西医联合中药汤药结合疗法治疗慢性支气管炎急性发作期的临床效果

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摘要目的探讨西医联合中药汤药结合疗法治疗慢性支气管炎急性发作期的临床效果。方法选取2016年5月～2017年5月我院确诊收治的52例慢性支气管急性发作期患者作为研究对象，将其按照随机数字表法分为研究组、参照组，每组26例。参照组患者采取止咳化痰、消炎平喘、对症支持等常规西医治疗，研究组在对照组常规西医治疗的基础上联合中药汤剂进行结合治疗。观察并比较两组患者的临床疗效以及临床症状改善时间。结果研究组患者的治疗总有效率为96.15%，显著高于参照组的80.77%，差异有统计学意义（P＜0.05）；研究组患者的退热时间、止咳时间以及肺部啰音消失时间均明显短于参照组，差异均有统计学意义（P＜0.05）。结论在西医对症治疗的基础上结合中药汤剂治疗慢性支气管炎急性发作期具有显著的效果，能够有效促进慢性支气管炎临床症状的改善，提高治疗总有效率，值得临床进一步推广应用。

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	洪鹏

关键词 ：中西医结合, 慢性支气管炎急性发作, 临床效果

Abstract：ObjectiveTo explore the clinical effect of western medicine combined with traditional Chinese medicine decoction combined therapy in the treatment of acute exacerbation of chronic bronchitis.MethodsFrom May 2016 to May 2017,52 patients with acute exacerbation of chronic bronchitis patients treated in our hospital were selected as the research object,and they were divided into the study group and reference group,and each group had 26 cases.Patients in the control group was given relieving cough and reducing sputum,relieving inflammation and asthma,symptomatic support routine and other western medicine treatment while patients in the study group were treated with Chinese medicine decoction on the basis of routine western medicine treatment in the control groupt.The clinical efficacy and improvement time of clinical symptoms were observed and compared in patients between the two groups.ResultsThe total effective rate of treatment was 96.15%in patients of the study group,which was significantly higher than that of the reference group (80.77%),and the difference was statistically significant(P＜0.05).The antifebrile time,antitussive time and the disappeared time of pulmonary rales in patients of the study were significantly shorter than those of the control group,and the differences were statistically significant(P＜0.05).ConclusionTreating chronic bronchitis with Chinese herbal decoction on the basis of Western medicine symptomatic treatment has significant curative effect,can effectively promote the improvement of clinical symptoms of chronic bronchitis,improve the total effective rate of treatmen,thus it is worthy of clinical further promotion and application.

Key words： Combination of traditional Chinese and Western medicine Acute exacerbation of chronic bronchitis Clinical effect

基金资助:江西省卫生计生委中医药科研项目（2015A155）

引用本文:

洪鹏. 西医联合中药汤药结合疗法治疗慢性支气管炎急性发作期的临床效果[J]. 中国当代医药, 2017, 24(35): 141-143.
HONG Peng. Clinical effect of western medicine combined with traditional Chinese medicine decoction combined therapy in the treatment of acute exacerbation of chronic bronchitis. 中国当代医药, 2017, 24(35): 141-143.

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