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1、中醫(yī)辨證分期治療肺脾氣虛型鼻軌臨床療效觀察■馬甜甜第19卷第4期2017年4月JOURNALOFLIAONINGUNIVERSITYOFTCM遼寧中醫(yī)藥大學(xué)學(xué)報Vol.19No.4Apr.,2017DOI:10.13194/j.issn.l673-842x.2017.04.052中醫(yī)辨證分期治療肺脾氣虛型鼻軌臨床療效觀察馬甜甜(廣州中醫(yī)藥大學(xué),廣東?深圳?518000)冃的:探討屮醫(yī)辨證分期治療肺脾氣虛型鼻軌100例臨床療效觀察。方法:將2016年1月一2016年12摘要:月在我院耳鼻咽喉科門診治療的100例肺脾氣虛型鼻軌患者隨機分為兩組,對照組采用常規(guī)西醫(yī)治療;觀察組根據(jù)中陜
2、理論對肺脾氣虛型鼻軌分期論治,初期選用小青龍湯合玉屏風(fēng)散加減,中期選用玉屏風(fēng)散合蒼耳子散加減,后期選用玉屏風(fēng)散合金匱腎氣丸加減。比較兩組患者2周、6周治療效果、主癥、體征及兼癥改善效果。結(jié)果:觀察組治療2周后治療有效率為86%,顯著高于對照組的66%,差異有統(tǒng)計學(xué)意義(P<0.05);觀察組治療6周后治療有效率為94%,顯著高于對照組的78%,差異有統(tǒng)計學(xué)意義(P<0.05);觀察組治療2周、6周后鼻癢、噴嚏、流涕、鼻塞、體征、總分等各項癥狀、體征及總體癥狀較對照組明顯改善,差異有統(tǒng)計學(xué)意義(P<0.05);觀察組治療2周、6周后怕冷、咳嗽、納呆、便澹、乏力、
3、總分等兼癥改善情況較對照組明顯緩解,差異有統(tǒng)計學(xué)意義(P<0.05)o結(jié)論:中醫(yī)辨證分期治療肺脾氣虛型鼻軌效果顯著,體現(xiàn)了屮醫(yī)標(biāo)本緩急治則理論在臨床的良好應(yīng)用,效果持久穩(wěn)定,具有積極的臨床意義。關(guān)鍵詞:肺脾氣虛型鼻軌;中醫(yī)辨證分期治療;臨床療效(2017)04?中圖分類號:R765.21文獻標(biāo)志碼:A文章編號:1673-842X0174-04ClinicalObservationontheTreatmentofLung-spleen?QiDeficiencyTypeNasalDischargebyTCMSyndromeDifferentiationMATiantian(G
4、uangzhouUniversityofChineseMedicine,Shenzhen518000,Guangdong,China)Abstract:Objective:ToinvestigatetheclinicalcurativeeffectofTCMsyndromedifferentiationonatotalof100casesoflung?spleen?Qideficiencytypenasaldischarge.Methods:Atotalof100casesoflung-spleen?Qideficiencytypenasaldischargepatientsw
5、howeretreatedinourENTclinicwererandomlydividedintotwogroups:controlgroupandobservationgroup.ThecontrolgroupwastreatedwithconventionalWesternmedicine.Theobservationgroupwastreatedaccordingtolung-spleen?Qideficiencynasaldischargestagingtreatment.XiaoqinglongDecoctionandYupingfengSanwereusedfor
6、earlystagepatients;YupingfengSanandXanthiumwereusedformiddlestagepatients;YupingfengSanandJinkuiShengqiPillwereusedforlatestagepatients.Thetherapeuticeffect,mainsymptoms,signsandtheimprovementofsymptomswerecomparedbetweentwogroups.Results:Theeffectiverateoftheobservationgroupwas86%,sigrdfica
7、ntlyhigherthan66%ofthecontrolgroupafter2weeksoftreatment(P<0.05)?Theeffectiverateofthetreatmentgroupwas94%,significantlyhigherthan78%ofthecontrolgroupafter6weeksoftreatment(P<O.O5)?Thesymptomsincludingnasalitching,sneezing,runnynose,nasalcong