半夏厚朴汤治疗老年咳嗽随机平行对照研究

发布时间：2019-02-22 09:54

【摘要】：[目的]观察半夏厚朴汤治疗老年咳嗽疗效。[方法]使用随机平行对照方法,将180例患者按抛硬币法简单随机分为两组。对照组90例枸橼酸喷托维林,25mg/次,3次/d。治疗组90例半夏厚朴汤(姜半夏、厚朴各12g,茯苓20g,生姜片、苏叶、苏梗、北杏仁、百部炙、紫苑灸各10g;黄痰明显加黄芩、桑白皮;咽痛加玄参、桔梗;气上冲合三拗汤、麻黄炙;胁肋疼痛加川楝子、元胡),1剂/d,早晚口服,500mL/次。连续治疗7d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈40例,有效46例,无效4例,总有效率95.56%。对照组痊愈34例,有效44例,无效12例,总有效率86.67%。治疗组疗效优于对照组(P0.05)。[结论]半夏厚朴汤治疗老年咳嗽疗效满意,无严重不良反应,值得推广。
[Abstract]:[objective] to observe the curative effect of Banxia Houpu decoction on senile cough. [methods] 180 patients were randomly divided into two groups according to coin-tossing method. The control group consisted of 90 cases of pentovirin citrate, 25mg/ times, 3 times per day. In the treatment group, 90 cases of Pinellia magnoliae decoction (ginger, magnolia, 12 g each, Poria cocos 20 g, ginger tablet, Su Ye, pedicel, north almond, 100 parts grilled, purple garden moxibustion, 10 g), yellow phlegm, Scutellaria baicalensis, mulberry white skin, pharynx pain plus Radix Xuanshen, Platycodon grandiflorum; Qishangchong Sanao decoction, ephedra; rib pain plus toosendan, Yuanhu), 1 dose / d, morning and evening oral, 500mL/ times. The treatment was a course of treatment for 7 days. Clinical symptoms and adverse reactions were observed. After 1 course of treatment, the curative effect was evaluated. [results] in the treatment group, 40 cases were cured, 46 cases were effective, 4 cases were ineffective, the total effective rate was 95.5656. In the control group, 34 cases were cured, 44 cases were effective, 12 cases were ineffective, the total effective rate was 86.67%. The curative effect of the treatment group was better than that of the control group (P0.05). [conclusion] Banxia Houpu decoction has satisfactory curative effect and no serious adverse reaction in treating senile cough, so it is worth popularizing.
【作者单位】：广州市越秀区光塔街社区卫生服务中心门诊内科;
【分类号】：R256.11

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