祛风宣肺止咳方治疗风痰闭阻型感染后咳嗽30例临床观察.docVIP

祛风宣肺止咳方治疗风痰闭阻型感染后咳嗽30例临床观察 　　摘要：目的观察祛风宣肺止咳方治疗感染后咳嗽的临床疗效。方法选择风痰闭阻型感染后咳嗽患者60例，随机分为治疗组和对照组，每组均为30例，对照组口服孟鲁司特钠（杭州默沙东制药有限公司），每日1次，每次10 mg；治疗组在对照组的基础上加服祛风宣肺止咳方，每2日1剂，2组均治疗10 d。2组分别于治疗前后填写咳嗽症状自评量表，观察临床疗效。结果治疗组有效率为867%，对照组为733%，2组比较，经统计学处理，具有显著差异（P005）。结论祛风宣肺止咳方治疗感染后咳嗽疗效确切。 　　关键词：感染后咳嗽；风痰闭阻；祛风；宣肺 　　中图分类号：R25611文献标志码：B文章编号：1007-2349（2016）11-0022-03 　　Clinical Observation on Treatment of 30 Postinfectious Cough Patients with Wind-phlegm 　　Resistance by Qufeng Xuanfei Zhike Prescription 　　YUAN Chun-feng1，LI Xiao2，CHI Na-na1 　　（1 Yunnan University of Traditional Chinese Medicine，Kunming 650051，Yunnan； 　　2 Yunnan Hospital of Traditional Chinese Medicine，Kunming 650021，Yunnan） 　　【Abstract】Objective：To observe the clinical effect of Qufeng Xuanfei Zhike Prescription on treatment of postinfectious cough patients Methods：60 patients were randomly divided into a treatment group and a control group，30 cases per group The control group was treated with montelukast sodium（Hangzhou Merck Pharmaceutical Co，Ltd） while the treatment group was added Qufeng Xuanfei Zhike Prescription on the basic treatment of the control group，one preparation every 2 days The two groups were treated for 10 days The self-rating cough depression scales of the two groups were filled before and after the treatment to observe the clinical effect Results：The effective rate of the treatment group was 867% while that of the control group was 733% The comparison of the two groups was significant difference（P005） Conclusion：Qufeng Xuanfei Zhike Decoction has definite effect on treatment of postinfectious cough 　　【Key words】postinfectious cough，wind-phlegm resistance，wind-expelling，facilitating lung 　　感染后咳嗽（post infectious cough PIC），又称感冒后咳嗽，是指各种病原体如细菌、病毒、支原体、衣原体等致呼吸道感染，呼吸道感染的急性期症状消失后，咳嗽仍迁延不愈，多属于亚急性咳嗽，持续时间3～8周[1]。感染后咳嗽多表现为刺激性干咳、咳少量白色粘液痰，伴咽痒，常于运动、吸入冷空气或刺激性气味时诱发或加重，胸部影像学检查一般无明显异常。感染后咳嗽易被误诊误治发展成慢性咳嗽，严重影响患者生活质量[2]。祛风宣肺止咳方是在麻黄汤合止嗽散的基础上加减而成，具有祛风、宣肺、止咳之功效，临床应用本方治疗30例风痰闭阻型感染后咳嗽收到较好疗效，现报道如下。 　　1临床资料 　　11诊断标准西医诊断