采用“肺脾为核心的脏腑整体观”诊疗支气管哮喘慢性持续期的应用研究

Application research of ‘viscera holistic view of lung and spleen as the core' on bronchial asthma in chronic duration

目的:探讨采用"肺脾为核心的脏腑整体观"诊疗支气管哮喘慢性持续期的临床疗效。方法:采用"肺脾为核心脏腑整体观"诊疗的患者190例,作为治疗组;采用其他辨证法的患者175例,作为对照组。两组连续治疗3个月,分别于治疗前后测定患者典型临床症状与体征积分,包括喘息、咳嗽、咯痰、胸闷、哮鸣音。结果:总有效率治疗组优于对照组(P<0.05);两组显效率差异无统计学意义;治疗后治疗组和对照组喘息、咳嗽、咯痰、胸闷、哮鸣音积分均优于同组治疗前(P<0.01,P<0.05),且治疗后治疗组显著优于对照组同期(P<0.01)。结论:采用"肺脾为核心的脏腑整体观"诊疗支气管哮喘慢性持续期疗效优于其他辨证法,值得推广。

Objective: To investigate the clinical curative effect of ‘viscera holistic view of lung and spleen as the core' on bronchial asthma in chronic duration. Methods: One hundred and ninety cases of bronchial asthma patients in chronic duration with the treatment of ‘viscera holistic view of lung and spleen as the core' served as the treatment group; while 175 cases of patients with treatment of other syndrome differentiation methods served as the control group. Both of the two groups accepted treatment for 3 months. Changes of clinical scores of symptoms and signs, such as coughing, wheezing, coughing up phlegm, oppression in chest, wheezing rale in two groups, were recorded before and after the treatment. Results: The total effective rate of treatment group was significantly higher than that of control(P<0.05), but the excellence rate of both groups had no statistical significance. After treatment, the clinical symptom scores, such as coughing, wheezing, coughing up phlegm, oppression in chest, wheezing rale in the two groups, were better than before, and the differences were statistically significant(P<0.01, P<0.05). What's more, clinical symptom scores of the treatment group were significantly better than that of the control group(P<0.01). Conclusion: The syndrome differentiation method according to the theory of ‘viscera holistic view of lung and spleen as the core' is better than others on the treatment of bronchial asthma in chronic duration, which worth to be popularized.