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[目的]观察固本平喘汤联合沙美特罗替卡松粉吸入治疗支气管哮喘慢性持续期疗效。[方法]使用随机平行对照方法,将108例住院患者按抽签法随机分为两组。对照组54例沙美特罗替卡松粉吸入剂,1吸/次,2次/d。治疗组54例固本平喘汤(黄芪30g,补骨脂、党参各15g,甘草3g,五味子6g,麻黄、苦杏仁各10g,射干12g,桔梗、地龙各15g,全蝎、细辛各6g,紫菀、款冬花、法半夏、白芥子、桃仁打碎各12g),1剂/d,水煎200mL,早晚口服;沙美特罗替卡松粉吸入剂同对照组。连续治疗42d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效25例,有效28例,无效1例,总有效率98.75%。对照组显效20例,有效27例,无效7例,总有效率87.05%。治疗组疗效优于对照组(P<0.05)。[结论]固本平喘汤联合沙美特罗替卡松粉吸入剂治疗支气管哮喘慢性持续期效果显著,值得推广。
[Objective] To observe the chronic persistent effect of Guben Pingchuan Decoction combined with salmeterol and fluticasone powder inhalation on bronchial asthma. [Methods] Using randomized parallel control method, 108 inpatients were randomly divided into two groups according to the random sampling method. Control group, 54 cases of salmeterol fluticasone powder inhaler, 1 / times, 2 times / d. The treatment group, 54 cases of Guben Pingchuan soup (Astragalus 30g, psoralen, Codonou 15g, licorice 3g, Schisandra 6g, ephedra, bitter almond 10g, Shegan 12g, Campanulaceae, earthworm 15g, Scorpio, Asarum each 6g, aster, coltsfoot flower, France Pinellia, mustard, peach kernel broken 12g), 1 / d, decoction 200mL, sooner or later orally; Salmeterol fluticasone powder inhalation with the control group. Continuous treatment 42d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group markedly effective in 25 cases, effective in 28 cases, 1 case, the total effective rate was 98.75%. The control group markedly effective in 20 cases, effective in 27 cases, 7 cases, the total effective rate was 87.05%. The treatment group was better than the control group (P <0.05). [Conclusion] Guben Pingchuan Decoction combined with salmeterol and fluticasone powder inhalation for the treatment of chronic bronchial asthma lasting significant effect, it is worth promoting.