宣肺止咳汤治疗感冒后咳嗽随机平行对照研究

Xuanfei Zhike Soup Treating Cough after a Cold Randomized Controlled Study

[目的]观察宣肺止咳汤治疗感冒后咳嗽疗效。[方法]使用随机平行对照方法,将160例门诊患者按随机数字法分为两组。对照组80例茶碱缓释片,2片/d,口服;利肺片,3片/次,口服;甘草片,3片/次,3次/d,口服。治疗组80例宣肺止咳汤(桔梗、百部各20g,蝉蜕、紫菀、陈皮、杏仁、茯苓、黄芪、生姜各10g,荆芥、甘草、麻黄各6g),1剂/d,水煎300mL,早晚口服;胸闷加半夏、川贝各10g;入夜加重加知母、沙参各10g。连续治疗7d为1疗程。观测临床症状、日间咳嗽、夜间咳嗽、咽痒症状评分、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组治愈35例,有效38例,无效7例,总有效率91.30%。对照组治愈20例,有效45例,无效15例,总有效率81.30%。治疗组疗效优于对照组(P<0.05)。日间咳嗽、夜间咳嗽、咽痒症状评分两组均有改善,治疗组改善优于对照组(P<0.05)。[结论]宣肺止咳汤治疗感冒后咳嗽效果显著,值得推广。

[Objective]Observe Xuanfei Zhike Soup treating cough cough after a cold treatment[.Methods] Using randomized controlled method of 160 outpatients were randomly divided into by the two groups.Control group,80 cases of theophylline,2 / d,orally;Lee lung slices,3 / times,oral;licorice pieces,3 / time,3 times / d,orally.Treatment group 80 cases Xuanfei Zhike Soup(Jugeng,Baibu each 20g,Chantui,Ziwan,Chenpi,Xingren,Fuling,Huangqi,Shengjiang each 10g,Jingjie,Gancao,Mahuang each 6g),1 does / d,decoction 300mL,sooner or later,oral;chest plus Banxia,Chuanbei each 10g;nightfall aggravated Zhimu,Shanshen each 10g.7d is a continuous course of treatment.Observation of clinical symptoms,daytime cough,night cough,itchy throat symptom scores,adverse reactions.Continuous treatment of 3 courses,to determine efficacy.[Results]treatment group were cured 35 cases,effective in 38 cases,seven cases,the total effective rate 91.30%.The control group were cured 20 cases,effective in 45 cases,15 cases ineffective,the total effective rate 81.30%.Treatment group than the control group(P<0.05).Daytime cough,night cough,itchy throat symptom scores improved in both groups,the treatment group than the control group improved(P<0.05).[Conclusion]Xuanfei treating cough cough after a cold effect is remarkable,worthy of promotion.