西北燥证经验方治疗携证型慢性支气管炎31例疗效分析

Effect of Empirical Formulas on Dryness Syndrome in Northwest China in Chronic Bronchitis Patients

目的观察西北燥证经验方治疗新疆维吾尔自治区携证型慢性支气管炎的临床疗效。方法将同时确诊有慢性支气管炎和西北燥证患者81例分为病证治疗组31例和病证对照组50例,并设唯病对照组(仅确诊有慢性支气管炎)32例。唯病对照组采用疾病既行治疗,病证对照组和病证治疗组在疾病既行治疗基础上分别进行燥证既行治疗和西北燥证经验方临床干预,疗程20天。治疗前、治疗10天、治疗20天根据西北燥证问卷分别记录3组患者的病情积分,以及病证治疗组和病证对照组患者的燥证积分。结果各组患者治疗后病情积分均较治疗前明显降低(P<0.01);治疗前、治疗10天各组患者病情积分比较差异无统计学意义(P>0.05),治疗20天病证治疗组病情积分低于病证对照组及唯病对照组(P<0.01)。治疗后病证治疗组、病证对照组患者燥证积分均较治疗前明显降低(P<0.01);治疗10天病证治疗组燥证积分与病证对照组比较差异无统计学意义(P>0.05),治疗20天则明显低于病证对照组(P<0.01)。结论西北燥证经验方药对携证型慢性支气管炎病情及西北燥证证情均有较好改善作用。

Objective To observe the therapeutic effect of the empirical formulas applied to dryness syndrome in northwest China for chronic bronchitis （CB） in Xinjiang Uygur Autonomous Region. Methods Eighty-one cases of CB with dryness Syn- drome were randomized into treatment group of 31 cases and control group of 50 cases. Thirty-two patients with CB only were selected as the CB group. The CB group was given conventional therapy. In addition, the treatment group and control group were given empirical formulas applied to dryness syndrome in northwest China and conventional therapy for dryness syndromerespectively. The treatment lasted for 20 days. The scores of pathogenetic condition in all groups and scores of dryness syn- drome in the treatment group and control group were recorded according to the questionnaire of dryness syndrome in northwest China before the treatment and on the 10th and 20th day of treatment. Results After treatment, the scores of pathogenetic condition decreased significantly in all groups（P〈0. 01）. There was no significant difference in the scores of pathogenetic con- dition between before and 10 days after treatment in all groups （P〉0.05）. On the 20th day of treatment, the scores of patbo-genetic condition in the treatment group were significantly lower than those in the control group and CB group （P〈0.01）. Af- ter treatment, the scores of dryness syndrome significantly decreased in both the treatment group and control group （P〈 0.01）. There was no significant difference in the scores of dryness syndrome between the treatment group and control group on the 10th day of treatment （P〉0.05）. The scores of dryness syndrome in the treatment group were significantly lower than those in the control group on the 20th day of treatment （P〈0.01）. Conclusion The empirical formulas applied to dryness syndrome in northwest China is effective for CB and dryness syndrome.