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射干麻黄汤联合西药治疗支气管哮喘急性发作期(寒哮证)随机平行对照研究
引用本文:岳兴元.射干麻黄汤联合西药治疗支气管哮喘急性发作期(寒哮证)随机平行对照研究[J].实用中医内科杂志,2013(6):77-78.
作者姓名:岳兴元
作者单位:辽宁省大连市金州新区向应镇卫生院内科,大连116111
摘    要:目的]观察射干麻黄汤联合西药治疗支气管哮喘急性发作期(寒哮证)疗效。方法]使用随机平行对照方法,将64例住院及门诊患者按随机数字表方法随机分为两组,对照组32例布地奈德粉吸入剂,0.2g/次,2次/d,吸入;茶碱缓释片,0.2g/次,2次/d。治疗组32例射干麻黄汤(射干、麻黄、生姜各9g,细辛3g,紫菀、款冬花各6g,大枣3枚,半夏9g,五味子3g),1剂/d,水煎200mL,早晚口服,西药治疗同对照组,连续治疗15d为1疗程。观测临床症状、ACT评分、不良反应。连续治疗1疗程,判定疗效。结果]治疗组痊愈16例,显效12例,有效3例,无效1例,总有效率96.88%。对照组痊愈7例,显效10例,有效9例,无效6例,总有效率81.25%。治疗组疗效优于对照组(P〈0.05)。ACT评分治疗组改善优于对照组(P〈0.05)。结论]射干麻黄汤联合西药治疗支气管哮喘急性发作期(寒哮证),疗效满意,无副作用,值得推广。

关 键 词:支气管哮喘  急性发作期  寒哮证  射干麻黄汤  布地奈德粉  茶碱缓释片  中西医结合治疗  金匮要略  随机平行对照研究

A Randomized Controlled Study of SheganMahuangTang Together With Western Medicine Therapy on Treating Asthma(cold wheezing)in the Acute Clinical Course
Institution:YUN Xingyuan;Xiangying Town Health Center;
Abstract:Objective]To observe the effect of SheganMahuangTang together with western medicine therapy on treating asthma(cold wheezing)in the acute clinical course.Methods]Divide 64 patients of asthma(cold wheezing)into 2 groups by randomization.Both groups of patients were treated with Budesonide Inhaler(0.2g/d)and Theophylline Sustained Release Tablets(0.4g/d).Treat the control group with pure western medicine.Treat the treatment group with SheganMahuangTang(Shegan9g,Mahuang9g,Shengjiang9g,Xixin3g,Ziyuan6g,Kuandonghua6g,Dazao10g,Banxia9g,Wuweizi3g)together with western medicine like the control group.The course is 15 days of continuous treatment.To observe ACT scores,the efficiency of TCM symptoms and side effect.We treat all the patients for 1 courses continuously.Statistics treatment is made up on all the results.Results]The efficiency of TCM symptoms:In the treatment group,there are 16 cases of Clinical recovery,12 cases of excellence,3 cases of effection,and1 cases of no avail.Total effective rate of treatment group is 96.88%.In the control group,there are 7 cases of Clinical recovery,10 cases of excellence,9 cases of effection,and 6 cases of no avail.Total effective rate of control group is 81.25%.There were significant differences in the efficiency of TCM symptoms,with statistical significance(P0.05).After treatment,ACT scores of the two groups were markedly increased,with on statistical significance between the two groups(P0.05).Conclusion]SheganMahuangTang together with western medicine therapy can treat asthma(cold wheezing)in the acute clinical course,improve the clinical effect and no side effect.
Keywords:Asthma  Acute clinical course  Cold wheezing  SheganMahuangTang  Budesonide Inhaler  Theophylline Sustained Release Tablets  Conbined treatment of traditional Chinese medicine and western medicine  Golden Chamber  Randomized controlled study
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