循经叩背联合加温雾化辅助宣肺散寒汤剂对冬季咳嗽病疗效评价

Evaluation of curative effect of wintering cough disease by sputum combined with warming and atomization assisted Xuanfei Sanshen Decoction

目的:探讨循经叩背联合加温雾化辅助宣肺散寒汤剂对冬季风寒袭肺证咳嗽患者的辅助治疗效果。方法:选取2017年1月至2019年10月本院肺病科收治的60例风寒袭肺证咳嗽病冬季住院患者为研究对象,按照收治先后顺序随机均分为对照组和观察组各30例。对照组给予解痉平喘、止咳、抗感染常规对症治疗及雾化吸入,观察组常规对症治疗及雾化吸入基础上,实施循经叩背排痰联合加温雾化辅助中药宣肺散寒汤剂应用。干预1周,对比两组患者临床疗效、雾化吸入舒适度评价和依从性情况。结果:干预后,两组患者咳嗽、咳痰、喘息症状及肺部啰音情况均有明显改善,其中,观察组咳嗽消失时间、咳痰、喘息和啰音消失时间又明显早于对照组;观察组治疗有效率、雾化吸入舒适度评价得分及依从性均明显优于对照组;干预后,两组炎症水平因子IL-6、IL-8及TNF均较干预前明显下降,观察组下降幅度明显优于对照组;干预后,两组免疫T淋巴细胞亚群水平较干预前均明显提升,观察组免疫因子CD3+、CD4+和CD4+/CD8+水平明显高于对照组,观察组CD8+水平明显低于对照组,差异均有统计学意义(P<0.05)。结论:冬季风寒袭肺证咳嗽病患者在宣肺散寒止咳汤剂治疗基础上实施循经叩背联合加温雾化吸入治疗,患者咳嗽、咳痰和喘息及肺部啰音症状得到明显改善,炎症因子明显下降,免疫能力明显提升,雾化吸入舒适度评价和依从性明显提高。

Objective:To explore the effect of assisted treatment of patients with cough and sputum in the winter cold and lung syndrome by the combination of sputum and sputum combined with warming and atomization.Methods:A From January 2017 to October 2019,60 patients with cold-sex lung disease and cough disease admitted to our hospital were randomly divided into control group and observation group according to the order of treatment.The control group was given antipyretic,antitussive,anti-infective routine symptomatic treatment and aerosol inhalation.On the basis of routine symptomatic treatment and nebulization inhalation in the observation group,the implementation of the traditional Chinese medicine Xuanfei Huayu Decoction was carried out.application.The intervention was compared for 2 weeks,and the clinical efficacy,nebulization comfort evaluation and compliance were compared between the two groups.Results:After intervention,the symptoms of cough,cough,wheezing and lung vocalization were significantly improved in the two groups.Among them,the disappearance time of cough,cough,wheezing and snoring disappeared earlier than the control group.The effective rate of treatment,the score of aerosol inhalation comfort evaluation and compliance were significantly better than the control group;after intervention,the levels of inflammatory factors IL-6,IL-8 and TNF in the two groups were significantly lower than those before the intervention.Compared with the control group,the levels of immune T lymphocyte subsets in the two groups were significantly higher than those before the intervention.The levels of CD3+,CD4+and CD4+/CD8+in the observation group were significantly higher than those in the control group,and the CD8+level in the observation group was significantly lower than that in the control group.In the control group,the difference was statistically significant(P<0.05).Conclusion:The patients with cough,cough and wheezing and lung snoring were significantly improved,and the inflammatory factors were significantly reduced in patients with cough,cough and wheezing and pulmonary atomization inhalation.The immunity is significantly improved,and the evaluation and compliance of aerosol inhalation comfort are significantly improved.