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天灸联合扶正化痰汤对慢性支气管炎患者急性发作程度的影响 被引量:7

The Influence of Natural Moxibustion in Combination with Decoction for Strengthening Genuine Qi and Resolving Phlegm on Acute Attack Degree of Chronic Bronchitis
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摘要 目的:观察天灸联合扶正化痰汤对慢性支气管炎患者急性发作程度的影响。方法:将2015年7月至2017年8月在本院就诊的慢性支气管炎患者100例,随机分为治疗组和对照组,每组50例。参照疾病控制中心(CDC)慢性支气管炎管理方案,两组患者急性发作期均予以抗感染、止咳、化痰平喘对症治疗,治疗组在三伏天给予天灸联合扶正化痰汤治疗。结果:治疗组治疗后6个月咯痰、喘息积分较对照组显著降低,差异有统计学意义(P <0. 05);治疗组治疗后12个月咳嗽积分较对照组明显降低,差异有统计学意义(P <0. 05);治疗组治疗后咳嗽、咯痰、喘息有效率分别为76%、68%、66%,对照组咳嗽、咯痰、喘息有效率分别为26%、12%、28%,治疗组均高于对照组,有显著统计学意义(P=0. 000,0. 000,0. 002)。结论:天灸联合扶正化痰汤可减轻慢性支气管炎患者急性发作程度。 Objective: To observe the influence of natural moxibustion in combination with Decoction for Strengthening Genuine Qi and Resolving Phlegm on acute attack degree of chronic bronchitis. Methods: A total of 100 patients with chronic bronchitis who were treated in our hospital from July 2015 to August 2017 were randomly divided into the treatment group and the control group,with 50 cases in each group. Referring to the CDC chronic bronchitis management program,two groups of patients were given symptomatic treatment of anti-infection,cough relief,phlegm-resolving and asthma-relieving during acute attack. The treatment group was given moxibustion combined with Decoction for Strengthening Genuine Qi and Resolving Phlegm in dog days. Results:After 6 months of treatment,the scores of expectoration and wheezing in the treatment group were significantly lower than those in the control group,and the difference was statistically significant( P < 0. 05). After 12 months of treatment,the scores of cough in the treatment group were significantly lower than those in the control group,and the difference was statistically significant( P <0. 05). After the treatment,the effective rates of cough,expectoration and wheezing in the treatment group were 76%,68% and66% respectively,and 26%,12% and 28% respectively in the control group. The effective rates in the treatment group than those in the control group,and all the differences were statistically significant( P = 0. 000,0. 000,0. 002). Conclusion: Natural moxibustion in combination with Decoction for Strengthening Genuine Qi and Resolving Phlegm has a remarkable efficacy on acute attack degree of chronic bronchitis,can alleviate the acute attack of chronic bronchitis.
作者 黄艳芳 徐明艳 胡志云 黄冬梅 HUANG Yan-fang;XU Ming-yan;HU Zhi-yun;HUANG Dong-mei(Shanghai Gaoqiao Community Health Service Center of Pudong New District,Shanghai,China,200137)
出处 《河南中医》 2019年第7期1096-1099,共4页 Henan Traditional Chinese Medicine
基金 上海市浦东新区卫生和计划生育委员会卫生科技项目(PW2015C-4)
关键词 慢性支气管炎 天灸 扶正化痰汤 急性发作程度 chronic bronchitis natural moxibustion Decoction for Strengthening Genuine Qi and Resolving Phlegm acute attack degree
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