宣上畅中渗下法治疗痰湿质慢性支气管炎临床分析  

Clinical Analysis on Therapy of Smoothing Qi Movement and Promoting Qi Circulation to Alleviate Middle Jiao as well as Eliminating Dampness and Diuresis in the Treatment of Phlegm-Dampness Chronic Bronchitis

作　　者：孙素华 张俊远 刘青菊 杨洪娟[3] 尚连勇 SUN Suhua;ZHANG Junyuan;LIU Qingju;YANG Hongjuan;SHANG Lianyong(Department of Internal Medicine,the Second Hospital of Traditional Chinese Medicine in Hengshui City,Hebei Province,Jizhou 053200,China;Department of Gynecology,the Second Hospital Of Traditional Chinese Medicine in Hengshui,Hebei Province,Jizhou 053200,China;Department of Nephrology of Integrated Medicine,the First Affiliated Hospital of Hebei Medical University,Hebei Province,Shijiazhuang 050031,China)

机构地区：[1]河北省衡水市第二中医医院内科,河北冀州053200 [2]河北省衡水市第二中医医院妇科,河北冀州053200 [3]河北医科大学第一医院中西医结合肾病科,河北百家庄050031

出　　处：《中国中医药现代远程教育》2018年第17期98-101,共4页Chinese Medicine Modern Distance Education of China

基　　金：河北省中医药管理局中医药类科研计划课题【No.2016286】

摘　　要：目的观察宣上畅中渗下法治疗痰湿质慢性支气管炎的临床疗效。方法将60例痰湿质慢性支气管炎患者随机分为2组,对照组30例予常规西药治疗,治疗组30例在对照组治疗基础上应用宣上畅中渗下法治疗,2组均以14 d为1个疗程,治疗1个疗程,治疗后6个月随访。观察2组治疗前与治疗后、随访6个月时痰湿体质评分及疗效。结果 2组慢性支气管炎患者治疗后、随访6个月时痰湿体质评分较本组治疗前降低(P<0.05),治疗组治疗后、随访6个月时痰湿体质评分均低于对照组(P<0.05)。治疗组复发率6.67%,死亡率3.33%,临床总有效率93.33%,对照组复发率20%,死亡率10%,临床总有效率83.33%,2组复发率、死亡率、总有效率比较,差异均有统计学意义(P<0.05),治疗组临床疗效优于对照组。结论宣上畅中渗下法能有效改善慢性支气管炎患者的痰湿体质偏向,达到减缓疾病的进展和复发目的。Objective To observe the clinical effects of phlegm-dampness chronic bronchitis with therapy of smoothing qi movement and promoting qi circulation to alleviate middle jiao as well as eliminating dampness and diuresis. Methods 60 cases of phlegm- dampness chronic bronchitis were randomly divided into 2 groups. 30 cases in the control group were treated with conventional western medicine. 30 cases in the treaunent group were treated by therapy of smoothing qi movement and promoting qi circulation to alleviate middle jiao as well as eliminating dampness and diuresis on the basis of the control group. 14 d was one course. They were followed-up for 6 months after treatment. The scores of phlegm-dampness constitution and curative effect before and after treaunent and after 6 months following-up were observed in the 2 groups. Results The phlegm-dampness constitution score of 2 groups of chronic bronchitis after treaunent and 6 months was lower （P〈0.05） . The score of phlegm-dampness in the treaunent group was lower than that of the control group after 6 months of treaunent and followed up （P〈0.05） . In the treatment group, the recun＇ence rate was 6.67%, the mortality rate was 3.33%, and the total clinical effective rate was 93.33%. In the control group, the recun＇ence rate was 20%, the mortality rate was 10%, and the total clinical effective rate was 83.33%. The difference of the recurrence rate, death rate and total effective rate between the 2 groups were statistically significant （P〈0.05） , and the clinical effect of the treaunent group was better than that of the control group. Conclusion Therapy of smoothing qi movement and promoting qi circulation to alleviate middle jiao as well as eliminating dampness and diuresis can effectively improve the phlegm-dampness constitution bias of chronic bronchitis patients, so as to slow down the progress and recurrence of disease.

关 键 词：慢性病 支气管炎 痰湿体质 复发 宣上 畅中 渗下 

分 类 号：R259[医药卫生—中西医结合]