连花清瘟胶囊联合磷酸奥司他韦治疗热毒犯肺证甲型H1N1 流感临床研究
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R511.7

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Clinical Study on Lianhua Qingwen Capsules Combined with Oseltamivir Phosphate for Influenza A(H1N1) with Heat Toxin Invading the Lung Syndrome
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    摘要:

    目的:观察连花清瘟胶囊联合磷酸奥司他韦治疗热毒犯肺证甲型H1N1 流感的效果。方法:选取 热毒犯肺证甲型H1N1 流感患者60 例,按随机数字表法颗粒分为对照组和治疗组各30 例。对照组予磷酸奥司 他韦颗粒治疗,治疗组在对照组的基础上给予连花清瘟胶囊治疗。2 组均连续治疗5 d。比较2 组主要症状体 征消失时间、病毒转阴率、热毒犯肺证证候评分。结果:观察组总有效率为96.67%,对照组为73.33%,2 组 比较,差异有统计学意义(P<0.05)。治疗组咳嗽、咽痛、乏力消失时间均显著短于对照组,差异有统计学意 义(P<0.05)。治疗组病毒转阴率为93.33%,明显高于对照组的70.00%,差异有统计学意义(P<0.05)。治 疗前,2 组咳嗽、胸痛、呼吸困难、口唇紫绀、口渴多饮、小便黄赤等证候评分比较,差异无统计学意 义(P>0.05);治疗后,2 组上述各项热毒犯肺证证候评分均较治疗前明显下降(P<0.05),且治疗组各项评 分均明显低于对照组(P<0.05)。结论:在磷酸奥司他韦颗粒治疗的基础上,加用连花清瘟胶囊治疗热毒犯肺 证甲型H1N1 流感有助于患者症状体征和中医证候的改善,提高流感病毒转阴率。

    Abstract:

    Abstract: Objective: To observe the curative effect of Lianhua Qingwen Capsules combined with Oseltamivir Phosphate Granules for influenza A(H1N1) with heat toxin invading the lung syndrome. Methods:A total of 60 cases of patients with influenza A(H1N1) with heat toxin invading the lung syndrome were divided into the control group and the treatment group according to the random number table method, with 30 cases in each group. The control group was treated with Oseltamivir Phosphate Granules,and the treatment group was additionally treated with Lianhua Qingwen Capsules based on the treatment of the control group. Both groups were treated for five days. The disappearance time of main symptoms and signs,the negative conversion rate of virus and the scores of heat toxin invading the lung syndrome were compared between the two groups. Results: The total effective rate was 96.67% in the observation group and 73.33% in the control group, the difference being significant(P<0.05). The disappearance time of cough,sore throat and fatigue in the treatment group was significantly shorter than that in the control group, the difference being significant(P<0.05). The negative conversion rate of virus was 93.33% in the treatment group, significantly higher than that of 70.00% in the control group, the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of the scores of heat toxin invading the lung syndrome including cough, chest pain, dyspnea,cyanosis of lips,thirst and polydipsia,and dark urine between the two groups(P>0.05). After treatment, the scores of the above traditional Chinese medicine syndromes in the two groups were significantly decreased when compared with those before treatment(P<0.05), and the scores in the treatment group were significantly lower than those in the control group(P<0.05). Conclusion: Based on Oseltamivir Phosphate Granules,the additional application of Lianhua Qingwen Capsules for patients with influenza A(H1N1) with heat toxin invading the lung syndrome can help improve their symptoms and signs, traditional Chinese medicine syndromes and negative conversion rate of influenza virus.

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甘婷婷,沈文强.连花清瘟胶囊联合磷酸奥司他韦治疗热毒犯肺证甲型H1N1 流感临床研究[J].新中医,2023,55(2):69-72

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  • 在线发布日期: 2023-01-29
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