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[目的]观察定喘方内服、清痰平喘贴穴位贴敷联合西药治疗支气管哮喘疗效。[方法]使用随机平行对照方法,将125例门诊患者按就诊顺序号随机分为两组。对照组60例吸氧、抗感染、扩张支气管、糖皮质激素等。治疗组65例定喘方(白果、麻黄、款冬花、杏仁、桑白皮、半夏各9g,苏子、黄芩各6g,甘草3g),水煎200mL,1次/d。清痰平喘贴(白芥子、延胡索、甘遂、细辛、冰片),剂量比例为1:1:0.5:0.5:0.1,白芥子、延胡索、甘遂、细辛混合粉碎,加冰片、生姜汁调和,再加凡士林,做直径2cm,厚0.5cm药饼;取穴(肺俞、肾俞、脾俞、定喘穴),贴药时间以局部发红为佳,1~2h/次,1次/d;西医治疗同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组临床控制28例,显效30例,有效5例,无效2例,总有效率96.92%。对照组临床控制15例,显效23例,有效10例,无效12例,总有效率73.85%。治疗组疗效优于对照组(P<0.05)。[结论]定喘方内服、清痰平喘贴穴位贴敷联合西药治疗支气管哮喘显著,值得推广。
[Objective] To observe the curative effect of Dingchuan Decoction, Qingtong Pingchuan Decoction combined with western medicine in the treatment of bronchial asthma. [Methods] Using randomized parallel control method, 125 cases of outpatients were randomly divided into two groups according to the order of visit. Control group, 60 cases of oxygen, anti-infective, bronchial expansion, glucocorticoid and so on. The treatment group, 65 cases of Dingchuan Fang (ginkgo, ephedra, coltsfoot, almonds, Morus alba, Pinella 9g, Suzi, skullcap each 6g, licorice 3g), decoction 200mL, 1 time / d. (Sulfasalazine, Rhizoma Corydalis, Asarum, Asarum, Borneol) in a dosage ratio of 1: 1: 0.5: 0.5: 0.1, mixed with crushed mustard, corydalis root, Juice reconcile, plus Vaseline, do diameter 2cm, thickness 0.5cm cake; acupoints (Feishu, Shenshu, Pishu, Dingchuan), paste the drug to local redness is better, 1 ~ 2h / 1 times / d; Western medicine treatment with the control group. Continuous treatment 7d for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Result] The clinical treatment of 28 cases in the treatment group, markedly effective in 30 cases, 5 cases, 2 cases, the total effective rate 96.92%. The control group of 15 cases of clinical control, markedly effective in 23 cases, effective in 10 cases, 12 cases, the total effective rate was 73.85%. The treatment group was better than the control group (P <0.05). [Conclusion] Dingchuan decoction, Qingtong Pingchuan decoction combined with Western medicine treatment of bronchial asthma significantly worthy of promotion.