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金叶败毒颗粒治疗风温肺热病(热在肺卫证)的随机双盲临床试验

Clinical randomized double-blinded observation on effect of Jinyebaidu Granule in treating the disease of wind-heat attacking the lung (type of heat pathogen invading the defensive Qi of the lung)

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【作者】 毛兵李廷谦李明权涂晋文张瑞明陈光远王蕾常静

【Author】 MAO Bing, Li Ting-qian, LI Ming-quan, TU Jin-wen , ZHANG Rui-ming, CHENG Guang-yuan, WANG Lei, CHANG Jing (West China Hopital, Sichuan University, Chengdu 610041)

【机构】 四川大学华西医院成都中医药大学附属医院湖北中医学院附属医院四川大学华西医院 成都610041成都610041成都610000武汉430022成都610041

【摘要】 目的 观察金叶败毒颗粒治疗风温肺热病 (热在肺卫证 )的疗效 ,并对其安全性作出客观评价。方法 采用多中心双盲双模拟随机对照试验 ,选择风温肺热病 (热在肺卫证 )患者 2 0 0例 ,随机分为金叶败毒颗粒组 (治疗组 ) 10 0例 ,双黄连颗粒组 (对照组 ) 10 0例。治疗组给予金叶败毒颗粒每日 3次 ,每次 10 g ,对照组给予双黄连颗粒每日 3次 ,每次5 g ,疗程均为 5天。 结果 临床综合疗效 :意向性分析 (intention -to -treat,ITT)显示 :治疗组总显效率 72 6 4 % ,总有效率 94 0 0 % ;对照组总显效率 6 8 6 3% ,总有效率 90 2 0 %。符合方案数据分析 (per -protocolpopulation ,PP)疗效 :治疗组总显效率 75 0 0 % ,总有效率 96 0 0 % ;对照组总显效率 6 8 0 0 % ,总有效率 90 0 0 %。两组临床综合疗效比较差异无显著性 (P >0 0 5 )。中医证候疗效 :ITT分析显示 :治疗组总显效率 71 70 % ,总有效率 93 4 5 % ;对照组总显效率6 6 6 7% ,总有效率 89 2 2 %。PP疗效 :治疗组总显效率 74 0 0 % ,总有效率 96 0 0 % ;对照组总显效率 6 8 0 0 % ,总有效率 90 0 0 %。两组中医证候疗效比较差异亦无显著性 (P >0 0 5 )。ITT疗效与PP疗效具有一致性。临床观察中 ,未发现明显不良反应。结论 金叶败毒颗粒临?

【Abstract】 Background To prove the effect of Jinyebaidu Granule (JYBDG) in treating the Disease of Wind-heat Attacking the Lung (type of heat pathogen invading the defensive Qi of the lung) and objectively evaluate its safety.Methods The muti-center ,double-blinded, double-dummy and randomized controlled method was adopted to observe 200 patients who were divided into the treatment group (n=100,treated with JYBDG 10g, three times a day) and the control group (n=100,treated with Shuanghuanglian Granule 5g, three times a day). The therapeutic course for both groups was 5 days. Results According to ITT(intention-to-treat) and PP(per-protocol population),In the treatment group, the markedly effective rate was 72 64% and 75 00% respectively, and effective rate was 94 00% and 96 00% respectively, while in the control group the markedly effective rate was 68 63% and 68 00% respectively, and effective rate was 90 20% and 90 00% respectively, no significant difference was found between the two groups ( P >0 05). For therapeutic effects on TCM syndromes,In the treatment group, the markedly effective rate was 71 70% and 74 00% respectively, and effective rate was 93 45% and 96 00% respectively, while in the control group the markedly effective rate was 66 67% and 68 00% respectively, and effective rate was 89 22% and 90 00% respectively, also showed insignificantly difference ( P >0 05). No adverse effect was found in the observation.Conclusion?JYBDG shows a definite clinical effect with no obvious toxic-adverse effects.

【基金】 国家药品监督管理局~~
  • 【文献出处】 中国循证医学杂志 ,Chinese Journal of Evidence-Based Medicine , 编辑部邮箱 ,2003年02期
  • 【分类号】R256
  • 【被引频次】23
  • 【下载频次】355
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