【摘要】 目的 探究风热犯肺型咳嗽患者运用桑菊饮加减联合温通刮痧疗法治疗的效果。方法 选择100例风热犯肺型咳嗽患者为观察对象,选用随机数字表法分成常规西药治疗的对照组(50例)及在对照组治疗基础上联合桑菊饮加减和温通刮痧疗法治疗的观察组(50例)。对比两组临床疗效、临床症状评分、炎症指标及不良反应发生情况。结果 观察组治疗总有效率94.00%比对照组的80.00%显著高(P<0.05)。治疗后,两组咳嗽、咳痰、肺部体征、咽痛评分均较治疗前有所下降,且观察组咳嗽、咳痰、肺部体征、咽痛评分分别为(1.31±0.13)、(1.13±0.22)、(1.12±0.10)、(1.08±0.12)分,较对照组的(1.46±0.19)、(1.34±0.27)、(1.25±0.15)、(1.15±0.18)分更低(P<0.05)。治疗后,两组炎症指标均较治疗前下降,且观察组白细胞计数(6.13±1.15)×10~9/L、C反应蛋白(4.62±1.24)mg/L、降钙素原(0.78±0.14)μg/L较对照组的(9.35±1.23)×10~9/L、(8.31±1.65)mg/L、(1.06±0.13)μg/L下降幅度更大(P<0.05)。观察组不良反应发生率8.00%高于对照组的4.00%,但组间无统计学差异(P>0.05)。结论 临床在治疗风热犯肺型咳嗽时,可在常规西药治疗的同时指导患者服用中药桑菊饮加减并配合开展温通刮痧疗法,可以进一步减轻症状,降低机体炎症水平,提高临床效果,中医疗法安全可靠,适合普及。更多还原

【Abstract】 Objective To explore the effect of modified Sangju drink combined with Wentong Gua Sha therapy in the treatment of patients with cough due to wind-heat invading the lung. Methods A total of 100 patients with cough due to wind-heat invading the lung were selected as the observation subjects. The patients were divided into the control group(50 cases, treated with conventional Western medicine) and the observation group(50 cases, treated with modified Sangju drink combined with Wentong Gua Sha therapy in addition to the treatment of the control group) according to the random numerical table. The clinical efficacy, clinical symptom scores, inflammation markers and adverse reactions of the two groups were compared. Results The overall response rate in the observation group was 94.00%, which was significantly higher than the control group’s 80.00%(P<0.05). After treatment, the scores of cough, expectoration, pulmonary signs and sore throat in both groups decreased compared with those before treatment. Moreover, the scores of cough, expectoration, pulmonary signs and sore throat in the observation group were(1.31±0.13),(1.13±0.22),(1.12±0.10) and(1.08± 0.12) points, which were lower than those in the control group [(1.46±0.19),(1.34±0.27),(1.25±0.15), and(1.15±0.18) points](P<0.05). After treatment, the inflammation markers in both groups decreased compared with those before treatment. Moreover, the white blood cell count(6.13±1.15)×10~9/L, C-reactive protein(4.62± 1.24) mg/L, and procalcitonin(0.78±0.14) μg/L in the observation group were higher than those in the control group [(9.35±1.23)×10~9/L,(8.31±1.65) mg/L, and(1.06±0.13) μg/L](P<0.05). The incidence of adverse reactions in the observation group was 8.00%, which was higher than 4.00% in the control group, but there was no statistically significant difference between the groups(P>0.05). Conclusion In the clinical treatment of cough due to wind-heat invading the lung, patients can be instructed to take modified Sangju drink and Wentong Gua Sha therapy alongside conventional Western medication, which can further alleviate symptoms, reduce the level of inflammation in the body, and improve the clinical effect. Traditional Chinese medical therapy is safe and reliable, making them suitable for widespread adoption.更多还原