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目的:探讨中医辨证分期治疗肺脾气虚型鼻鼽100例临床疗效观察。方法:将2016年1月—2016年12月在我院耳鼻咽喉科门诊治疗的100例肺脾气虚型鼻鼽患者随机分为两组,对照组采用常规西医治疗;观察组根据中医理论对肺脾气虚型鼻鼽分期论治,初期选用小青龙汤合玉屏风散加减,中期选用玉屏风散合苍耳子散加减,后期选用玉屏风散合金匮肾气丸加减。比较两组患者2周、6周治疗效果、主症、体征及兼症改善效果。结果:观察组治疗2周后治疗有效率为86%,显著高于对照组的66%,差异有统计学意义(P<0.05);观察组治疗6周后治疗有效率为94%,显著高于对照组的78%,差异有统计学意义(P<0.05);观察组治疗2周、6周后鼻痒、喷嚏、流涕、鼻塞、体征、总分等各项症状、体征及总体症状较对照组明显改善,差异有统计学意义(P<0.05);观察组治疗2周、6周后怕冷、咳嗽、纳呆、便溏、乏力、总分等兼症改善情况较对照组明显缓解,差异有统计学意义(P<0.05)。结论:中医辨证分期治疗肺脾气虚型鼻鼽效果显著,体现了中医标本缓急治则理论在临床的良好应用,效果持久稳定,具有积极的临床意义。
Objective: To investigate the clinical efficacy of traditional Chinese medicine (TCM) syndrome differentiation in the treatment of 100 cases of pulmonary spleen qi asthenia. Methods: One hundred patients with lupus-deficiency syndrome of epistaxis treated in our otolaryngology clinic from January 2016 to December 2016 were randomly divided into two groups. The control group was treated with routine western medicine. The observation group was treated with traditional Chinese medicine theory Spleen deficiency epistaxis Staging theory, the initial selection Xiaoqinglong Decoction Yupingfeng addition and subtraction, the mid-term selection of Yupingfeng Sanxifeng bulk addition and subtraction, the late selection of Yupingfeng Sanjin Kuishenqiwan addition and subtraction. Two groups of patients were compared for two weeks, six weeks of treatment, the main symptoms, signs and symptoms and improve the effect. Results: After 2 weeks of treatment, the effective rate of the treatment group was 86%, which was significantly higher than that of the control group (66%) (P <0.05). After 6 weeks of treatment, the effective rate of the treatment group was 94% 78% of the control group, the difference was statistically significant (P <0.05); the treatment group 2 weeks, 6 weeks after itchy nose, sneezing, runny nose, nasal congestion, signs, total score of the symptoms, signs and symptoms Compared with the control group was significantly improved, the difference was statistically significant (P <0.05); observation group treated 2 weeks, 6 weeks after the cold, cough, poor appetite, loose stools, total score and symptoms were significantly better than the control group , The difference was statistically significant (P <0.05). Conclusion: The TCM Syndrome Differentiation of the treatment of lung spleen qi deficiency type effect is significant, embodies the TCM theory of emergency treatment theory in clinical application, the effect of lasting stability, with a positive clinical significance.