中西医治疗方案对364例轻中度支气管哮喘急性发作患者肺功能的影响

孙增涛; 张洪春; 周兆山; 苑惠清; 王强; 刘恩顺; 封继宏

doi:10.13288/j.11-2166/r.2012.15.026

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中西医治疗方案对364例轻中度支气管哮喘急性发作患者肺功能的影响

临床研究 | 更新时间：2021-11-17

- 中西医治疗方案对364例轻中度支气管哮喘急性发作患者肺功能的影响
- Effect of Combo Therapy of Chinese and Western Medicine on the Lung Function in 364 Mild to Moderate Bronchial Asthma Patients with Acute Exacerbation
- 中医杂志 2012年53卷第15期页码：1291-1293
- 作者机构：
  
  1. 天津中医药大学第二附属医院
  2. 中日友好医院
  3. 青岛海慈医疗集团
  4. 首都医科大学附属北京中医医院
- 作者简介：
- 基金信息：
  
  国家科技支撑计划资助项目（2007BAI20B081）
- DOI：10.13288/j.11-2166/r.2012.15.026
  中图分类号： R562.25
- 纸质出版：2012
- 稿件说明：
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[1]孙增涛,张洪春,周兆山,苑惠清,王强,刘恩顺,封继宏.中西医治疗方案对364例轻中度支气管哮喘急性发作患者肺功能的影响[J].中医杂志,2012,53(15):1291-1293.

SUN Zengtao1, ZHANG Hongchun2, ZHOU Zhaoshan3, et al. Effect of Combo Therapy of Chinese and Western Medicine on the Lung Function in 364 Mild to Moderate Bronchial Asthma Patients with Acute Exacerbation[J]. Journal of Traditional Chinese Medicine2012, 53(15): 1291-1293.
[1]孙增涛,张洪春,周兆山,苑惠清,王强,刘恩顺,封继宏.中西医治疗方案对364例轻中度支气管哮喘急性发作患者肺功能的影响[J].中医杂志,2012,53(15):1291-1293. DOI： 10.13288/j.11-2166/r.2012.15.026.

SUN Zengtao1, ZHANG Hongchun2, ZHOU Zhaoshan3, et al. Effect of Combo Therapy of Chinese and Western Medicine on the Lung Function in 364 Mild to Moderate Bronchial Asthma Patients with Acute Exacerbation[J]. Journal of Traditional Chinese Medicine2012, 53(15): 1291-1293. DOI： 10.13288/j.11-2166/r.2012.15.026.

摘要

目的初步评价中医辨证治疗、中医辨证治疗加穴位贴敷、西药常规治疗对支气管哮喘（哮喘）轻中度发作患者肺功能指标中用力肺活量（FVC）、一秒用力呼气容积（FEV1）、一秒率（FEV1/FVC）、峰值流速（PEF）的影响。方法将364例轻中度发作期哮喘患者随机分为3组

辨证治疗组辨证给予口服中药颗粒剂

综合治疗组在辨证治疗组基础上加用中药穴位贴敷

西药组给予口服舒弗美

疗程均为10天。观察患者治疗前后肺功能指标FVC、FEV1、FEV1/FVC、PEF。结果辨证治疗组治疗前后FEV1/FVC、FVC、FEV1、PEF比较差异均有统计学意义（P<0.05）。综合治疗组治疗前后FEV1/FVC、PEF比较差异有统计学意义（P<0.05）。西药组治疗前后FVC、FEV1/FVC、PEF比较差异均有统计学意义（P<0.05）。治疗后各组肺功能指标FVC、FEV1、FEV1/FVC、PEF组间比较差异无统计学意义（P>0.05）。结论中药辨证治疗能够有效改善支气管哮喘患者肺功能FEV1/FVC、FVC、FEV1、PEF

达到控制哮喘发作的目的

中医辨证治疗加穴位贴敷

在改善肺功能指标上疗效较辨证治疗及西药常规治疗稍差。

Abstract

Objective To observe the effect of Chinese medication according to syndrome identification

Chinese medication according to syndrome identification combined with acupoint application and conventional western medicine treatment on forced vital capacity（FVC）

forced expiratory volume in one second（FEV1）

FEV1/FVC and peak expiratory flow（PEF）in mild to moderate bronchial asthma patients with acute exacerbation.Methods Totally 364mild to moderate bronchial asthma patients with acute exacerbation were randomized into 3groups.The Chinese medication group was given oral Chinese medicine granules and the combo therapy group was added acupoint application.The western medication group was given Theophylline orally.The treatment course lasted for 10days.FVC

FEV1

FEV1/FVC and PEF were observed before and after treatment.Results There were significant differences in FEV1/FVC

FVC

FEV1and PEF between before and after treatment in the Chinese medication group（P<0.05）.There was significant difference in FEV1/FVC and PEF between before and after treatment in the combo therapy group（P<0.05）.There were significant differences in FEV1/FVC

FVC and PEF between before and after treatment in the western medication group（P<0.05）.There was no significant difference between groups（P>0.05）.Conclusion Chinese medication according to syndrome identification could control asthma through improving FEV1/FVC

FVC

FEV1and PEF obviously.The effect of Chinese medication according to syndrome identification combined with acupoint application in improving pulmonary function indicators is poorer than those of Chinese medication according to syndrome identification and western medication.

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