辨证分型联合西药治疗支气管扩张随机平行对照研究  

Differential Diagnosis and Treatment Combined Western Medicine of Bronchiectasis Randomized Controlled Study

作　　者：阳淑芳 

机构地区：[1]贵州省黔南州中医院呼吸内科,贵州黔南558000

出　　处：《实用中医内科杂志》2016年第12期49-51,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察辨证分型联合西药治疗支气管扩张疗效。[方法]使用随机平行对照方法,将120例住院及门诊患者按抛硬币法简单随机分为两组。对照组60例祛痰:氨溴索,0.3m/次,3次/d;氨茶碱,0.2g/次,3次/d;抗感染:左氧氟沙星,0.2g/次,2次/d;支气管扩张剂:舒弗美,0.2g/次,2次/d。治疗组60例辨证分型:阴虚肺热(百合、生地、仙鹤草、白茅根各15g,川贝母、麦冬、桔梗、陈皮各10g);痰热壅肺(薏苡仁、冬瓜仁、芦根各30g,陈皮、法半夏、桃仁各10g,茯苓15g);风热犯肺(芦根、杏仁、连翘各15g,甘草6g,川贝母、菊花、桑叶、桔梗各10g);肝火犯肺(仙鹤草、旱莲草、青黛、桑白皮各15g,郁金、陈皮各10g,海蛤粉、金银花、白茅根各30g),1剂/d,水煎400m L,早晚口服,200m L/次;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效39例,有效16例,无效7例,总有效率91.67%。对照组显效32例,有效13例,无效15例,总有效率75.00%。治疗组疗效优于对照组(P<0.05)。[结论]辨证分型联合西药治疗支气管扩张疗效满意,无严重不良反应,值得推广。[Objective] To observe the effect of Differential Diagnosis and Treatment of bronchiectasis. [Methods] Random parallel control method, 120 inpatients and outpatients by a coin toss method is simple and randomly divided into two groups. The control group of 60 patients expectorant： ambroxol, 0.3 m/time, 3 times/ d; aminophylline, 0.2 g/time, 3 times/d; anti-infection： levofloxacin, 0.2 g/times, 2 times/d; bronchodilators： Therophylline, 0.2 g/time, 2 times/d. Treatment group, 60 patients Syndromes： Deficiency Hyperactivity （Ba ihe,Shengdi,Xianhecao,Baimaogen each 15g, Chuanbeimu, Maidong, Jiegeng, Chenpi lOg）; phlegm obstruct the lung （Yiyiren, Dongguaren,Lugen 30g, Chenpi,Fabanxia,Taoren 10g, Fuling 15g）; wind-heat invading lung （Lugen,Xingren,Lianqiao 15g, Gancao 6g,Chuanbeimu,Juhua,Sangye,Jiegeng lOg）; anger Fan Fei （Xianhecao,Hanliancao, Qingdai, Sangbaipi 15g, Yujin, Chenpi lOg, Haihafen, Yinhua, Baimaogen each 30g）, 1 Ji/ d, decoction 400mL, sooner or later, oral, 200 mL/times; western medicine with the control group. 14d for a course of continuous treatment. Observing clinical symptoms and adverse reactions. One course of treatment, to determine efficacy. [Results] Treatment group 39 cases, effective in 16 cases, 7 cases, the total efficiency of 91.67%. Control group, 32 cases markedly effective in 13 cases, 15 cases ineffective, the total efficiency of 75.00%. Treatment group than the control group （P〈0.05）. [Conclusion] Differential Diagnosis and Treatment of bronchiectasis results were satisfactory, no serious adverse reactions, should be promoted.

关 键 词：支气管扩张 咯血 咳嗽 辨证分型 阴虚肺热 痰热壅肺 风热犯肺 肝火犯肺 氨溴索 氨茶碱 左氧氟沙星 舒弗美 随机平行对照研究 

分 类 号：R562.25[医药卫生—呼吸系统]