辛开苦降法治疗胃咳的临床观察

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1、提要目的：探讨辛开苦降法在胃咳治疗中的应用，拓展传统的“辛开苦降”的意义及其在临床的应用范围，以期更好的指导胃咳的临床用药和疗效评估。方法：临床选择符合纳入标准的患者60例，随机分为治疗组（30例）和对照组（30例）。治疗组给予以辛开苦降法为原则自拟的中药方剂治疗，对照组给予奥美拉唑肠溶软胶囊和阿斯美（复方甲氧那明胶囊）治疗，疗程均为4周，观察治疗前后的两组患者临床症状、体征的变化。结果：临床研究显示，治疗组总有效率为90%，对照组总有效率为73.3%，经统计学分析两组间疗效有显著性差异（P＜0.05）。与治

2、疗前相比，治疗后两组患者症状明显改善，有显著性差异（P＜0.05），具有统计学意义。治疗后两组组间症状积分比较有显著性差异（P＜0.05）。治疗组中药在治疗过程中未发现毒性及不良反应。结论：辛开苦降法为治疗胃咳的有效方法，能够改善患者的症状、体征，为胃咳的诊疗提供了新的思路和方法。关键词辛开苦降法；胃咳；临床观察ClinicalObservationonTreatmentofGastricCoughbyXinkaikujiangmethodSpeciality:internalmedicineofTCMAut

3、hor:DINGMing-shengTutor:ProfessorCHENXian-haiAbstractObjective:ExploretheapplicationofXinkaikujiangmethodinthegastriccoughtreatment,expandingthetraditionalsenseofXinkaikujiangmethodanditsclinicalsignificanceapplications,withexpectingbetterguidanceonclinical

4、medicationandcurativeeffectevaluationofchroniccough.ResearchMethods:Selected60casesmeetingtheclinicstudystandard,anddividedthemintotreatmentgroup(30cases)andcontrolgroup(30cases)randomly.ThetreatmentgroupwasgivenBanxiaxiexinDecoctionandCoughPowder.Thecontro

5、lgroupwasgivenOmeprazoleSodiumEnteric-coatedCapsulesandASMETON(CompoundMethoxyphenamineCapsules)treatment.Thecoursesarefor12weeks.Thechangesoftreatmentgroupandcontrolgroupsymptomscoresbeforeandaftertreatmentwereobserved.Results:Clinicalstudyshowsthataftertr

6、eatmentthepatients’symptomscoresarelowerthanbeforesignificantly,andthedifferencewasstatisticallysignificant(P<0.05).Totaleffectiverateforthetreatmentgroupis90%,andthatofcontrolgroupis73.3%,statisticallysignificantdifferentinanalysisofp<0.05.Thetreatmentofth

7、egroupoftraditionalChinesemedicineissafeandhasnon-toxicsideeffects.Conclusion:Clinically,gastriccoughisusuallymisdiagnosed.Modernmedicaldiagnosisiscomplex,andpatients’complianceispoor.Althoughanti-refluxtreatmentofwesternmedicineisquick,itrelapseseasily.Und

8、ertheguidanceofthetheoryofTraditionalChineseMedicine,Xinkaikujiangmethodiseffectiveforthetreatmentofgastriccough;improvementofsymptomsandsignsintreatmentgroupisobviousthanthatofthecontrolgroup,anditiss