[1]唐毅 涂晓华 刘雪银 张静 周莺.“五脏相关”辨证体系治疗慢性咳嗽的随机对照研究[J].现代中医药,2020,(03):053-56,68.[doi:10.13424/j.cnki.mtcm.2020.03.015]
　Tang Yi,Tu Xiaohua,Liu Xueyin,et al.A RCT Study on the Treatment of Chronic Cough by Syndrome Differentiating System of Five - Zang Correlation Theory[J].Modern Traditional Chinese Medicine,2020,(03):053-56,68.[doi:10.13424/j.cnki.mtcm.2020.03.015]
点击复制

“五脏相关”辨证体系治疗慢性咳嗽的随机对照研究()
分享到：

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2020年03期
页码:
053-56,68
栏目:
出版日期:
2020-05-10

文章信息/Info

Title:
A RCT Study on the Treatment of Chronic Cough by Syndrome Differentiating System of Five - Zang Correlation Theory
文章编号:
1672-0571(2020)03-0053-05
作者:
唐毅 涂晓华 刘雪银 张静 周莺
广州市天河区棠下街社区卫生服务中心,广东广州510665
Author(s):
Tang Yi;  Tu Xiaohua;  Liu Xueyin;  Zhang Jing;  Zhou Ying
Community Health Service Centre in Tangxia Street, Tianhe District, Guangzhou, Guangzhou Guangdong 510665
关键词:
慢性咳嗽; 五脏相关; 辨证体系; 随机对照; 研究
Keywords:
chronic cough;  Five- Zang Correlation Theory of ;  Syndrome Differentiating System;  the RCT;  study
分类号:
R256.11
DOI:
10.13424/j.cnki.mtcm.2020.03.015
文献标志码:
A
摘要:
目的观察“五脏相关”辨证体系治疗慢性咳嗽的疗效?方法将慢性咳嗽患者82例随机分为治疗组及对照组,各41例?治疗组接受中药辨证治疗,对照组接受阶段式经验性治疗,疗程6周?治疗前?后分别采用咳嗽症状积分?莱塞斯特咳嗽生命治疗问卷(LCQ)进行疗效评价,记录患者咳嗽控制时间?结果治疗前两组患者咳嗽症状积分?LCQ评分比较无统计学意义(P>0.05);治疗后两组在咳嗽症状积分?LCQ评分改善程度方面无统计学意义(P>0.05),在咳嗽控制时间方面有统计学意义(P<0.05),治疗组优于对照组?结论“五脏相关”辨证体系治疗慢性咳嗽可有效地改善症状,值得基层单位临床推广应用?
Abstract:
Objective To observe the treatment of chronic cough by Syndrome Differentiating System of Five – Zang Correlation Theory. Method 82 cases with chronic cough are randomly divided into treatment and control group with 41 cases in each group among which the former is treated by Chinese medicine syndrome differentiation, while the latter is given the periodic empirical treatment with a duration of 6 weeks. The effectiveness is evaluated by the score of cough symptom and LCQ before and after the treatment and the control time of cough is recorded. Result It is of no statistical significance in the score of cough symptom and LCQ score before the treatment between two groups( P >0. 05) . However, it is of statistical significance in the score of cough symptom and LCQ score after the treatment between two groups( P >0.05) . By contrast, it is of statistical significance in the control time of cough ( P <0. 05) , thus the treatment group is superior to the control group. Conclusion The Syndrome Differentiating System of Five - Zang Correlation Theory can effectively improve the symptoms of chronic cough which is worth widely promoting in the clinical practice in the fundamental institution.

参考文献/References:

[1]曹国强,程晓明,戴晓天,等.重庆地区慢性咳嗽病因的多中心研究[J].中国呼吸与危重监护杂志,2009,8(6):565-568.
[2]黄漾,魏为利,邱忠民.慢性咳嗽的经验性治疗[J].中华全科医师杂志,2009,8(2):112-114.
[3]张宁,孙慧博,徐振荣,等.慢性咳嗽的诊疗研究进展[J].现代生物医学进展,2013,13(19):3795-3797.
[4] Li YU, Zhongmin QIU, Hanjing LU, et al. Clinical benefit of sequential three - step empirical therapy in the management of chronic cough [ J] . Respirology, 2008, 13: 353- 358.
[5] Benich JJ, 3rd, Carek PJ. Evaluation of the patient with chronic cough[ J] . Am Fam Physician, 2011, 84( 8) : 887-892.
[6]中华医学会呼吸病学分会哮喘学组.咳嗽的诊断与治疗指南(2015)[J].中华结核和呼吸杂志,2016,39(5):323.
[7]邓铁涛.邓铁涛医学集[M].北京:人民卫生出版社,1995:164.
[8]许丽梅,刘小虹.从五脏相关探讨慢性咳嗽之病机[J].新中医,2012,44(4):7-8.
[9] Weili WEI, Li YU, Yu WANG, et al. Efficacy and safety of modified sequential three - step empirical therapy for chronic cough[J]. Rspirology,2010,15:830-336.
[10]中华人民共和国卫生部.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:57-58.
[11]赖克方.慢性咳嗽[M].北京:人民卫生出版社,2008:1,
[12]何剑.基层医院慢性咳嗽经验性治疗的程序[J].中国老年学杂志,2016,36(19):4826-4828.
[13]何飞,徐俭朴,杨明华,等.基于肺胃P物质表达对中医肺胃相关理论内在机制的研究[J].中华中医药学刊,2016,34(2):315-317.
[14]王淑玲.“肺肾相关”的物质基础[J].中国中医基础医学杂志,2002,8(4):9-10.
[15]赖克芳,方章福,姚红梅.咳嗽高敏综合征:不明原因慢性咳嗽的新概念[J].解放军医学杂志,2014,39(5):343-344.

相似文献/References:

[1]张 卉 祝 颖 金 瑄 *.敛肺止咳法在小儿慢性咳嗽中的应用[J].现代中医药,2017,(03):058.[doi:10.13424/j.cnki.mtcm.2017.03.023]
　Zhang Hui Zhu Ying Jin Xuan.The Application of Lung － astringing and Cough － stopping Method in the Treatment of Children with Chronic Cough[J].Modern Traditional Chinese Medicine,2017,(03):058.[doi:10.13424/j.cnki.mtcm.2017.03.023]
[2]李印珊.慢性咳嗽的中西医结合诊疗思路研究[J].现代中医药,2020,(02):041.[doi:10.13424/j.cnki.mtcm.2020.02.011]
[3]刘伊莎李耀辉 康艳.儿童过敏性咳嗽的中西医研究进展[J].现代中医药,2021,(03):018.[doi:10.13424/j.cnki.mtcm.2021.03.005]

备注/Memo

备注/Memo:
基金项目:广州市天河区科技计划项目(201704KW021)
更新日期/Last Update: 2020-05-22