宣肺化痰汤治疗急性支气管炎Xuanfei Huatan decoction treatment of acute bronchitis
朱海波;
摘要(Abstract):
目的观察宣肺化痰汤治疗急性支气管炎的效果。方法选择急性支气管炎患者128例,随机分为治疗组64例和观察组64例。治疗组服用宣肺化痰汤,观察组服用急支糖浆治疗,观察治疗7 d后对患者咯痰的疗效。结果治疗组临床治愈32例,显效15例,有效12例,治疗有效率92.2%;观察组临床治愈20例,显效11例,有效18例,治疗有效率76.6%。2组比较有统计学意义(P<0.05)。比较2组患者咳痰疗效:治疗组临床治愈41例,有效19例,有效率93.8%;对照组临床治愈21例,有效31例,有效率81.3%。2组比较有统计学意义(P<0.05)。结论宣肺化痰汤通过僵蚕清滞,姜黄行气,石膏解热,大黄抗菌,麻黄消肿,寒温并用,表里双解,使肺升清降浊功能得以恢复。
关键词(KeyWords): 宣肺化痰汤;急性支气管炎;清热解毒;抗菌消炎;消滞行气
基金项目(Foundation): 北京市中医药科技项目(JJ2005-05)
作者(Author): 朱海波;
Email:
DOI: 10.13463/j.cnki.jlzyy.2016.07.012
参考文献(References):
- [1]GONZALES R,ANDERER T,MCCULLOCH C E,et al.A cluster randomized trial of decision support strategies for reducing antibiotic use in acute bronchitis[J].Jama Imter Med,2013,173(4):267-273.
- [2]王海燕,鲁杰,刘丽,等.痰热清注射液治疗急性支气管炎临床疗效分析[J].重庆医学,2015,44(20):2840-2841.
- [3]LLOR C,MORAGAS A,BAYONA C,et al.Efficacy of anti-inflammatory or antibiotic treatment in patients with non-complicated acute bronchitis and discoloured sputum:randomised placebo controlled trial[J].Brit Med J,2013,347(40):678.
- [4]ASASI K,MOHAMMADI A,BOROOMAND Z,et al.Changes of several acute phase factors in broiler chickens in response to infectious bronchitis virus infection.[J].Poultry Sci,2013,92(8):1989-1996.
- [5]蒋旭宏,黄小民,何煜舟,等.痰热清注射液治疗急性支气管炎伴发热的疗效观察[J].中国中西医结合急救杂志,2011,18(3):181.
- [6]CHUCHALIN A,ZAKHAROVA M,DOKIC D,et al.Efficacy and safety of moxifloxacin in acute exacerbations of chronic bronchitis:a prospective,multicenter,observational study(AVANTI)[J].Bmc Pulm Med,2013,13(2):1-11.
- [7]樊新昱.宣肺化痰汤治疗急性支气管炎临床观察[J].中国中医急症,2015,24(1):160-161.
- [8]李梅芳,胡思源,李新民,等.小儿白贝止咳糖浆治疗小儿急性支气管炎痰火壅肺证的临床研究[J].中成药,2014,36(1):44-48.
- [9]WOODS J A,WHEELER J S,FINCH C K,et al.Corticosteroids in the treatment of acute exacerbations of chronic obstructive pulmonary disease[J].Int j Chronic Obstr,2014,9(1):421-430.
- [10]SINGH M,KOYFMAN A.Are Antibiotics Effective in the Treatment of Acute Bronchitis[J].Ann Emerg Med,2014,65(5):566-567.
- [11]ISSARACHAIKUL R,SUANKRATAY C.Antibiotic prescription for adults with upper respiratory tract infection and acute bronchitis at King Chulalongkorn Memorial Hospital,Thailand[J].Asian Biomed,2013,7(1):15-20.
- [12]HART A M.Evidence-based diagnosis and management of acute bronchitis[J].J am Acad Nurse Prac,2014,39(9):32-39.
- [13]吴秀芳,高镇田.痰热清注射液联合头孢哌酮舒巴坦钠治疗急性支气管炎疗效观察[J].现代中西医结合杂志,2010,19(4):448-449.
- [14]李琳琳.痰热清治疗急性支气管炎44例[J].陕西中医,2014(2):181-182.
- [15]杨红伟,阿不列子,游春霞,等.痰热清注射液治疗急性支气管炎70例临床观察[J].中国中医急症,2013,22(7):1239-1240.
- [16]赵海伶.阿奇霉素门诊治疗急性支气管炎疗效分析[J].河北医学,2011,17(2):208-210.
- [17]KAI-XIONG L,BING X,JIE W,et al.Efficacy and safety of moxifloxacin in acute exacerbations of chronic bronchitis and COPD:a systematic review and meta-analysis.[J].J Thora Dis,2014,6(3):221-229.
- [18]ALESSANDRO,ZANASI,MASSIMILIANO,et al.Homeopathic medicine for acute cough in upper respiratory tract infections and acute bronchitis:a randomized,double-blind,placebo-controlled trial[J].Pulm Pharmacol Ther,2013,27(1):102-108.
- [19]李亚,李素云,李建生,等.急性支气管炎中医证素分布规律的文献研究[J].时珍国医国药,2010,21(1):201-202.
- [20]刘志杰,杨金玲,曹艳红,等.宣肃止咳汤治疗急性支气管炎60例分析[J].山西医药杂志,2015(17):2019-2020,2021.