【摘要】 目的 :评价葶芩复方敷贴对急性支气管炎、慢性支气管炎急性发作期的临床疗效。方法 :将临床诊断的支气管炎患者随机分为治疗组与对照组各 47例 ,治疗组给予葶芩复方敷贴 5g贴敷在肺腧、神厥腧穴位上 ,急性支气管炎治疗 7d ,慢性支气管炎急性发作期患者治疗 14d ,对照组按常规给予阿莫西林胶囊 0 .5g ,po ,tid ,7d后不能控制 ,给予头孢克洛 0 .2 5g ,po ,tid。观察症状、体征、C反应蛋白、血常规等 ,比较两种方法的临床疗效的差异。结果 :经统计学分析 ,在控制咳嗽、咳痰、喘息等症状方面及降低中性粒细胞、C反应蛋白方面 ,治疗组与对照组疗效差异有极显著性 (P <0 .0 1) ;治疗组总有效率 85 .1% ,显控率为 66.0 % ,对照组总有效率 74.4% ,显控率为 40 .4% ,两组比较均差异有显著性(P <0 .0 5 )。结论 :葶芩复方敷贴以内病外治的方法治疗支气管炎疗效肯定 ,从而提示了控制支气管炎症的另一种途径。更多还原

【Abstract】 Objective:To assess the clinical therapeutic effectiveness of compound tingqin cream applied topically in the treatment of acute bronchitis and acute exacerbation of chronic bronchitis. Methods:94 cases of bronchitis diagnosed clinically were randomly divided into 2 equal groups,the treatment group and control group. Each patient of the treatment group was treated with a total amount 5 g of compound tingqin cream topically applied onto the points Feishu and Shenque . The dressings were changed every other day. The course of treatment lasted 7 days in patients with acute bronchitis and 14 days in those with acute exacerbation of chronic bronchitis. Patients of the control group were given each conventionally 0.5 g of amoxicillin capsules PO,t.i.d.. If symptoms could not be controlled within 7 days,the oral antibiotic amoxicilin was changed into cefaclor in a dosis of 0.25 g PO,t.i.d.. Symptoms,signs,content of C-reative protein (CRP) and blood routine of the patients were kept under observation. The clinical effects in patients of the two groups were compared. Results:The clinical therapeutic effectiveness with respect to control of coughing,expectoration,asthma as well as lowering of neutrophil granulocyte count and CRP content in patients of the treatment group was significantly superior to that of the control group( P <0.01). The overall effective rates and the excellent effective rates in patients of the treatment group and control group were 85.1% and 66.0%,74.4% and 40.4%,respectively. The differences between the two groups were significant( P < 0.05). Conclusion:Compound tingqin cream applied topically onto relevant points was shown to have definite therapeutic effect in the treatment of bronchitis,revealing a new way for controlling bronchitis——treating internal disease externally.更多还原