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中医辨证治疗慢性咳嗽的有效性及安全性 被引量:2

Efficacy and safety of TCM syndrome differentiation in the treatment of chronic cough
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摘要 目的分析中医辨证治疗慢性咳嗽的有效性及安全性。方法将2017年6月至2019年3月在我院治疗的82例慢性咳嗽患者按照随机数字表法分为对照组与观察组,各41例。对照组实施常规西医治疗,观察组实施中医辨证治疗。比较两组的治疗效果。结果治疗后,两组日间及夜间咳嗽症状评分均较治疗前明显降低,且观察组低于对照组(P<0.05)。治疗后,两组IgE、EOS水平均较治疗前降低,PEF及FEV1/FVC均较治疗前升高,且观察组优于对照组(P<0.05)。观察组的治疗总有效率高于对照组(P<0.05)。治疗后,两组LCQ各维度评分及总分均较治疗前显著升高,且观察组高于对照组(P<0.05)。观察组的不良反应总发生率低于对照组(P<0.05)。结论中医辨证治疗慢性咳嗽安全有效,可改善患者的咳嗽症状,减轻气道反应,提高患者的肺功能和生活质量。 Objective To analyze the efficacy and safety of TCM syndrome differentiation in the treatment of chronic cough.Methods Eighty-two patients with chronic cough treated in our hospital from June 2017 to March 2019 were divided into control group and observation group according to random number table method,with 41 cases in each group.The control group was treated with conventional western medicine,while the observation group was treated with TCM syndrome differentiation.The therapeutic effects of the two groups were compared.Results After treatment,the scores of daytime and nighttime cough symptoms in the two groups were significantly lower than those before treatment,and those in the observation group were lower than the control group(P<0.05).After treatment,the levels of IgE and EOS in the two groups were lower than those before treatment,PEF and FEV1/FVC were higher than those before treatment,and those in the observation group were better than the control group(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,LCQ scores and total score of the two groups were significantly higher than those before treatment,and those of the observation group were higher than the control group(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion TCM syndrome differentiation in the treatment of chronic cough is safe and effective,which can improve the cough symptoms of patients,reduce airway reaction,and improve the lung function and quality of life of patients.
作者 惠琳莉 董菲 HUI Linli;DONG Fei(Zhouzhi Hospital,Shaanxi Provincial People's Hospital,Xi'an 710499,China)
出处 《临床医学研究与实践》 2020年第23期152-154,共3页 Clinical Research and Practice
关键词 中医辨证治疗 慢性咳嗽 安全性 TCM syndrome differentiation treatment chronic cough safety
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