切换至 "中华医学电子期刊资源库"

中华卫生应急电子杂志 ›› 2018, Vol. 04 ›› Issue (02) : 84 -87. doi: 10.3877/cma.j.issn.2095-9133.2018.02.005

所属专题: 文献

论著

健肾平喘汤联合硫酸沙丁胺醇气雾剂吸入治疗慢性持续期哮喘的效果
郑泽凯1,(), 郑泽亮1   
  1. 1. 515144 广东汕头,汕头潮南民生医院急诊科
  • 收稿日期:2018-02-24 出版日期:2018-04-18
  • 通信作者: 郑泽凯

Clinical effect of Jian Shen Ping Chuan decoction combined with salbutamol sulfate aerosol in treating chronic persistent asthma

Zekai Zheng1,(), Zeliang Zheng1   

  1. 1. Emergency department of Shantou Chaonan people’s livelihood hospital, Guangdong 515144, China
  • Received:2018-02-24 Published:2018-04-18
  • Corresponding author: Zekai Zheng
  • About author:
    Corresponding author: Zheng Zekai, Email:
引用本文:

郑泽凯, 郑泽亮. 健肾平喘汤联合硫酸沙丁胺醇气雾剂吸入治疗慢性持续期哮喘的效果[J/OL]. 中华卫生应急电子杂志, 2018, 04(02): 84-87.

Zekai Zheng, Zeliang Zheng. Clinical effect of Jian Shen Ping Chuan decoction combined with salbutamol sulfate aerosol in treating chronic persistent asthma[J/OL]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2018, 04(02): 84-87.

目的

评价健肾平喘汤联合硫酸沙丁胺醇气雾剂吸入治疗慢性持续期哮喘的效果。

方法

以汕头潮南民生医院2016年8月至2017年8月接受治疗的120例慢性持续期哮喘患者作为研究对象进行前瞻性随机对照研究,其中男性72例,女性48例;年龄4~65岁,平均(44.58±6.89)岁。采取等距随机抽样法将120例患者分为观察组和对照组,每组60例。对照组采用单纯硫酸沙丁胺醇气雾剂吸入治疗,观察组采用健肾平喘汤联合硫酸沙丁胺醇气雾剂吸入治疗。计算两组治疗总有效率,对比治疗前后两组患者用力呼气一秒量(FEV1)、用力肺活量(FEV)和最大呼气峰流速(PEF)的变化,评价两种治疗方案的临床治疗效果。

结果

观察组治疗总有效率为96.67%(58/60),显著高于对照组的83.33%(50/60),差异有统计学意义(P<0.05)。两组治疗前的肺功能指标差异无统计学意义(P>0.05),治疗后两组各项肺功能指标均得到一定程度的改善,但观察组肺功能改善明显优于对照组[FVC:(3.43±0.66)L∶(2.85±0.59)L,FEV1:(3.01±0.67)L∶(2.91±0.72)L,PEF:(3.51±0.42)L/s∶(2.56±0.45)L/s],差异有统计学意义(P均<0.05)。

结论

健肾平喘汤联合硫酸沙丁胺醇气雾剂可以有效缓解慢性持续期哮喘患者的临床症状,改善肺功能,宜广泛应用。

Objective

To evaluate the effect of the inhalation of healthy kidney ping chuan tang combined with salbutamol aerosol inhalation for chronic asthma.

Methods

A prospective randomized controlled study was conducted in 120 patients with chronic persistent asthma treated in shantou chaonan minsheng hospital from August 2016 to August 2017. There were 72 males and 48 females, aged 4 to 65 years old, with an average age of (44.58±6.89) years. This study was approved by the ethics committee of shantou chaoan minsheng hospital, and all patients and families fully informed consent and volunteered to participate in this study. An equidistant random sampling method was used to divide 120 patients into observation group and control group, with 60 cases in each group. The control group was treated by inhalation of salbutamol sulfate aerosol inhalation, and the observation group was treated with a combination of jianrenping and albuterol inhalation. Total effective rate of two groups were calculated respectively. The second forced expiratory volume (FEV1), forced vital capacity (FEV) and the maximum peak expiratory flow (PEF) before and after treatment in two groups were compared and the clinical therapeutic effect of two methods was evaluated.

Results

The total effective rate of treatment in the observation group was 96.67% (58/60), significantly higher than 83.33% (50/60) in the control group, and the difference was statistically significant (P<0.05). Two groups of patients before treatment there was no statistically significant difference of pulmonary function index (P>0.05), the two groups after treatment in patients with lung function index were improved to some extent, but the observation group of patients with lung function improved significantly better than that of control group (FVC: (3.43 ±3.43) L vs (2.85 ±0.59) L, FEV1: (3.01+ /-0.67) L vs (2.91+ 0.72) L, PEF: (3.51+ 3.51) L/s vs (2.56+ 0.45) L/s], the difference had statistical significance (P<0.05).

Conclusion

The combination of healthy kidney pingchuan tang and salbutamol aerosol can effectively relieve the clinical symptoms of patients with chronic asthma and improve lung function, and it should be widely used.

表1 两组慢性持续期哮喘患者治疗总有效率比较[例(%)]
表2 两组患者慢性持续期哮喘治疗前后的肺功能比较(±s)
1
部陶然.运脾补肺汤联合沙丁胺醇雾化吸入治疗慢性持续期支气管哮喘疗效观察[J].现代中西医结合杂志,2016,25(8):832-835.
2
胡亚洁,赵晓锦.定喘汤联合布地奈德福莫特罗吸入治疗支气管哮喘慢性持续期临床研究[J].山东中医杂志,2017,36(1):20-22.
3
陈颖.舒利迭联合射干麻黄汤治疗慢性持续期支气管哮喘疗效观察[J].现代中西医结合杂志,2016,25(11):1200-1202.
4
霍伟君.呋塞米混合地塞米松雾化对支气管哮喘及慢性阻塞性肺病急性期的治疗效果[J].岭南急诊医学杂志,2016,21(5):512-514.
5
陶聪,李倩.推拿联合自拟补肺定喘汤治疗哮喘慢性持续期患儿的疗效及对外周血巨噬细胞中Toll样受体表达的影响[J].现代中西医结合杂志,2017,26(20):2206-2209.
6
张毅,邓鸣,吕小辉,等.蛤芪定喘汤治疗支气管哮喘慢性持续期临床观察[J].中国中医急症,2015,24(1):77-79.
7
李惠华,张弛.运脾补肺汤治疗支气管哮喘慢性持续期疗效观察[J].陕西中医,2015,36(4):418-419.
8
孙淑芬,李春燕,仇延晴.平喘汤联合舒利迭治疗哮喘的临床疗效观察[J].中药材,2016,39(1):200-202.
9
樊长征,裴玉蓁,张文江,等.风邪恋肺在支气管哮喘慢性持续期中的认识和临床运用[J].中国医药导报,2016,13(1):102-105.
[1] 张启龙, 柳亿, 卢会丽, 罗慧, 李成林, 王菁, 王辉. 奥妥珠单抗治疗磷脂酶A2受体相关膜性肾病的疗效与安全性:单中心回顾性分析[J/OL]. 中华危重症医学杂志(电子版), 2024, 17(05): 379-384.
[2] 王杰, 袁泉, 王玥琦, 乔佳君, 谭春丽, 夏仲元, 刘守尧. 溃疡油在糖尿病足溃疡治疗中的应用效果及安全性观察[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(06): 480-484.
[3] 聂生军, 王钰, 王毅, 鲜小庆, 马生成. 复方倍他米松局部注射联合光动力疗法治疗小型瘢痕疙瘩的临床疗效观察[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(05): 404-410.
[4] 李义亮, 苏拉依曼·牙库甫, 麦麦提艾力·麦麦提明, 克力木·阿不都热依木. 机器人与腹腔镜食管裂孔疝修补术联合Nissen 胃底折叠术短期疗效分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 512-517.
[5] 周艳, 李盈, 周小兵, 程发辉, 何恒正. 不同类型补片联合Nissen 胃底折叠术修补食管裂孔疝的疗效及复发潜在危险因素[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 528-533.
[6] 王小琴, 汪丽, 崔建英. 无张力疝修补术治疗慢性肾功能衰竭合并腹股沟疝患者的疗效[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 538-542.
[7] 王亚岚, 倪婧, 余世庆, 陶银花, 张荣. 尼达尼布抗纤维化治疗特发性肺纤维化的耐受性和疗效预测因素分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(05): 750-755.
[8] 詹济玮, 蔡柳春, 温琼娜, 郭石生, 温春妹, 温鹤明. 布地格福联合噻托溴铵治疗AECOPD 的临床分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(05): 823-826.
[9] 魏孔源, 仵正, 王铮, 黎韡. 机器人胰腺中段切除后远端胰腺消化道不同重建方式初探[J/OL]. 中华腔镜外科杂志(电子版), 2024, 17(05): 295-300.
[10] 梁艳娉, 列诗韵, 王艺穗, 吴晓瑛, 林颖. 基于内镜操作细节记录系统构建胃底静脉曲张内镜下组织胶注射术的标准化管理方案[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(05): 705-709.
[11] 陈杰, 武明胜, 李一金, 李虎, 向源楚, 荣新奇, 彭健. 低位直肠癌冷冻治疗临床初步分析[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 494-498.
[12] 史彬, 司远. 益气和络方联合缬沙坦治疗气阴两虚兼血瘀证IgA 肾病的疗效观察[J/OL]. 中华肾病研究电子杂志, 2024, 13(06): 306-312.
[13] 韩俊岭, 王刚, 马厉英, 连颖, 徐慧. 维生素D 联合匹维溴铵治疗腹泻型肠易激综合征患者疗效及对肠道屏障功能指标的影响研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(06): 560-564.
[14] 阳跃, 庹晓晔, 崔子豪, 欧阳四民, 林海阳, 胡景宇, 胡银, 李涛, 赵景峰, 郝岱峰, 冯光. 改良“阅读者”皮瓣修复骶尾部压疮的疗效[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 751-755.
[15] 克地尔牙·马合木提, 胡波, 杨琼, 闫素, 胡岚卿, 高沛沛, 姚恩生. 依达拉奉右莰醇对急性脑梗死后认知功能障碍的疗效观察[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 459-466.
阅读次数
全文


摘要