大柴胡汤合桂枝茯苓丸治疗痰瘀互结型支气管哮喘临床研究
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R562.25

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浙江省温州市科技计划项目(Y20210241);浙江省中医药科技计划项目(2024ZL995)


Clinical Study on Dachaihu Decoction Combined with Guizhi Fuling Pills for Bronchial Asthma of Phlegm Blended with Stasis Type
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    摘要:

    目的:观察大柴胡汤合桂枝茯苓丸治疗痰瘀互结型支气管哮喘的临床疗效及其对肺功能、脑源性 神经营养因子(BDNF)、神经激肽A (NKA)、P物质(SP) 水平的影响。方法:选取2021年7月—2022年 12月浙江中医药大学附属温州市中医院60名痰瘀互结型支气管哮喘患者,按随机数字表法分为对照组和治疗 组各30例。对照组接受沙美特罗加替卡松吸入治疗,治疗组采用大柴胡汤合桂枝茯苓丸治疗。比较2组临床疗 效,比较2组哮喘控制测试(ACT) 评分、肺功能指标[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、 最大呼气流量(PEF)] 及BDNF、NKA、SP 水平。结果:治疗组总有效率93.3% (28/30),高于对照组 73.3%(22/30)(P<0.05)。治疗后,2组ACT评分均升高(P<0.05),且治疗组高于对照组(P<0.05)。治疗 后,2 组FEV1、FVC、PEF 均升高(P<0.05),且治疗组高于对照组(P<0.05)。治疗后,2 组血清BDNF、 NKA、SP水平均下降(P<0.05),且治疗组低于对照组(P<0.05)。结论:大柴胡汤合桂枝茯苓丸治疗痰瘀互 结型支气管哮喘有明显的疗效,能提高肺功能及血清BDNF、NKA、SP水平。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the combination use of Dachaihu Decoction and Guizhi Fuling Pills on bronchial asthma of phlegm blended with stasis type and its effect on the lung function,brain-derived neurotrophic factor (BDNF), neurokinin A (NKA) and substance P (SP). Methods: A total of 60 patients with bronchial asthma of phlegm blended with blood stasis type admitted to the Wenzhou TCM Hospital of Zhejiang Chinese Medical University from July 2021 to December 2022 were selected and 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 inhalation therapy of Salmeterol Fluticasone, and the treatment group was treated with Dachaihu Decoction combined with Guizhi Fuling Pills. The clinical effects, the scores of Asthma Control Test (ACT), the levels of lung function indexes [forced expiratory volume in the first second (FEV1), forced vital capacity (FVC) and peak expiratory flow( PEF)] and the levels of BDNF,NKA and SP were compared between the two groups. Results:The total effective rate was 93.3% (28/30) in the treatment group, higher than that of 73.3% (22/30) in the control group (P<0.05). After treatment,the ACT scores in the two groups were elevated (P<0.05),and the ACT score in the treatment group was higher than that in the control group (P<0.05). After treatment,the FEV1,FVC and PEF in the two groups were increased (P<0.05), and the above three indexes in the treatment group were higher than those in the control group( P<0.05). After treatment,the levels of serum BDNF,NKA and SP in the two groups were reduced( P<0.05), and the above three levels in the treatment group were lower than those in the control group (P<0.05). Conclusion: The combination use of Dachaihu Decoction and Guizhi Fuling Pills has a significant curative effect on bronchial asthma of phlegm blended with stasis type,which can improve the lung function and the levels of serum BDNF,NKA and SP.

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潘锟镭,黄曦,黄约诺,郑陈月,郑青秀,刘刚.大柴胡汤合桂枝茯苓丸治疗痰瘀互结型支气管哮喘临床研究[J].新中医,2025,57(7):51-55

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  • 在线发布日期: 2025-04-09
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