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[目的]观察辨证分型联合西药治疗老年呼吸系统疾病疗效。[方法]使用随机平行对照方法,将126例住院患者按掷骰子法随机分为两组。对照组63例氨茶碱,0.25g/次,1次/d,静滴。菌必治,2g/次,2次/d,静滴。甘氨合剂,10mL/次,3次/d,口服。治疗组63例辨证分型:气虚:积壳9g,黄蔑18g,瓜萎9g,党参12g,当归、陈皮、桔梗、桃仁、法半夏各9g;偏热加黄芩、浙贝、地龙各9g;偏寒加细辛5g,胆南星、干姜各6g;阴虚:桃仁、陈皮、桑叶各9g,沙参12g,百合、当归各9g,芦根12g,玉竹、杏仁、麦冬各9g;1剂/d,水煎200mL,1次/d。西药治疗同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效34例,有效25例,无效4例,总有效率94.12%。对照组显效24例,有效27例,无效12例,总有效率82.35%。治疗组疗效优于对照组(P<0.05)。[结论]辨证分型联合西药治疗老年呼吸系统疾病效果显著,值得推广。
[Objective] To observe the efficacy of syndrome differentiation and western medicine in the treatment of senile respiratory diseases. [Methods] Using randomized parallel control method, 126 inpatients were randomly divided into two groups according to the dice method. Control group, 63 cases of aminophylline, 0.25g / time, 1 / d, intravenous infusion. Bacteria must rule, 2g / time, 2 times / d, intravenous drip. Gan ammonia mixture, 10mL / time, 3 times / d, orally. Treatment group, 63 cases of syndrome differentiation: qi deficiency: shell 9g, yellow scape 18g, melon wilt 9g, Codonopsis 12g, Angelica, Citrus, Campanulaceae, France Pinellia each 9g; 9g; partial cold asarum 5g, gall Southern Star, ginger 6g; Yin: peach kernel, dried tangerine peel, mulberry leaf 9g, Radix 12g, lily, Angelica 9g, reed rhizome 12g, Polygonatum, almonds, Radix Each 9g; 1 dose / d, decoction 200mL, 1 time / d. Western medicine treatment with the control group. Continuous treatment 7d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Result] In the treatment group, 34 cases were markedly effective, 25 cases were effective and 4 cases were ineffective. The total effective rate was 94.12%. In the control group, 24 cases were markedly effective, 27 cases were effective and 12 cases were ineffective. The total effective rate was 82.35%. The treatment group was better than the control group (P <0.05). [Conclusion] Syndrome Differentiation and Western medicine are effective in treating elderly respiratory diseases and should be popularized.