麻黄汤合白虎汤加减治疗咳嗽153例

目的:观察麻黄汤合白虎汤对咳嗽症状的改善情况及其对相关指标的影响。方法:选取2013年2月—2016年7月本院收治的306例咳嗽患者,随机分为对照组和观察组各153例,对照组采用麻黄汤加减治疗,观察组采用麻黄汤合白虎汤加减治疗,比较两组患者的临床疗效和治疗前后相关指标的变化情况。结果:治疗后,观察组患者的FVC、PEF、FEV1大于对照组,TNF-α、IL-6小于对照组,组间比较差异有统计学意义(P0.05);观察组咳嗽、咳痰、咽痒等临床症状积分均小于对照组,差异有统计学意义(P0.05);观察组患者的临床疗效优于对照组,差异有统计学意义(P0.05);两组患者的治疗安全性比较无统计学意义(P0.05);两组患者的不良反应发生率比较无统计学意义(P0.05)。结论:与单一麻黄汤治疗咳嗽相比,合用白虎汤加减治疗更能改善患者的肺功能,降低炎性反应。

One Hundred and Fifty-Three Cases with Cough Treated with Mahuang Decoction Plus Baihu Decoction

Objective:To observe the clinical curative effect of Mahuang Decoction Plus Baihu Decoctionon cough,and its influence on related indicators.Methods:Totally 306 patients with cough admitted into our hospital between February 2013 and July 2016 were randomly divided into observation group (n =153)and control group (n =153).Control group were treated with Modified Mahuang Decoction while observation group were treated with Mahuang Decoction Plus Baihu Decoction.The clinical effects of the two groups and changes of related indicators after the treatment in both groups were compared.Results:After treatment,the levels of FVC,PEF and FEV1 in observation group were higher than those in control group while the levels of TNF-alpha and IL-6 were lower than those in control group (P ＜ 0.05);the clinical symptom scores of cough,expectoration,itching throat and other symptoms in observation group were less than those in control group;the difference had statistical significance (P＜ 0.05).The clinical effect in observation was better than that in the control group (P ＜ 0.05);the treatment safety and the occurrence rate of adverse reactions between the two groups had no statistical difference (P ＞ 0.05).Conclusion:Compared with the single Mahuang Decoction in the treatment of cough,the combination with Baihu Decoction can better improve pulmonary function and reduce the inflammatory reaction.