自拟温润方治疗风寒袭肺型急性咳嗽病的临床观察

目的 观察自拟温润方治疗风寒袭肺型急性咳嗽病的临床疗效。方法 64例风寒袭肺型急性咳嗽病患者,随机分为对照组(31例)和治疗组(33例)。对照组患者给予复方甘草口服溶液治疗,治疗组患者给予温润方治疗。比较两组患者治疗前和治疗3、6 d后的中医症状评分以及临床疗效。结果 治疗3、6 d后,两组患者咳嗽、咯痰、恶风、咽痒、鼻塞、流涕、鼻干、口干咽燥症状评分均低于治疗前,差异均具有统计学意义(P<0.05)。治疗组患者治疗3 d后咳嗽、咽痒、鼻干、口干咽燥症状评分分别为(2.18±0.98)、(1.15±0.81)、(0.60±0.61)、(0.81±0.71)分,均低于对照组的(3.04±1.62)、(1.68±0.96)、(0.96±0.67)、(1.37±0.86)分,差异均具有统计学意义(P<0.05);治疗组患者治疗6 d后咳嗽、咽痒、鼻干、口干咽燥症状评分分别为(0.54±0.51)、(0.42±0.48)、(0.40±0.46)、(0.47±0.51)分,均低于对照组的(1.12±0.76)、(1.11±0.98)、(0.88±0.98)、(1.01±0.92)分,差异均具有统计学意义(P<0.05)。两组患者治疗3、6 d后咯痰、恶风、鼻塞、流涕症状评分比较,差异无统计学意义(P>0.05)。治疗3 d后,治疗组治疗总有效率90.9%高于对照组的71.0%,差异具有统计学意义(P<0.05)。治疗6 d后,治疗组患者治疗总有效率93.9%与对照组的90.3%比较,差异无统计学意义(P>0.05)。结论 在风寒袭肺型急性咳嗽病治疗中,温润方在缓解咳嗽以及部分次症方面明显优于复方甘草口服溶液,起效更快。

Clinical observation on self-made Wenrun recipe for the treatment of acute cough with syndrome of wind-cold attacking lung

Objective To observe the clinical efficacy of self-made Wenrun recipe for the treatment of acute cough with syndrome of wind-cold attacking lung.Methods A total of 64 cases of acute cough with syndrome of wind-cold attacking lung were randomly divided into control group(31 cases)and treatment group(33 cases).The control group was treated by compound glycyrrhiza oral solution,and the treatment group was treated by self-made Wenrun recipe.The traditional Chinese medicine symptom score before treatment,3 and 6 d after treatment and clinical efficacy were compared between the two groups.Results 3 and 6 d after treatment,the score of symptoms of cough,expectoration,fear of wind,pharyngeal itch,nasal obstruction,runny nose,dry nose,dry mouth and dry throat of the two groups were all lower than those before treatment,and the difference was statistically significant(P<0.05).3 d after treatment,the score of symptoms of cough,pharyngeal itch,dry throat and dry mouth of the treatment group were(2.18±0.98),(1.15±0.81),(0.60±0.61)and(0.81±0.71)points,which were all lower than those of the control group(3.04±1.62),(1.68±0.96),(0.96±0.67)and(1.37±0.86)points,and the difference was statistically significant(P<0.05).6 d after treatment,the score of symptoms of cough,pharyngeal itch,dry throat and dry mouth of the treatment group were(0.54±0.51),(0.42±0.48),(0.40±0.46)and(0.47±0.51)points,which were all lower than those of the control group(1.12±0.76),(1.11±0.98),(0.88±0.98)and(1.01±0.92)points,and the difference was statistically significant(P<0.05).3 and 6 d after treatment,there was no statistically significant difference in score of symptoms of expectoration,fear of wind,nasal obstruction and runny nose between the two groups(P>0.05).3 d after treatment,the total effective rate of treatment 90.9%of the treatment group was higher than that of the control group 71.0%,and the difference was statistically significant(P<0.05).6 d after treatment,the total effective rate of treatment group 93.9%had no statistically significant difference compared with that of the control group 90.3%(P>0.05).Conclusion For the treatment of acute cough with syndrome of wind-cold attacking lung,self-made Wenrun recipe is obviously better in relieving cough and some secondary symptoms compared with compound glycyrrhiza oral solution,and it has a faster effect.