清金贝蒌汤治疗支气管扩张症临床研究

Clinical Observation on the Treatment of Bronchiectasis with Qingjin Beilou Decoction

目的观察中医药在支气管扩张症治疗中的作用。方法筛选78例支气管扩张症患者,随机分为观察组和对照组。两组均给予西医常规治疗,观察组在对照组治疗的基础上加服协定方清金贝蒌汤,治疗6、12 d后比较疗效。结果观察组总有效率为97.50%,高于对照组的78.95%(P<0.05);在治疗6、12 d后,在咳嗽、咯痰、发热症状改善方面观察组优于对照组(P<0.05),观察组在治疗12 d后湿啰音体征评分优于对照组(P<0.05);观察组炎性指标、血气指标改善程度大于对照组(P<0.05);两组平均住院天数与平均治疗费用对比,观察组也优于对照组(P<0.05)。结论清金贝蒌汤治疗支气管扩张症急性期(痰热壅肺证)患者,可以提高临床疗效,改善炎性指标及血气分析指标。

Objective:To explore the role of traditional Chinese medicine on bronchiectasis.Methods:78 patients were screened and randomly divided into the observation group and the control group.Both groups received conventional Western medicine treatment.On that basis,the observation group took Qingjin Beilou Decoction.After6 to 12 days′treatment,the curative effects were compared.Results:The clinical effect of the observation group was better than that of the control group(P<0.05).After 6 and 12 days of treatment,there were significant differences in cough,expectoration and fever between groups(P<0.05).After 12 days of treatment,there was significant difference in wet rale sign(P<0.05);there was significant difference in inflammatory index and blood gas index improvement between the observation group and the control group(P<0.05).Compared with the average hospitalization days and treatment costs,the observation group was also better than the control group(P<0.05).Conclusion:For patients with the syndrome of phlegm-heat obstructing lung in the acute phase of bronchiectasis,Qingjin Beilou Decoction can improve the clinical efficacy,ameliorate the inflammatory indicators and blood-gas analysis indicators.