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[目的]观察平喘汤结合布地奈德治疗外寒肺热型哮喘疗效。[方法]使用随机平行对照方法,将67例门诊患者按病志号抽签法简单随机分为两组。对照组33例0.5mg布地奈德+2m L0.9%氯化钠,雾化吸入,15min/次,3次/d。治疗组34例平喘汤(白芍、麻黄各10g,陈皮8g,党参10g,茯苓8g,甘草5g,黄芪15g,栀子、桂枝各5g),1剂/d,水煎200m L,早晚口服;西药治疗同对照组。连续治疗7d为1疗程。观测临床症状、FEV1、PEF、喘鸣音、咳嗽、湿啰音、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈11例,显效15例,有效6例,无效2例,总有效率94.12%。对照组痊愈5例,显效10例,有效9例,无效9例,总有效率72.73%。治疗组疗效优于对照组(P<0.05)。两组症状消失时间治疗组改善优于对照组(P<0.01)。[结论]平喘汤结合布地奈德治疗外寒肺热型哮喘疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of Pingchuan Decoction combined with budesonide in treatment of exogenous cold-heat type asthma. [Methods] Using randomized parallel control method, 67 outpatients were randomly divided into two groups according to the random number drawing method. Control group, 33 cases of 0.5mg budesonide + 2m L0.9% sodium chloride, inhalation, 15min / times, 3 times / d. The treatment group of 34 cases of asthma soup (white peony root, ephedra each 10g, dried orange peel 8g, Codonopsis 10g, Poria 8g, licorice 5g, astragalus 15g, gardenia, cassia twig each 5g), 1 / d, decoction 200m L, morning and evening Oral; western medicine treatment with the control group. Continuous treatment 7d for a course of treatment. Clinical symptoms were observed, FEV1, PEF, wheezing, cough, wet rales, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Results] The treatment group cured 11 cases, markedly effective in 15 cases, effective in 6 cases, ineffective in 2 cases, the total effective rate was 94.12%. The control group recovered in 5 cases, markedly effective in 10 cases, effective in 9 cases, ineffective in 9 cases, the total effective rate was 72.73%. The treatment group was better than the control group (P <0.05). Two groups of symptoms disappear time treatment group improved better than the control group (P <0.01). [Conclusion] Pingchuan Decoction combined with budesonide has good curative effect on treating exogenous cold-heat-type asthma without serious adverse reactions and is worth promoting.