杏苏止咳糖浆联合茶碱缓释片治疗慢性支气管炎临床研究
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Clinical Study on Xingsu Pectoral Syrup Combined with Theophylline Sustained- Release Tablets for Chronic Bronchitis
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    摘要:

    目的:观察杏苏止咳糖浆联合茶碱缓释片治疗慢性支气管炎的临床疗效。方法:将150 例慢性支气管炎患者按随机数字表法分为对照组和研究组各75 例。对照组给予茶碱缓释片治疗,研究组给予杏苏止咳糖浆联合茶碱缓释片治疗。2 组均连续治疗4 周,治疗结束后比较2 组治疗前后炎症因子水平、血管收缩功能及血氧浓度;比较2 组临床症状消失时间和住院时间。结果:治疗前,2 组白细胞介素-2(IL-2)、白细胞介素-6(IL-6)、超敏C-反应蛋白(hs-CPR) 水平比较,差异无统计学意义(P>0.05)。治疗后,2 组IL-2 水平较治疗前升高(P>0.05),IL-6、hs-CPR 水平较治疗前降低(P>0.05);且研究组各项指标改善较对照组更显著(P<0.05)。治疗前,2 组血浆内皮素-1(ET-1) 水平比较,差异无统计学意义(P>0.05);治疗后,2 组ET-1 水平较治疗前降低(P<0.05),且研究组ET-1 水平低于对照组(P<0.05)。治疗前,2 组血氧饱和度(SaO2)、血氧分压(PaO2)、血二氧化碳分压(PaCO2) 水平比较,差异无统计学意义(P>0.05);治疗后,2 组SaO2 水平与治疗前比较,差异无统计学意义(P>0.05);2 组PaO2 水平较治疗前升高(P<0.05)、PaC02 水平较治疗前降低(P<0.05),且研究组2 项指标改善较对照组更显著(P<0.05)。治疗后,2 组咳嗽、咳痰、喘息缓解时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。结论:杏苏止咳糖浆联合茶碱缓释片治疗慢性支气管炎效果理想,能快速缓解临床症状,改善患者血氧浓度及血管收缩功能,减轻炎症反应,从而缩短住院时间。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Xingsu pectoral syrup combined with theophylline sustainedrelease tablets for chronic bronchitis. Methods:A total of 150 cases of patients with chronic bronchitis were divided into the control group and the study group according to the random number table method,75 cases in each group. The control group was treated with theophylline sustained- release tablets, and the study group was treated with Xingsu pectoral syrup combined with theophylline sustained- release tablets. Both groups were treated for four weeks. Before and after treatment,the levels of inflammatory factors,vasoconstriction and blood oxygen concentration in the two groups were compared. After treatment,the disappearance time of clinical symptoms and the lengths of hospital stay in the two groups were compared. Results:Before treatment,there was no significant difference being found in the comparison of the levels of interleukin-2(IL-2),interleukin-6(IL-6) and hypersensitive C-reactive protein(hs-CPR) between the two groups(P>0.05). After treatment,the levels of IL-2 in the two groups were increased when compared with those before treatment(P>0.05), and the levels of IL-6 and hs-CPR were decreased(P>0.05);the improvement of each index in the study group was more significant than that in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of plasma endothelin-1(ET-1) levels between the two groups(P>0.05). After treatment,ET-1 levels in the two groups were decreased when compared with those before treatment(P<0.05),and the level in the study group was lower than that in the control group(P<0.05). Before treatment,there were no significant difference being found in the comparison of the levels of blood oxygen saturation(SaO2),partial pressure of blood oxygen(PaO2) and partial pressure of carbon dioxide (PaCO2) between the two groups(P>0.05). After treatment, there was no significant difference being found in the comparison of SaO2 levels between the two groups(P>0.05);PaO2 levels in the two groups were increased when compared with those before treatment(P<0.05), and PaCO2 levels were decreased(P<0.05); the improvement of the above two indexes in the study group were more significant than that in the control group(P<0.05). After treatment,the relief time of coughing,expectoration and wheezing as well as the lengths of hospital stay in the two groups were shorter than those in the control group, the difference being significant(P<0.05). Conclusion: The therapy of Xingsu pectoral syrup combined with theophylline sustained- release tablets has an ideal effect in treating chronic bronchitis, which can quickly relieve clinical symptoms,improve the blood oxygen concentration and vasoconstriction in patients,reduce inflammatory responses,thus shortening the length of hospital stay.

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吴保民.杏苏止咳糖浆联合茶碱缓释片治疗慢性支气管炎临床研究[J].新中医,2021,53(14):64-67

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  • 在线发布日期: 2021-07-24
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