人参核桃汤合定喘汤联合西药治疗慢性肺心病随机平行对照研究

[目的]观察人参核桃汤合定喘汤联合西药治疗慢性肺心病疗效。[方法]使用随机平行对照方法．将65例住院患者按随机数字表法分为两组。对照组32例支气管扩张剂（氨荼碱），0．1g/次。3次／d，口服；祛痰剂（盐酸氨溴索）．0．6g/次．3次/d，口服。治疗组33例人参核桃汤合定喘汤（太子参、核桃肉、南杏仁、川贝、麦冬、白果肉 去皮 各15g．五味子、麻黄各6g．法夏、苏子 炒 各12g，蛤蚧 去头足打粉冲服 1只），1剂／d，水煎300mL，早晚口服。心悸加酸枣仁 炒、柏子仁、丹参各12g：胸闷不适加瓜蒌实10g，薤白9g；自汗明显加浮小麦25g，麻黄根10g；腹胀便塘加积壳10g，薏苡仁25g；下肢浮肿，气喘加茯苓皮25g，黄芪、葶苈子 炒 各15g。西药治疗同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗4疗程．判定疗效。随访30d．观测复发率。[结果]治疗组显效25例，有效6例，无效2例。总有效率93．94％。对照组显效17例，有效8例．无效7例．总有效率78．13％。治疗组疗效优于对照组（P〈0．01）。[结论]人参核桃汤合定喘汤联合西药治疗慢性肺心病效果显著．值得推广．

Treatment of Chronic Pulmonary Heart Disease A Randomized Controlled Trial of Ginseng And Walnut Soup Combined With Dingchuan Decoction Combined with Western Medicine

[ Objective ] To investigate the effect of walnut soup combined with Dingchuan decoction combined with western medicine in treatment of chronic pulmonary heart disease. [ Methods ] Using randomized controlled methods, will be divided into two groups according to the random number table, 65 cases of hospitalized patients. A control group of 32 cases of bronchiectasis agent （An Chajian ）, 0.1g/, 3/d, oral; expectorant （ ambroxol hydrochloride ）, 0.6g/, 3 /d, oral. The treatment group of 33 cases of ginseng and walnut soup combined with Dingchuan Decoction （Taizishen, Hetaorou, Nanxingren, Chuanbei, Maidong, Baiguorou without skin each 15g, Wuweizi, Mahuang each 6g, Faxia, Suzi fried each 12g, a Gejie go head to foot powder granules ）, 1 doses of/d, water simmer in water 300mL, sooner or later oral. Palpitations add Suanzaoren fried, Baiziren, Danshen each 12g; Chest discomfort was significant add Gualoushi 10g, Xiebai 9g; Spontaneous sweating significantly add Fuxiaomai 25g, Mahuanggeng 10g; Abdominal distension and Tang add Jike 10g, Yiyiren 25g, Lower extremity edema, asthma add Fulingpi 25g, Huangqi, Tinglizi fried each 15g.Western medicine treatment with the control group. Continuous treatment with 7d for 1 courses. Observation of clinical symptoms, adverse reaction. Continuous 4 courses of treatment, the curative effect. Follow up 30d, observing the recurrence rate. 25 cases of group therapy [ Results ] 6 cases were effective, 2 cases ineffective, the total efficiency of 93.94%. The control group was 17 cases, effective 8 cases, invalid 7 cases, the total efficiency of 78.13%. The treatment group was better than control group （ P〈 0.01 ） . [ Conclusion ] Ginseng and walnut soup combined with Dingchuan decoction combined with western medicine in treatment of chronic pulmonary heart disease effect is significant, worthy of promotion.