[1]张春霞,徐世红.固肺汤联合西医常规治疗哮喘慢性持续期患者的效果及其对肺功能的影响[J].医学信息,2021,34(21):165-167.[doi:10.3969/j.issn.1006-1959.2021.21.047]
 ZHANG Chun-xia,XU Shi-hong.Effect of Gufei Decoction Combined with Routine Western Medicine on Chronic Persistent Asthma and its Effect on Pulmonary Function[J].Medical Information,2021,34(21):165-167.[doi:10.3969/j.issn.1006-1959.2021.21.047]
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固肺汤联合西医常规治疗哮喘慢性持续期患者的效果及其对肺功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年21期
页码:
165-167
栏目:
中医中药
出版日期:
2021-11-01

文章信息/Info

Title:
Effect of Gufei Decoction Combined with Routine Western Medicine on Chronic Persistent Asthma and its Effect on Pulmonary Function
文章编号:
1006-1959(2021)21-0165-03
作者:
张春霞徐世红
(1.青海省中医院呼吸科,青海 西宁 810000;2.青海省交通医院康复科,青海 西宁 810000)
Author(s):
ZHANG Chun-xiaXU Shi-hong
(1.Department of Respiration,Qinghai Hospital of Traditional Chinese Medicine,Xining 810000,Qinghai,China;2.Department of Rehabilitation,Qinghai Communications Hospital,Xining 810000,Qinghai,China)
关键词:
哮喘固肺汤肺功能炎性因子气道炎症
Keywords:
AsthmaGufei decoctionPulmonary functionInflammatory factorsAirway inflammation
分类号:
R256.1
DOI:
10.3969/j.issn.1006-1959.2021.21.047
文献标志码:
A
摘要:
目的 研究固肺汤联合西医常规治疗哮喘慢性持续期患者对其肺功能的影响。方法 选取2018年2月-2020年2月青海省中医院肺病科收治的100例哮喘慢性持续期病例,采用随机数字表法分为对照组和观察组,每组50例。对照组采用孟鲁司特钠+普米克令舒治疗,观察组则在对照组基础上加用固肺汤治疗,比较两组临床疗效、肺功能[一秒用力呼出量(FEV1)/用力肺活量(FVC)、呼气峰流速(PEF)]、炎性因子水平[嗜酸性粒细胞计数(EOS)、中性粒细胞百分比(NEU%)]、哮喘控制测试评分(CAT)。结果 观察组治疗总有效率较对照组高,差异有统计学意义(P<0.05);治疗后,两组EOS计数、NEU%指标较治疗前下降,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CAT评分较治疗前下降,且观察组低于对照组,差异有统计学意义(P<0.05)。结论 固肺汤联合西医常规治疗哮喘慢性持续期疗效肯定,可促进患者肺功能的改善,同时缓解气道炎症反应,病情控制效果佳。
Abstract:
Objective To study the effect of Gufei decoction combined with conventional western medicine on chronic persistent asthma and its effect on pulmonary function.Methods A total of 100 patients of chronic persistent asthma admitted to Department of Pulmonary Disease, Qinghai Hospital of Traditional Chinese Medicine from February 2018 to February 2020 were selected and randomly divided into control group and observation group, with 50 cases in each group. The control group was treated with montelukast sodium and pulmicort respules, while the observation group was treated with Gufei decoction on the basis of the control group. The clinical efficacy, pulmonary function [forced expiratory volume in one second (FEV1)/forced vital capacity (FVC), peak expiratory flow (PEF)], inflammatory factor levels [eosinophil (EOS), percentage of neutrophils (NEU%)] and asthma control test score (CAT) were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). After treatment, the EOS count and NEU% in the two groups were lower than those before treatment, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). After treatment, the CAT scores of the two groups were lower than those before treatment, and the observation group was lower than the control group, the difference was statistically significant (P<0.05).Conclusion Gufei decoction combined with conventional western medicine in the treatment of chronic persistent asthma is effective, which can promote the improvement of lung function and alleviate airway inflammation, the effect of disease control is good.

参考文献/References:

[1]李霞.普米克气雾剂联合孟鲁司特治疗小儿哮喘慢性持续期的临床效果分析[J].基层医学论坛,2017,21(26):3486-3487.[2]姚丽花,韩力,李楠.布地奈德/福莫特罗粉吸入剂联合孟鲁司特钠对支气管哮喘慢性持续期患者FeNO及肺功能的影响[J].广东医学,2019,40(13):1944-1947.[3]郭承栋.中西医结合治疗支气管哮喘慢性持续期43例临床观察[J].中国民族民间医药,2021,30(3):101-102,119.[4]宋桂华,彭明浩,张岩,等.加味小青龙汤治疗支气管哮喘慢性持续期临床疗效及对IL-6、IL-10、SIgA的影响[J].中华中医药学刊,2020,38(9):5-9.[5]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(2020年版)[J].中华结核和呼吸杂志,2020,43(12):1023-1048.[6]晁恩祥,孙增涛,刘恩顺.支气管哮喘中医诊疗专家共识(2012)[J].中医杂志,2013,54(7):627-629.[7]孙晓丽.中西医结合治疗支气管哮喘慢性持续期患儿肺功能和免疫功能的影响[J].青海医药杂志,2019,49(11):66-68.[8]Gan W,Huang Q,Wang M,et al.A randomized controlled trial study protocol of modified Mahuang-Fuzi-Xixin decoction in the treatment of patients with mild bronchial asthma during acute exacerbation[J].Medicine (Baltimore),2020,99(35):e21858.[9]肖天赐.定喘汤联合西医常规治疗对过敏性支气管哮喘患者外周血单个核细胞Th1/Th2及黏膜免疫功能的影响[J].河北中医,2017,39(7):1048-1052.[10]孔庆活,唐兴荣,冯玉莲,等.小青龙汤加减对支气管哮喘慢性持续期患者PEF的影响[J].湖南中医药大学学报,2017,37(5):530-532.[11]邹小卫,蒋豪明.中西医结合治疗小儿支气管哮喘慢性持续期的临床疗效及对免疫功能的影响[J].中医儿科杂志,2017,13(2):46-49.[12]王强,杨继,张垚,等.支气管哮喘中医全病程治疗方案中西医对照研究[J].辽宁中医杂志,2020,47(10):7-11.[13]景玉婷,伍绍星,严家丽,等.固肺汤联合西医常规方法治疗变应性鼻炎哮喘综合征54例随机对照双盲研究[J].中医杂志,2021,62(8):691-695.[14]胡亚洁,赵晓锦.定喘汤联合布地奈德福莫特罗吸入治疗支气管哮喘慢性持续期临床研究[J].山东中医杂志,2017,36(1):20-22.[15]Zhang GQ,Liu WD.Add-on effect of Yu Ping Feng formula for childhood asthma: A meta-analysis of randomized controlled trials[J].European Journal of Integrative Medicine,2017,9(15):9-17.[16]甘婷婷,杜春晖,邹小卫.中西医结合治疗小儿哮喘缓解期肺脾气虚型28例临床观察[J].中医儿科杂志,2019,15(3):39-41.

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更新日期/Last Update: 1900-01-01