R256.19
目的:观察麻杏石甘汤加减治疗风温肺热病痰热壅肺证的临床疗效及对血清胱抑素 C(CysC)、中性粒细胞碱性磷酸酶(NAP)的影响。方法:选取 115 例风温肺热病痰热壅肺证患者,按随机数字表法分为研究组 58 例和对照组 57 例。对照组给予常规对症治疗,研究组在对照组基础上给予麻杏石甘汤加减治疗,2 组均连续治疗 7 d。比较 2 组临床疗效及治疗前后血清 CysC 水平、NAP 积分,记录 2 组不良反应。结果:研究组总有效率为 96.55%,高于对照组的 84.21%,差异有统计学意义(P<0.05)。治疗后,研究组血清 CysC 水平及 NAP 积分均明显低于对照组,差异均有统计学意义(P<0.05)。研究组有 1 例患者出现腹泻症状并自行缓解,对照组无不良反应发生。结论:麻杏石甘汤加减治疗风温肺热病痰热壅肺证疗效较好,能明显降低患者的血清 CysC、NAP 水平,且治疗安全性高。
Abstract:Objective:ToobservetheclinicaleffectofmodifiedMaxingShigantangforwind-warmthandlungheat diseasewithphlegm-heatobstructingthelungsyndromeanditseffectoncystatinC(CysC)andneutrophilalkaline phosphatase(NAP)inserum. Methods:Atotalof 115 casesofpatientswithwind-warmthandlungheatdiseasewith phlegm-heatobstructingthelungsyndromeweredividedintothestudygroupandthecontrolgroupaccordingtotherandom numbertablemethod, 58 and 57 casesineachgrouprespectively.Thecontrolgroupwasgivenroutinesymptomatic treatment,andthestudygroupwasadditionallytreatedwithmodifiedMaxingShigantangbasedonthetreatmentofthe controlgroup.Bothgroupsweretreatedforsevendays.ThelevelsofCysCinserumandthescoresofNAPbeforeandafter treatmentaswellastheclinicaleffectinthetwogroupswerecompared.Theadversereactionsinthetwogroupswere recorded. Results:Thetotaleffectiveratewas 96.55%inthestudygroup,higherthanthatof 84.21%inthecontrolgroup, thedifferencebeingsignificant(P<0.05).Aftertreatment,thelevelofCysCinserumandtheNAPscoreinthestudygroup weresignificantlylowerthanthoseinthecontrolgroup,differencesbeingsignificant(P<0.05).Therewasonecaseofpatient whowaswithsymptomsofdiarrheaandrelievedbyhimselfinthestudygroup,andtherewasnoadversereactioninthe controlgroup. Conclusion:ModifiedMaxingShigantanghasgoodcurativeeffectintreatingwind-warmthandlungheat diseasewithphlegm-heatobstructingthelungsyndrome,whichcansignificantlyreducethelevelsofserumCysCandNAP inpatientswithhighsafety.
吕洪波,吕顺武,薛军堂.麻杏石甘汤加减治疗风温肺热病痰热壅肺证临床研究[J].新中医,2021,53(8):19-21