小青龙汤加减治疗老年人慢性咳嗽外寒内饮型的临床观察

文章信息/Info

• Title:小青龙汤加减治疗老年人慢性咳嗽外寒内饮型的临床观察

• 卷期:2024年22卷17期

• 作者:黄军阳1范颖2※

• 1.烟台凤凰台医院中医科，山东烟台264000；2.荣昌生物制药（烟台）股份有限公司，山东烟台264000

• Author(s):1.Huang-Junyang 2.Fan-Ying

• 1.YantaiFenghuangtai Hospital Traditional Chinese Medicine; 2.Rongchang Biopharmaceutical (Yantai) Co., Ltd

• 关键词小青龙汤；慢性咳嗽；中西医结合疗法

• Keywords:Xiaoqinglong decoction; Chronic cough; Integrative therapies in traditional and Western Medicine

• 摘要:目的 探讨小青龙汤治疗老年人慢性咳嗽外寒内饮型的临床效果。方法 选取2021年9月—2022年5月就诊于烟台凤凰台医院门诊及住院部的60例外寒内饮型眩晕老年患者作为观察对象。将60例患者随机分为2组，每组30例，2组均常规支持、对症处理，其中治疗组给予小青龙汤加减及复方甘草口服溶液治疗，对照组仅给予复方甘草口服溶液治疗，观察两组的临床疗效和不良反应发生率。结果 治疗组总有效率为96.67%（29/30），明显高于对照组的76.67%（23/30）（P＜0.05）。治疗组不良反应发生率为3.33%（1/30），明显低于对照组的10.00%（3/30）（P＜0.05）。结论 小青龙汤加减联合复方甘草口服溶液治疗老年人外寒内饮型咳嗽的临床效果显著，能够有效改善患者的症状，值得临床推广采用。                                                                                                                                                                                

• Abstract To investigate the clinical effects of Xiao Qinglong Decoction on the treatment of external cold and internal drinking type of chronic cough in elderly patients.Methods:Sixty elderly patients with cold drinking vertigo who visited the outpatient and inpatient departments of the Phoenix Hospital of smoking platform from September 2021 to may 2022 were selected as observation subjects.A total of 60 patients were randomly divided into 2 groups, 30 in each group, and 2 groups were treated with routine support and symptomatic treatment, in which the treatment group was given Xiao Qinglong Decoction plus minus combined liquoriceoral solution treatment, and the control group was given only combined liquorice oral solution treatment, and the clinical efficacy and incidence of adverse reactions in the 2 groups were observed comparatively.Results:The overall response rate in the treatment group was 96.67% (29 / 30), which was significantly higher than the 76.67% (23 / 30) rate in the control group (P < 0.05).The incidence of adverse effects was 3.33% (1 / 30) in the treatment group, which was significantly lower than the incidence of 10.00% (3 / 30) in the control group (P < 0.05). Conclusion:Xiaoqinglong decoction combined with compound licorice oral solution has a significant clinical effect in treating cough of the elderly, which can effectively and rapidly improve the symptoms of patients, and is worthy of clinical promotion.

  咳嗽在基层医疗中是最常见病症之一，尤其我国北方入秋后气温逐渐降低，呼吸系统疾病发病率迅速升高，严重影响到人民群众的生活质量和幸福感。咳嗽根据发病时间可分为急性(3周内)、亚急性(3～8周)与慢性咳嗽(8周以上)[1]，其中慢性咳嗽因为病因复杂，难以迅速缓解，病情反复发作；在临床工作中多应用糖皮质激素、镇咳类药物对症治疗，效果一般，且副作用较多，也无法有效、长期的控制病情；而中医学以整体观念及辨证论治为指导原则[2]，在临床治疗老年人慢性咳嗽的过程中，经常取得更另患者满意的临床效果，深受人民群众好评。因此，基层临床中探索出一条疗效确切、副作用少的中西医结合治疗方案在社区临床工作中具有非常重要的意义。