宣肺宁嗽汤加减治疗感冒后咳嗽临床研究.docxVIP

宣肺宁嗽汤加减治疗感冒后咳嗽临床研究 　　摘要：目的觀察宣肺宁嗽汤加减治疗感冒后咳嗽临床疗效。方法采用随机数字表法将106例感冒后咳嗽患者分为治疗组和对照组各54例。治疗组予宣肺宁嗽汤加减，每次200ml，早晚餐后温服。对照组予苏黄止咳胶囊，每次3粒，每日三餐后30min口服。2组均连续治疗1周。观察2组治疗3、5、7d临床疗效、咳嗽症状积分，记录起效时间及症状消失时间，比较2组血白细胞水平，监测不良反应。结果治疗3d，治疗组总有效率为59.26%，高于对照组的40.39%（p0.05）;治疗5d，治疗组总有效率为64.82%，高于对照组的42.31%（p0.01）;治疗7d，治疗组总有效率为88.90%，与对照组的80.77%比较，差异无统计学意义（p0.05）。与本组治疗前比较，2组治疗3、5、7d咳嗽症状积分明显降低（p0.05，p0.01）;2组治疗3、5d比较，治疗组咳嗽症状积分低于对照组（p0.05）。治疗组起效时间、症状消失时间短于对照组（p0.05）。2组血白细胞分类计数比较差异无统计学意义（p0.05）。2组均未见严重不良反应。结论宣肺宁嗽汤加减治疗感冒后咳嗽疗效满意，与苏黄止咳胶囊疗效相当，起效更快。 　　关键词：宣肺宁嗽汤;感冒后咳嗽;苏黄止咳胶囊;中医药疗法 　　中图分类号：r259.6文献标识码：a文章编号：1005-5304（2019）06-0033-04 　　abstract：objectivetoobservetheclinicalefficacyofmodifiedxuanfeiningsoudecoctionforthetreatmentofpostinfectiouscough（pic）.methodstotally106patientswithpicweredividedintothetreatmentgroupandthecontrolgroupbyrandomnumbertablemethod，with54casesineachgroup.thetreatmentgroupwasgivenmodifiedxuanfeiningsoudecoction，200mleachtime，warmlytakenafterbreakfastandsupper.thecontrolgroupwasgivensuhuangzhikecapsules，threecapsulespertime，orallytaken30minafterthreemeals.thetreatmentforbothgroupslastedforoneweek.theclinicalefficacyandcoughsymptomscoresofbothgroupson3，5，7doftreatmentwereobserved.theonsettimeandsymptomdisappearancetimewererecorded.thebloodleukocytelevelsofbothgroupswerecompared.adversereactionsweremonitored.resultson3doftreatment，thetotaleffectiverateofthetreatmentgroupwas59.26%，whichwashigherthanthatofthecontrolgroup（40.39%），withstatisticalsignificance（p0.05）;on5doftreatment，thetotaleffectiverateofthetreatmentgroupwas64.82%，whichwashigherthanthatofthecontrolgroup（42.31%），withstatisticalsignificance（p0.01）;on7doftreatment，thetotaleffectiverateofthetreatmentgroupwas88.90%comparedwith80.77%ofthecontrolgroup，withnostatisticalsignificance（p0.05）.comparedwithbeforetreatment，thescoresofcoughsymptomsinbothgroupssignificantlydecreasedon3，5，and7doftreatment（p0.05，p0.01）.thescoresofcoughsymptomsinthetreatmentgroupwerelowerthanthoseinthecontrolgroupat3and5daysaftertreatment（