小青龙汤辨证治疗在慢性支气管炎急性发作中的应用效果观察

Observation of Application Effect of Xiaoqinglong Decoction Dialectical Therapy for Acute Attack of Chronic Bronchitis

目的:观察小青龙汤辨证治疗在慢性支气管炎急性发作中的应用效果。方法:选取2022年1月—2023年2月淄博市周村区王村镇中心卫生院收治的慢性支气管炎急性发作患者72例作为研究对象,采用随机数字表法分为两组,各36例。对照组予以常规西药治疗,观察组在对照组基础上给予小青龙汤辨证治疗。比较两组治疗效果。结果:治疗后,两组中医证候积分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组C反应蛋白、白细胞计数水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组咳嗽、咳痰、喘息、湿啰音消退时间早于对照组,差异有统计学意义(P<0.001)。观察组治疗总有效率高于对照组,差异有统计学意义(P=0.001)。结论:小青龙汤辨证治疗在慢性支气管炎急性发作中的应用效果显著,可明显缓解症状,减轻炎性反应,加快症状消退。

Objective:To observe the application effect of Xiaoqinglong Decoction dialectical therapy for acute attack of chronic bronchitis.Methods:A total of 72 patients with acute attack of chronic bronchitis admitted to Zibo City Zhoucun District Wangcun Town Central Health Center from January 2022 to February 2023 were selected as the study subjects.They were divided into two groups by random number table,with 36 patients in each group.The control group was treated with conventional western medicine,while the observation group was treated with Xiaoqinglong dialectical therapy on the basis of the control group.The treatment effects were compared between the two groups.Results:After treatment,the TCM syndrome scores in two groups were lower than those before treatment,the scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the C-reactive protein and white blood cell count levels in two groups were lower than those before treatment,the levels in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The regression time for cough,expectoration,wheezing,and wet rale in the observation group was earlier than that in the control group,and the difference was statistically significant(P<0.001).The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.001).Conclusion:Xiaoqinglong Decoction dialectical therapy has significant application effects for acute attack of chronic bronchitis,and can significantly alleviate symptoms,reduce inflammatory reaction,and accelerate the regression of symptoms.