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[目的]观察四子散贴敷加清肺定喘汤联合西药治疗支气管哮喘疗效。[方法]使用随机平行对照方法,将150例门诊及住院患者按随机数字表法分为两组。对照组75例布地奈德,根据病情选择剂量,2次/d,鼻吸;病情严重可加醋酸泼尼松,5~10mg/次,10~60mg/d,口服。治疗组75例①四子散(白芥子、苏子、莱菔子、吴茱萸各70g),20min/次,2次/d,双肺俞穴位贴敷;②清肺定喘汤(炙麻黄6g,杏仁10g,生石膏先煎50g,黄芩、桑白皮、地龙干、丹参、牡丹皮各15g,白果10g,前胡、百部、车前子布包、莱菔子布包各15g),1剂/d,二煎取汁200mL,早晚口服;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、中医症候、IgE水平、肺功能、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈21例,显效35例,有效17例,无效2例,总有效率97.33%。对照组痊愈10例,显效18例,有效36例,无效11例,总有效率85.33%。治疗组疗效优于对照组(P<0.01)。中医症候疗效治疗组优于对照组(P<0.01)。IgE水平及肺功能治疗组改善优于对照组(P<0.05)。[结论]四子散贴敷加清肺定喘汤联合西药治疗支气管哮喘效果显著,值得推广。
[Objective] To observe the curative effect of SiZiSong acupressure combined with QingFei DingChuan Decoction combined with Western medicine in treating bronchial asthma. [Methods] Using randomized parallel method, 150 outpatients and inpatients were divided into two groups according to random number table. Control group, 75 cases of budesonide, according to the condition of choice dose, 2 times / d, nasal inhalation; serious condition may add prednisone acetate, 5 ~ 10mg / time, 10 ~ 60mg / d, orally. The treatment group, 75 cases ①Sizi San (Mustard Seed, Su Zi, Radish Seed, Evodia 70g), 20min / times, 2 times / d, Shuangfeiyu point application; ② Qingfei Dingchuan Tang (Sunburn yellow 6g, Almonds 10g, gypsum first fried 50g, skullcap, Morus alba, earthworm dry, Salvia, moutan 15g, ginkgo 10g, before Hu, one hundred, Plantago sub-cloth, / d, two fried juice 200mL, sooner or later oral; western medicine treatment with the control group. Continuous treatment 14d for a course of treatment. Observed clinical symptoms, TCM symptoms, IgE levels, pulmonary function, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 21 cases, markedly effective in 35 cases, effective in 17 cases, 2 cases, the total effective rate was 97.33%. The control group recovered 10 cases, 18 cases markedly effective in 36 cases, 11 cases were ineffective, the total effective rate was 85.33%. The treatment group than the control group (P <0.01). TCM Symptom Efficacy Treatment group than the control group (P <0.01). IgE levels and pulmonary function improved better than the control group (P <0.05). [Conclusion] Sizi Powder Decoction plus Qingfei Dingchuang combined with Western medicine has significant effect on bronchial asthma and is worth promoting.