补肺纳肾平喘方联合信必可治疗哮喘——慢性阻塞性肺疾病重叠综合征
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摘要
目的补肺纳肾平喘方治疗哮喘—慢性阻塞性肺疾病重叠综合征的临床研究;方法 2015年7月-2017年8月间就诊于我院肺病科门诊及住院的患者,共80例。随机分为治疗组42例和对照组38例。2组患者均给予呼吸肌功能锻炼、止咳化痰、抗感染、吸氧等基础治疗,对照组予信必可都保吸入剂1～2吸/次,日2次。治疗组在对照组的基础上联合口服补肺纳肾平喘方。结果治疗组总有效率92.6%,对照组总效率78.9%,治疗组临床症状体征的改善、肺功能及ACT、CAT评分显著优于对照组(P<0.05)。结论补肺纳肾平喘方治疗哮喘—慢性阻塞性肺疾病重叠综合征,对缓解症状有较好的作用。
Objective A clinical study on the treatment of asthma a chronic obstructive pulmonary disease overlapping syndrome with Bufei Nashen Pingchuan prescription.Methods A total of 80 patients werehospitalized in the department of pulmonary disease in our hospital in July 2015 to August 2017.It was randomly divided into 42 cases in the treatment group and 38 in the control group.The two groups of patients were given basic treatment,such as respiratory muscle function exercise,relieving cough and reducing sputum,anti infection,oxygen inhalation,etc.Control group received Budesonide and Formoterol Fum arate Powder for Inhalation1-2/time,2 times/d.On the basis of the control group,the treatment group was given oral Bufei Nashen Pingchuan prescription.Results The total effective rate was 92.6% in the treatment group and 78.9% in the control group.The improvement of clinical symptoms and signs,pulmonary function and ACT and CAT scores in the treatment group were significantly better than those in the control group(P<0.05).Conclusion Bufei Nashen Pingchuan prescription in the treatment of asthma,chronic obstructive pulmonary disease overlap syndrome,the relief of symptoms has a good effect.
Objective A clinical study on the treatment of asthma a chronic obstructive pulmonary disease overlapping syndrome with Bufei Nashen Pingchuan prescription.Methods A total of 80 patients werehospitalized in the department of pulmonary disease in our hospital in July 2015 to August 2017.It was randomly divided into 42 cases in the treatment group and 38 in the control group.The two groups of patients were given basic treatment,such as respiratory muscle function exercise,relieving cough and reducing sputum,anti infection,oxygen inhalation,etc.Control group received Budesonide and Formoterol Fum arate Powder for Inhalation1-2/time,2 times/d.On the basis of the control group,the treatment group was given oral Bufei Nashen Pingchuan prescription.Results The total effective rate was 92.6% in the treatment group and 78.9% in the control group.The improvement of clinical symptoms and signs,pulmonary function and ACT and CAT scores in the treatment group were significantly better than those in the control group(P<0.05).Conclusion Bufei Nashen Pingchuan prescription in the treatment of asthma,chronic obstructive pulmonary disease overlap syndrome,the relief of symptoms has a good effect.
引文
[1]金哲,王广发.慢性阻塞性肺疾病全球倡议(2014更新版)解读[J].中国医学前沿杂志(电子版),2014,6(2):94-97.
[2]何权瀛.2014年全球哮喘防治倡议(GINA)简介[J].浙江医学,2014,36(19):1588-1600.
[3]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南[J].中华结核和呼吸杂志,2016,39(9):675-677.
[4]郑筱萸.中药新药临床研究指导原则[M].中国医药科技出版社,2002:60-66.
[5]张海琴,程齐俭,万欢英.支气管哮喘-慢性阻塞性肺疾病重叠综合征的诊治进展[J].中国呼吸与危重监护杂志,2014,13(2):219-222.
[6]张重州.补肺纳气治疗慢性肺心病86例[J].陕西中医,2007,28(12):1584-1586.
[7]贾淑明,彭智平,逄冰,等.仝小林教授运用射干麻黄汤治疗呼吸系统疾病解析[J].长春中医药大学学报,2014,30(4):628-630.
[8]曾倩,江佩龄,王卫红,等.浅析韩冰教授运用药对治疗不孕症经验[J].天津中医药,2014,34(7):433-435.
[9]刘庆林.沉香药对的临床应用[J].湖南中医杂志,2005,21(5):70-71.
[10]丁静,艾健,王淑英,等.加味麻杏地龙汤配合西药治疗支气管哮喘急性发作期疗效观察[J].陕西中医,2014,35(12):1574-1576.
[11]韦麟.益肺止咳饮治疗慢性支气管炎急性发作50例[J].吉林中医药,2011,31(6):547-548.
[12]李静,支晓燕.镇咳平喘汤治疗毛细支气管炎84例[J].陕西中医,2013,34(8):945-946.
[13]朱雅萍.如意定喘片加润肺平喘汤治疗肺间质纤维化36例[J].陕西中医,2006,27(4):390-391.
[14]侯家玉.中药药理学[M].北京:中国中医药出版社,2002:8.
[15]刘晓雯,黄洁玲,鲍敏玲.橘红痰咳液联合山莨菪碱对急性支气管肺炎恢复期的疗效观察[J].湖南中医药大学学报,2013,33(10):18,63.
[16]邓书童,尹新中.紫菀、贝母、款冬花配伍治疗咳嗽探析[J].陕西中医学院学报,2012,35(2):69-71.
[17]姚军强.半夏的药理作用及其临床配伍运用[J].中医研究,2013,26(2):3-5.
[18]葛会奇.酒制五味子最佳工艺研究[J].辽宁科技学院学报,2009,7(2):39-41.
[19]刘小燕.麻杏二陈三子汤佐治小儿哮喘发作期50例[J].陕西中医,2013,34(10):1352-1353.
[20]毛莉娜,罗光伟,万军,等.活血化瘀法治疗慢性阻塞性肺疾病急性加重期37例总结[M]湖南中医杂志,2013:29.
[21]刘贵颖,刘玉庆,吕英,等.中医咳喘方对哮喘豚鼠肺组织病理学影响的研究[J].天津中医药,2008,25(30):217-219.
[22]陈惠,孙朦朦,安然,等.丹参饮在心血管疾病中的应用研究[J].吉林中医药,2013,33(1):27-30.
[2]何权瀛.2014年全球哮喘防治倡议(GINA)简介[J].浙江医学,2014,36(19):1588-1600.
[3]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南[J].中华结核和呼吸杂志,2016,39(9):675-677.
[4]郑筱萸.中药新药临床研究指导原则[M].中国医药科技出版社,2002:60-66.
[5]张海琴,程齐俭,万欢英.支气管哮喘-慢性阻塞性肺疾病重叠综合征的诊治进展[J].中国呼吸与危重监护杂志,2014,13(2):219-222.
[6]张重州.补肺纳气治疗慢性肺心病86例[J].陕西中医,2007,28(12):1584-1586.
[7]贾淑明,彭智平,逄冰,等.仝小林教授运用射干麻黄汤治疗呼吸系统疾病解析[J].长春中医药大学学报,2014,30(4):628-630.
[8]曾倩,江佩龄,王卫红,等.浅析韩冰教授运用药对治疗不孕症经验[J].天津中医药,2014,34(7):433-435.
[9]刘庆林.沉香药对的临床应用[J].湖南中医杂志,2005,21(5):70-71.
[10]丁静,艾健,王淑英,等.加味麻杏地龙汤配合西药治疗支气管哮喘急性发作期疗效观察[J].陕西中医,2014,35(12):1574-1576.
[11]韦麟.益肺止咳饮治疗慢性支气管炎急性发作50例[J].吉林中医药,2011,31(6):547-548.
[12]李静,支晓燕.镇咳平喘汤治疗毛细支气管炎84例[J].陕西中医,2013,34(8):945-946.
[13]朱雅萍.如意定喘片加润肺平喘汤治疗肺间质纤维化36例[J].陕西中医,2006,27(4):390-391.
[14]侯家玉.中药药理学[M].北京:中国中医药出版社,2002:8.
[15]刘晓雯,黄洁玲,鲍敏玲.橘红痰咳液联合山莨菪碱对急性支气管肺炎恢复期的疗效观察[J].湖南中医药大学学报,2013,33(10):18,63.
[16]邓书童,尹新中.紫菀、贝母、款冬花配伍治疗咳嗽探析[J].陕西中医学院学报,2012,35(2):69-71.
[17]姚军强.半夏的药理作用及其临床配伍运用[J].中医研究,2013,26(2):3-5.
[18]葛会奇.酒制五味子最佳工艺研究[J].辽宁科技学院学报,2009,7(2):39-41.
[19]刘小燕.麻杏二陈三子汤佐治小儿哮喘发作期50例[J].陕西中医,2013,34(10):1352-1353.
[20]毛莉娜,罗光伟,万军,等.活血化瘀法治疗慢性阻塞性肺疾病急性加重期37例总结[M]湖南中医杂志,2013:29.
[21]刘贵颖,刘玉庆,吕英,等.中医咳喘方对哮喘豚鼠肺组织病理学影响的研究[J].天津中医药,2008,25(30):217-219.
[22]陈惠,孙朦朦,安然,等.丹参饮在心血管疾病中的应用研究[J].吉林中医药,2013,33(1):27-30.