麻杏咳宁汤加减方治疗喉源性咳嗽的临床观察
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(1. 云南省中医中药研究院,云南 昆明 650223;2. 云南省临沧市人民医院中医科,云南 临沧 677300)

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R256.11

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收稿日期: 2019 - 09- 28
基金项目: 国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函﹝2018﹞134号)
第一作者简介: 文继红(1967-) ,女, 副主任医师,研究方向:中医内科疾病的防治与研究。
△通信作者: 沈宇明,E-mail:cyqzyz@126.com


Clinical Observation of Modified Maxing Kening Decoction for Laryngeal Cough
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(1. Yunnan Institute of Traditional Chinese Medicine and Materia Medica, Kunming 650223, China; 2. Department of Traditional Chinese Medicine, Lincang People’s Hospital of Yunnan Province, Lincang 677300, China)

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    摘要:

    目的观察麻杏咳宁汤加减方治疗风邪犯肺型喉源性咳嗽的临床疗效。方法 将临床诊断为风邪犯肺型喉源性咳嗽的60例患者随机分为治疗组30例和对照组30例,治疗组采用麻杏咳宁汤加减方治疗,对照组给予常规西药治疗。7 d为1个疗程,治疗2个疗程后,观察2组临床疗效、主要症状治疗前后的积分变化情况。结果 治疗组总有效率为93.33%,优于对照组的73.33%(P<0.05);2组治疗后,患者咽痒、咳嗽、咽干等主要症状积分较治疗前明显降低(P<0.05),且治疗组的降低程度明显优于对照组(P<0.05)。结论 麻杏咳宁汤加减方治疗风邪犯肺型喉源性咳嗽能明显改善临床症状,提高临床疗效。

    Abstract:

    Objective To observe the clinical effect of modified Maxing Kening Decoction on the treatment of laryngeal cough due to wind evil invading lungs. Methods 60 laryngeal cough patients who were clinically diagnosed as wind-evil invading lung type were randomly divided into in the treatment group and in the control group, 30 cases per group. The treatment group was treated with modified Maxing Kening Decoction and the control group was given conventional western medicine. 7 days was a course of treatment. After 2-course treatment, the clinical effects and score changes of main symptoms in the two groups before and after treatment were observed. Results The total effective rate in the treatment group was 93.33%, which was significantly better than that(73.33%) in the control group(P<0.05). After the treatment, the scores of the main symptoms of the two groups such as itching, coughing and dryness of throat were significantly lower than those before the treatment(P<0.05), The reduction of the treatment group was significantly lower than that of the control group (P<0.05). Conclusion Modified Maxing Kening Decoction can significantly improve the clinical symptoms and the clinical effect for laryngeal cough patients with wind-evil invading lung type.

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