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[目的]观察小青龙汤联合西药治疗风寒束肺型老年慢性喘息支气管炎急性发作疗效。[方法]使用随机平行对照方法,将290例住院患者按病志号抽签法简单随机分为两组。对照组145例低流量吸氧、抗生素抗感染、祛痰、镇咳、解痉平喘等。治疗组145例小青龙汤(麻黄炙9g,甘草炙、干姜各6g,细辛3g,半夏12g,桂枝、白芍各10g,五味子6g;痰白清稀加陈皮、茯苓、苏子、白芥子各10g;痰鸣喘息、胸满气逆加射干、前胡、厚朴、葶苈子各10g),1剂/d,水煎200m L,2次/d;西药治疗同对照组。连续治疗5d为1疗程。观测临床症状、SPO2、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效78例,有效56例,无效11例,总有效率92.41%。对照组显效56例,有效48例,无效41例,总有效率71.72%。治疗组疗效优于对照组(P<0.01)。时间指标治疗组改善优于对照组(P<0.01)。[结论]小青龙汤联合西药治疗风寒束肺型老年慢性喘息支气管炎急性发作疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Xiaolonglong Decoction combined with western medicine in treating acute episode of chronic asthmatic bronchitis of chronic obstructive pulmonary syndrome. [Methods] Using randomized parallel control method, 290 inpatients were randomly divided into two groups randomly according to the method of lot drawing. Control group, 145 cases of low-flow oxygen, anti-infective antibiotics, expectorant, antitussive, antispasmodic and asthma. The treatment group, 145 cases of Xiao Qinglong Tang (Ephedra Sinica 9g, licorice Sunburn, ginger 6g, Asarum 3g, Pinellia 12g, Guizhi, white peony root of the 10g, Schisandra 6g; sputum Baiqingcai plus dried tangerine peel, Poria, Suzi , White Mustard seed 10g; Phlegm Ming wheezing, chest full of gas inverse plus injection, before the Hu, Magnolia, 葶 苈 子 each 10g), 1 / d, decoction 200m L, 2 times / d; Western medicine treatment with the control group . Continuous treatment of 5d for a course of treatment. Observed clinical symptoms, SPO2, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Result] In the treatment group, 78 cases were markedly effective, 56 cases were effective and 11 cases were ineffective. The total effective rate was 92.41%. Control group markedly effective in 56 cases, effective in 48 cases, 41 cases were ineffective, the total effective rate was 71.72%. The treatment group than the control group (P <0.01). Time index treatment group improved better than the control group (P <0.01). [Conclusion] Xiaoqinglong Decoction combined with western medicine is effective in treating acute exacerbation of chronically asthmatic bronchitis with chronic obstructive pulmonary disease in lungs. It is worthy of promotion.