本文選題：桑杏玉女煎 + 慢性咳嗽��； 參考：《長春中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本課題為自擬方桑杏玉女煎治療慢性咳嗽(胃陰不足、燥邪干肺)的臨床觀察研究,通過與對照藥物復(fù)方甲氧那明膠囊做對比,驗證本方對于慢性咳嗽(胃陰不足、燥邪干肺)病人的是否有療效。探討慢性咳嗽的發(fā)病機(jī)理,拓展本方的臨床應(yīng)用范圍。方法:按照納入排除標(biāo)準(zhǔn),選取符合慢性咳嗽(胃陰不足、燥邪干肺)診斷標(biāo)準(zhǔn)的患者60例,將入組的患者隨機(jī)分為治療組和對照組,每組各30例。其中對照組30例給予復(fù)方甲氧那明膠囊口服,治療組30例口服中藥湯劑桑杏玉女煎(包含中藥桑葉、杏仁、北沙參、浙貝母、梔子、牛膝、知母等),每組患者服藥14天。觀察兩組病人治療前后對慢性咳嗽主癥和兼證的癥狀改善、中醫(yī)證候積分等療效指標(biāo)的變化。結(jié)果:實驗結(jié)果顯示,在治療組30例患者中,治愈7例(23.3%),顯效12例(40%),有效9例(30%),總有效率92.3%,對照組治愈1例(3.3%),顯效3例(10%),有效18例(60%),總有效率73.3%,在癥狀改善方面,經(jīng)統(tǒng)計學(xué)分析,除了對于主癥咳嗽的改善兩組無顯著性差異,對于兼癥痰少而粘、口燥咽干、煩熱干渴、口鼻干燥、大便干燥的治療,治療組療效明顯優(yōu)于對照組。綜合總有效率及對于中醫(yī)癥狀的改善,治療組療效明顯優(yōu)于對照組。結(jié)論:桑杏玉女煎對于慢性咳嗽(胃陰不足、燥邪干肺證)患者有著良好的治療效果,并且無明顯不良反應(yīng),具有臨床推廣應(yīng)用價值。
[Abstract]:Objective: To study the clinical study of Fang sang apricot Yidu Decoction in the treatment of chronic cough (deficiency of stomach yin, dryness and dry lung), through comparison with the contrast drug Compound Methoxyphenamine Capsules, to verify the efficacy of the prescription for chronic cough (deficiency of stomach, dry and dry lung), explore the pathogenesis of chronic cough and expand the clinical effect of this prescription. Method: according to the exclusion criteria, 60 patients with chronic cough (deficiency of stomach yin, dryness and dry lung) were selected and divided into the treatment group and the control group randomly, 30 cases in each group, of which 30 cases in the control group were given Compound Methoxyphenamine Capsules oral, 30 cases of oral Chinese medicine decoction of mulberry apricot yam decoction. Including Chinese medicine mulberry leaves, almonds, Radix apricot, Fritillaria thunbergii, gardenia, gardenia, Achyranthes, Anemarrhena, and so on, each group of patients took 14 days to take medicine. Observe the changes of the symptoms of chronic cough and concurrently before and after treatment of two groups of patients and TCM syndrome score. Results: the results showed that in the 30 patients of the treatment group, 7 cases (23.3%) were cured and 12 cases were markedly effective (40). The effective 9 cases (30%), the total effective rate 92.3%, the control group cured 1 cases (3.3%), 3 cases (10%), effective 18 cases (60%), the total effective 73.3%, in the symptom improvement, in addition to the improvement of the main symptoms of cough in the two groups of no significant difference, to concurrent phlegm less and sticky, dry throat, irritated thirst, nose dry, dry stool, dry stool treatment, The curative effect of the treatment group was obviously better than that of the control group. The comprehensive total effective rate and the improvement of TCM symptoms were better than the control group. Conclusion: Sang Xing Yidu decoction had good therapeutic effect on the patients with chronic cough (deficiency of stomach yin, dryness and dry lung syndrome), and there was no obvious adverse reaction, which had clinical application value.

【學(xué)位授予單位】：長春中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R256.11

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