首页|期刊导航|中国医学创新|二陈汤加减联合异丙托溴铵+5%氯化钠雾化诱导排痰治疗痰湿型咳嗽的效果

二陈汤加减联合异丙托溴铵+5%氯化钠雾化诱导排痰治疗痰湿型咳嗽的效果OA

The Effect of Modified Erchen Decoction Combined with Ipratropium Bromide+5%Sodium Chloride Nebulization Induced Sputum Expectoration in the Treatment of Cough with Phlegm-dampness Syndrome

中文摘要英文摘要

目的:探讨二陈汤加减联合异丙托溴铵+5%氯化钠雾化诱导排痰治疗痰湿型咳嗽的临床效果.方法:选取 150 例痰湿型咳嗽患者,均为恩平市中医院 2024 年 10 月—2025 年 1 月收入,按照随机数字表法分为对照组与研究组,均 75 例.对照组使用异丙托溴铵+5%氯化钠雾化诱导排痰,研究组在对照组基础上加用二陈汤加减治疗,两组均治疗 2 周,将两组临床治疗效果、中医证候积分(咳嗽、喘息、胸闷、流涕)、生活质量、病情复发率进行比较.结果:对照组患者治疗总有效率为 86.67%,低于研究组的 97.33%(P<0.05).治疗后,研究组中医证候积分低于对照组,生活质量评分高于对照组(P<0.05).研究组出院后 3、6 个月的复发率均低于对照组(P<0.05).结论:二陈汤加减联合异丙托溴铵+5%氯化钠雾化诱导排痰治疗痰湿型咳嗽患者临床效果显著,能明显减轻症状,提高生活质量,复发率低.

Objective:To explore the clinical efficacy of modified Erchen Decoction combined with Ipratropium Bromide+5%Sodium Chloride nebulization induced sputum expectoration in the treatment of cough with phlegm-dampness syndrome.Method:A total of 150 patients with cough with phlegm-dampness syndrome were selected,all of whom were admitted to Enping Hospital of Traditional Chinese Medicine from October 2024 to January 2025.They were divided into the control group and the study group according to the randomized numerical table method,with 75 cases in each group.The control group used Ipratropium Bromide+5%Sodium Chloride nebulization induced sputum expectoration,the study group was treated with modified Erchen Decoction in addition to the treatment of the control group.Both groups were treated for two weeks.The clinical effects,traditional Chinese medicine syndrome scores(cough,wheezing,chest distress,runny nose),quality of life,and recurrence rate of the two groups were compared.Result:The total effective rate of treatment in the control group was 86.67%,which was lower than that of the study group(97.33%)(P<0.05).After the treatment,the traditional Chinese medicine syndrome scores in the study group were lower than those in the control group,and the quality of life scores were higher than those in the control group(P<0.05).The recurrence rates of the study group within 3 months and 6 months after discharge were both lower than those of the control group(P<0.05).Conclusion:The clinical effect of modified Erchen Decoction combined with Ipratropium Bromide+5%Sodium Chloride nebulization induced sputum expectoration in the treatment of cough with phlegm-dampness syndrome is significant.It can significantly reduce symptoms,improve quality of life,and has a low recurrence rate.

黄丽娴;张勇婵;梁英麟

恩平市中医院(江门市五邑中医院恩平分院)内科 广东 恩平 529400恩平市中医院(江门市五邑中医院恩平分院)内科 广东 恩平 529400恩平市中医院(江门市五邑中医院恩平分院)内科 广东 恩平 529400

二陈汤异丙托溴铵雾化诱导排痰痰湿型咳嗽

Erchen DecoctionIpratropium BromideNebulization induced sputum expectorationCough with phlegm-dampness syndrome

《中国医学创新》 2026 (10)

26-29,4

2024年度江门市医疗卫生科技计划项目(2024YL12004)

10.3969/j.issn.1674-4985.2026.10.006

评论