果:治疗组痊愈率为95%,对照组为60%,差异明显。结论:杏苏散加减治疗小儿急性支气管炎,疗效满意,且无不良反应,较之西药治疗可以有效缩短治疗时间,避免患儿病情加重,减轻患儿痛苦,值得临床工作者推广使用。     

加减桑菊饮治疗支气管炎24例疗效观察

目的：探讨中药组方桑菊饮的加减治疗支气管炎的临床疗效，以期为临床用药提供数据支持。方法：将我院于2011年6月～2012年6月间收治的48例支气管炎患者随机分为两组，每组24例患者，实验组根据中医辨证论治的原则给予加减桑菊饮治疗：对照组则采用急支糖浆进行治疗，治疗7d后对比两组疗效。结果：经治疗后，实验组患者总有效率为83．3％；对照组为66．7％。实验组疗效显著优于对照组（x^2=4．763，P〈0．05）。结论：根据中医辨证论治的原则采用加减桑菊饮治疗支气管炎疗效显著，值得进行临床推广。     

Occupational respiratory health of New Zealand horse trainers

Objectives To confirm that working with horses is an occupational respiratory hazard and observed associations are not attributable to confounding. Methods A postal survey of the respiratory health of 659 horse trainers and a comparison group of 506 vegetable growers was conducted. Data were analysed using logistic regression. Results Relative to vegetable growers, horse trainers reported higher rates of chronic bronchitis [odds ratio (OR) = 6.8, 95% confidence interval (CI): 2.2–21.4] and organic dust toxic syndrome/farmers’ lung (ODTS/FL) (OR = 3.5, 95% CI: 1.8–6.8). Grinding oats, spreading hay, and using powdered feed supplements were associated with increased respiratory symptoms among trainers. Associations between symptoms and working with horses increased for full-time workers. Conclusions This study found evidence that working with horses is a risk factor for ODTS/FL and bronchitis. The associations did not appear to be explained by bias, including confounding. However, the possibility of confounding cannot be entirely ruled out, and confirmatory studies are needed. Future studies should consider inorganic dust exposures.     

肺炎,支气管炎和急性上呼吸道感染患者肺炎衣原体感染的研究

１９９４年１～５月对北京地区１３４例急性呼吸系统疾病患者，以及与此配对的１３４例因其他疾病就诊的患者进行了前瞻性肺炎衣原体感染的研究。采用微量荧光试验检测肺炎衣原体ＩｇＧ抗体，其阳性率分别为９３％和８９％（Ｐ＞０．１）。两者患者抗体几何均数差异也未见有显著性（５５．９±４．２对４１．７±２．８，Ｐ＞０．１）。４例（４／３０）肺炎和６例（６／８１）支气管炎患者血清学诊断为近期肺炎衣原体感染。慢性支气管炎病史在肺炎衣原体感染者的伴随频率显著高于非肺炎衣原体感染者（Ｐ＜０．０５）。肺炎衣原体ＩｇＧ抗体几何滴度在具有慢性支气管炎患者中显著高于无该病史患者（Ｐ＜０．０５）。１３４例研究组患者咽后壁拭子肺炎衣原体分离全部为阴性。     

Gastroesophageal reflux symptoms and nasal symptoms affect the severity of bronchitis symptoms in patients with chronic obstructive pulmonary disease

Background

Cough and sputum production (symptoms of bronchitis) are common in chronic obstructive pulmonary disease (COPD). Extrapulmonary comorbidities, such as gastroesophageal reflux disease (GERD) and post-nasal drip, also cause bronchitis symptoms. The impact of extrapulmonary comorbidities on the severity of bronchitis symptoms in COPD is unknown. The aim of this study was to quantify bronchitis symptoms and assess the impact of GERD and nasal symptoms on the severity of bronchitis symptoms in COPD.

核素胃食道返流显像在慢性支气管炎和支气管哮喘中的应用

为探讨慢性支气管炎（慢支）、支气管哮喘（哮喘）与胃食道返流（ＧＥＲ）的关系，采用放射性核素显像对２９例慢支、３２例哮喘患者及９例正常对照者进行研究。结果：慢支组和哮喘组并ＧＥＲ的发生率分别为５１．７４％和３７．５％，而对照组未发现ＧＥＲ；胃食道核素显像诊断ＧＥＲ的敏感性和特异性分别为１００％和６８．４２％；慢支、哮喘并ＧＥＲ者与其无ＧＥＲ者之间肺通气功能值差异无显著性（Ｐ＞０．０５）；肺核素显像未发现肺吸入返流物现象。提示：慢支和哮喘患者有较高的ＧＥＲ发生率，从而推测慢支、哮喘与ＧＥＲ之间有密切的关系。     

Efficacy of Add-on Montelukast in Nonasthmatic Eosinophilic Bronchitis: The Additive Effect on Airway Inflammation,Cough and Life Quality

Background:The efficacy of montelukast (MONT),a cysteinyl leukotriene receptor antagonist,in nonasthmatic eosinophilic bronchitis (NAEB),especially its influence on cough associated life quality is sti...     

郑小伟治疗慢性支气管炎经验

慢性支气管炎以咳嗽、咳痰或伴有喘息及反复发作的慢性过程为主要症状,病情缠绵难愈,又易反复发作。郑小伟教授认为,本病性质属本虚标实,痰浊阻肺为标,肺、脾、肾亏虚为本,应根据病情发展的不同阶段予以辨证论治,并在适当阶段结合外敷方外敷穴位,更能显效。