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目的探讨自拟汤药联合西药治疗老年慢性支气管炎临床疗效。方法选择慢性支气管炎急性发作患者100例,按就诊先后顺序随机分为两组。治疗组50例和对照组50例,对照组给予氨茶碱0.1～0.2g,3次/d;必漱平6mg,3次/d;常规西药抗炎和对症治疗。治疗组在对照组基础上加用自拟汤药(基本方成份:桃仁,当归,赤芍,黄芪,白术,黄芩,陈皮,法夏,苏子,沉香,生甘草)1剂/d,分2次服,1个月为1个疗程。观察两组的疗效和症状改善时间。结果治疗组疗效优于对照组(P<0.05),治疗组症状改善时间和体征改善时间短于对照组(P<0.05)。结论自拟汤药联合西药治疗慢性支气管炎疗效显著,能有效防止本病复发。
Objective To investigate the clinical efficacy of self-made decoction combined with western medicine in the treatment of senile chronic bronchitis. Methods 100 patients with acute exacerbation of chronic bronchitis were randomly divided into two groups according to the order of their visits. 50 cases in the treatment group and 50 cases in the control group. The control group was treated with aminophylline 0.1 ~ 0.2g, 3 times / d, baxibin 6mg, 3 times / d, conventional western medicine anti-inflammatory and symptomatic treatment. On the basis of the control group, the treatment group was given 1 dose / day of self-made decoction (basic prescription ingredients: peach kernel, Chinese angelica root, red peony root, astragalus, Atractylodes, Scutellaria baicalensis, Citrus rehmanniae, Second service, 1 month for a course of treatment. The curative effect and symptom improvement time of the two groups were observed. Results The curative effect in the treatment group was better than that in the control group (P <0.05). The improvement time of the symptoms and the improvement of the signs in the treatment group were shorter than those in the control group (P <0.05). Conclusion The combined treatment of traditional Chinese medicine and western medicine has significant curative effect on chronic bronchitis and can effectively prevent the recurrence of this disease.