[1]龚 珍.益肾固本膏方联合金匮肾气丸治疗肾虚型支气管哮喘缓解期患者的临床观察[J].医学信息,2025,38(04):140-143.[doi:10.3969/j.issn.1006-1959.2025.04.026]
 GONG Zhen.Clinical Observation of Yishen Guben Ointment Combined with Jinkui Shenqi Pill in the Treatment of Patients with Bronchial Asthma in Remission Stage of Kidney Deficiency Type[J].Journal of Medical Information,2025,38(04):140-143.[doi:10.3969/j.issn.1006-1959.2025.04.026]
点击复制

益肾固本膏方联合金匮肾气丸治疗肾虚型支气管哮喘缓解期患者的临床观察()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年04期
页码:
140-143
栏目:
论著
出版日期:
2025-02-15

文章信息/Info

Title:
Clinical Observation of Yishen Guben Ointment Combined with Jinkui Shenqi Pill in the Treatment of Patients with Bronchial Asthma in Remission Stage of Kidney Deficiency Type
文章编号:
1006-1959(2025)04-0140-04
作者:
龚 珍
安义县中医院内科,江西 安义 330500
Author(s):
GONG Zhen
Department of Internal Medicine, Anyi County Hospital of Traditional Chinese Medicine, Anyi 330500, Jiangxi, China
关键词:
益肾固本膏方金匮肾气丸肾虚型支气管哮喘
Keywords:
Yishen Guben ointment Jinkui Shenqi pill Bronchial asthma of kidney deficiency type
分类号:
R256.12
DOI:
10.3969/j.issn.1006-1959.2025.04.026
文献标志码:
A
摘要:
目的 研讨益肾固本膏方联合金匮肾气丸治疗肾虚型支气管哮喘缓解期患者的效果。方法 选取安义县中医院2021年1月-2023年12月收治的40例肾虚型支气管哮喘缓解期患者为研究对象,采用随机数字表法将其分成对照组和研究组,每组20例。对照组采用金匮肾气丸治疗,研究组在对照组基础上应用益肾固本膏方治疗。比较两组治疗总有效率、症状缓解时间(哮鸣音、咳嗽、肺部湿罗音、胸闷)、肺功能[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、峰值呼气流速(PEF)]、血清炎性因子水平[肿瘤坏死因子-α(TNF-α)、白细胞介素-4(IL-4)、白细胞介素-8(IL-8)]、中医证候(胸膈满闷、咳痰、咳嗽)积分。结果 研究组治疗总有效率高于对照组(P<0.05)。研究组症状缓解时间均短于对照组(P<0.05)。两组治疗后肺功能指标水平均高于治疗前,且研究组肺功能指标水平高于对照组(P<0.05)。两组治疗后炎性因子水平均低于治疗前,且研究组炎性因子水平均低于对照组(P<0.05)。两组治疗后中医症候积分均低于治疗前,且研究组中医证候积分均低于对照组(P<0.05)。结论 益肾固本膏方联合金匮肾气丸治疗肾虚型支气管哮喘缓解期患者的效果确切,可以快速缓解患者症状,改善肺功能,降低血清炎性因子水平。
Abstract:
Objective To study the effect of Yishen Guben ointment combined with Jinkui Shenqi pill in the treatment of patients with bronchial asthma in remission stage of kidney deficiency type. Methods A total of 40 patients with bronchial asthma of kidney deficiency type admitted to Anyi County Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were selected as the research objects. They were divided into control group and study group by random number table method, with 20 patients in each group. The control group was treated with Jinkui Shenqi pills, and the study group was treated with Yishen Guben ointment on the basis of the control group. The total effective rate of treatment, symptom relief time ( wheezing sound, cough, lung wet rale, chest tightness ), lung function [forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow rate (PEF)], serum inflammatory factor levels [tumor necrosis factor-α (TNF-α), interleukin-4 (IL-4), interleukin-8 (IL-8)], TCM syndromes (chest and diaphragm fullness, sputum, cough) scores were compared between the two groups. Results The total effective rate of treatment in the study group was higher than that in the control group (P<0.05). The relief time of symptoms in the study group was shorter than that in the control group (P<0.05). The levels of lung function indexes in the two groups after treatment were higher than those before treatment, and the levels of lung function indexes in the study group were higher than those in the control group (P<0.05). The levels of inflammatory factors in the two groups after treatment were lower than those before treatment, and the levels of inflammatory factors in the study group were lower than those in the control group (P<0.05). The scores of TCM syndromes in the two groups after treatment were lower than those before treatment, and the scores of TCM syndromes in the study group were lower than those in the control group (P<0.05). Conclusion Yishen Guben ointment combined with Jinkui Shenqi pill is effective in the treatment of patients with bronchial asthma in remission stage of kidney deficiency type, which can quickly relieve the symptoms, improve lung function and reduce the level of serum inflammatory factors.

参考文献/References:

[1]张鹏,韩其政,许月丽,等.布地奈德福莫特罗联合益元平喘汤治疗肾虚痰阻型支气管哮喘临床效果观察[J].山东医药,2023,63(34):59-62.[2]宋春侠,虞跃跃,孙娜,等.针药并用治疗非急性发作期痰浊肾虚型支气管哮喘临床研究[J].河北中医药学报,2018,33(4):52-54,64.[3]李炬明,冯京帅,辛大永,等.补肾益气法治疗肾虚型支气管哮喘慢性持续期46例[J].环球中医药,2018,11(3):467-469.[4]徐妍,刘成全,林小飞,等.参芪固本颗粒配合GINA阶梯方案对肺脾肾虚型支气管哮喘患儿肺功能和外周血单个核细胞中TIPE2表达的影响[J].现代中西医结合杂志,2019,28(26):2865-2869.[5]熊必丹,栗馨,折哲,等.补肾平喘颗粒结合西医常规疗法治疗肾虚型支气管哮喘慢性持续期临床研究[J].国际中医中药杂志,2021,43(11):1061-1065.[6]于佳澜,关印.扶正固本汤加减联合金匮肾气丸对支气管哮喘缓解期的疗效及肺功能的影响[J].四川中医,2018,36(8):70-72.[7]肖钦文,李海梅,曾珠,等.Th17、Treg细胞失衡与哮喘-慢阻肺重叠综合征的相关性及金匮肾气丸干预后的影响研究[J].中药药理与临床,2018,34(2):5-9.[8]潘怡霖,尚莉丽.健脾补肺化痰方通过调节肠道菌群及其代谢产物组胺治疗小鼠缓解期支气管哮喘[J].安徽中医药大学学报,2023,42(5):74-79.[9]杨宏志,郭光辉,杨俊姝,等.益肺Ⅱ号方对支气管哮喘缓解期免疫功能和血清炎症因子的影响[J].中华中医药学刊,2020,38(4):94-97.[10]于鸿,计忠宇,赵辉,等.基于T淋巴细胞PPAR-γ-核因子-κB通路探讨平喘固本膏对支气管哮喘缓解期患者的作用机制[J].西部中医药,2022,35(5):111-115.[11]王品,王淑英,冯文杰,等.中药膏方联合穴位埋线治疗支气管哮喘缓解期临床观察[J].河北中医,2019,41(10):1475-1479,1485.[12]刘慧,梁冬,余靖一,等.温阳益气中药联合布地奈德福莫特罗粉吸入剂治疗肺肾阳虚型支气管哮喘缓解期疗效观察[J].河北中医,2023,45(5):788-791.[13]冯琴,唐川婷,侯小燕,等.缓解期支气管哮喘患儿血清NLR、IgE及25-(OH)D3水平与肺功能的相关性[J].贵州医科大学学报,2021,46(5):573-577.[14]刘燕勤.细菌溶解产物胶囊对支气管哮喘缓解期患儿血清CD4+/CD8+及气道重塑的影响[J].广西医科大学学报,2020,37(3):492-497.[15]杜云兰.沙美特罗替卡松对支气管哮喘缓解期患者肺功能及气道 高反应性的影响[J].临床与病理杂志,2020,40(6):1445-1448.[16]孙惠华,钟启腾,钟韵畅,等.理肺汤加减联合孟鲁司特钠对支气管哮喘缓解期的疗效、肺功能及血清炎症因子的影响[J].四川中医,2022,40(4):55-58.[17]丁军,毛月燕,张旭.中药穴位敷贴辅助西医疗法治疗小儿支气管哮喘缓解期临床研究[J].新中医,2022,54(3):191-194.[18]郭永彬,胡绍丰,张立明,等.补肺益肾汤治疗支气管哮喘缓解期的效果观察[J].中国临床医生杂志,2021,49(5):618-622.[19]张颖,马瑶.补肺益肾汤联合孟鲁司特对支气管哮喘缓解期患者SOD、GSH-Px及气道重塑的疗效研究[J].四川中医,2021,39(10):94-98.[20]钟骏慧,彭文宏,曾佳.黄龙固本汤合舒利迭治疗支气管哮喘缓解期(肺肾两虚证)的临床研究[J].中国中医急症,2018,27(1):72-73,93.

相似文献/References:

[1]罗燕燕,季文莹,孙 倩,等.基于网络药理学的金匮肾气丸治疗阿尔茨海默病机制研究[J].医学信息,2024,37(06):22.[doi:10.3969/j.issn.1006-1959.2024.06.004]
 LUO Yan-yan,JI Wen-ying,SUN Qian,et al.Study on the Mechanism of Jinkui Shenqi Pill in the Treatment of Alzheimer’s Disease Based on Network Pharmacology[J].Journal of Medical Information,2024,37(04):22.[doi:10.3969/j.issn.1006-1959.2024.06.004]
[2]黄 婉.金匮肾气丸治疗特发性矮小症患儿的效果及对血清学指标的影响[J].医学信息,2024,37(21):111.[doi:10.3969/j.issn.1006-1959.2024.21.025]
 HUANG Wan.Effect of Jinkui Shenqi Pill in the Treatment of Children with Idiopathic Short Stature and its Influence on Serological Indexes[J].Journal of Medical Information,2024,37(04):111.[doi:10.3969/j.issn.1006-1959.2024.21.025]

更新日期/Last Update: 1900-01-01