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温阳抗寒汤联合西药治疗慢性支气管炎急性发作患者的临床观察
引用本文:胡晓宇,吴银根.温阳抗寒汤联合西药治疗慢性支气管炎急性发作患者的临床观察[J].实用临床医药杂志,2021,25(1):58-61.
作者姓名:胡晓宇  吴银根
作者单位:上海市长宁区天山中医医院内科,上海,200051;上海市中医药大学附属龙华医院肺病科,上海,200032
基金项目:上海市长宁区卫生和计划生育委员会科研课题
摘    要:目的 探讨温阳抗寒汤联合西药治疗肾阳虚型慢性支气管炎急性发作患者的效果.方法 将114例慢性支气管炎急性发作患者随机分为对照组(n=59)和观察组(n=55),对照组给予常规西药治疗,观察组在对照组基础上给予温阳抗寒汤.比较2组临床疗效、中医证候评分、莱塞斯特咳嗽量表(LCQ)评分;分析2组白细胞介素-2受体(IL-2...

关 键 词:慢性支气管炎  炎症因子  生活质量  温阳抗寒汤  中医药疗法

Clinical Observation of Wenyang Kanghan Decoction combined with western medicines in treatment of patients with acute exacerbation of chronic bronchitis
HU Xiaoyu,WU Yingen.Clinical Observation of Wenyang Kanghan Decoction combined with western medicines in treatment of patients with acute exacerbation of chronic bronchitis[J].Journal of Clinical Medicine in Practice,2021,25(1):58-61.
Authors:HU Xiaoyu  WU Yingen
Institution:(Department of Internal Medicine,Shanghai Changning District Tianshan Hospital of Traditional Chinese Medicine,Shanghai,200051;Department of Pulmonary Disease,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032)
Abstract:Objective To explore the effect of Wenyang Kanghan Decoction combined with western medicine in treatment of patients with acute exacerbation of chronic bronchitis.Methods A total of 114 patients with acute onset of chronic bronchitis were randomly divided into control group(n=59)and observation group(n=55).The control group was given conventional western medicine treatment,and the treatment group was given Wenyang Kanghan Decoction on the basis of the control group.Clinical efficacy,TCM syndrome score and Leicester cough questionnaire(LCQ)score were compared in the two groups,and the changes of interleukin-2 receptor(IL-2R),interleukin-6(IL-6),interleukin-8(IL-8)and interleukin-10(IL-10)levels in the two groups were analyzed.Results The total effective rate in the treatment group was 90.91%,which significantly higher than 86.44%in the control group(P<0.05).After treatment,TCM syndrome score and IL-2R,IL-6 and IL-8 levels in the treatment group were significantly lower than those in the control group(P<0.05);the social,psychological and physiological scores as well as LCQ total score of the treatment group were significantly higher than those of the control group(P<0.05).Conclusion Wenyang Kanghan Decoction combined with western medicine has a better effect in patients with acute exacerbation of chronic bronchitis differentiated as kidney-yang deficiency syndrome,which can improve the immune level of patients and enhance the quality of life.
Keywords:chronic bronchitis  inflammatory factors  quality of life  Wenyang Kanghan Decoction  traditional Chinese medicine therapy
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