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[目的]观察麻黄汤联合西药治疗尘肺并发支气管炎疗效。[方法]使用随机平行对照方法,将40例患者按病志号抽签方法简单随机分为两组。对照组20例镇咳、祛痰、平喘、抗感染,急支糖浆、复方氯化铵合剂、喹诺酮类及大环类酯类药物。治疗组20例麻黄汤:厚朴、麻黄、石膏、杏仁、半夏各10g,甘草、细辛各5g、小麦15g,干姜6g;痰湿壅肺、痰湿犯肺加云茯苓,风燥伤肺加梨皮和沙参,风热伤肺加桑叶和芦根,风寒束肺加荆芥、百部、紫苑,1剂/d,早晚分服;西药治疗同对照组。连续治疗2个月为1疗程。观测临床症状、咳嗽、咳痰、肺部湿啰音、痰鸣音、残气量、呼气量、最大通气量、不良反应。治疗1疗程(2个月),判定疗效。[结果]治疗组显效11例,有效6例,无效3例,总有效率85.00%;对照组显效6例,有效7例,无效7例,总有效率65.00%;临床疗效两组具有等效性(P>0.05)。残气量、呼气量、最大通气量两组均明显改善(P<0.01),治疗组改善优于对照组(P<0.01)[结论]麻黄汤联合西药治疗尘肺并发支气管炎与单纯西药治疗在总有效率方面具有等效性,改善肺功能(残气量、呼气量、最大通气量等)具有显著优势,无严重不良反应,值得推广。
[Objective] To observe the curative effect of Mahuang Decoction combined with western medicine on pneumoconiosis complicated with bronchitis. [Method] Using randomized parallel control method, 40 patients were randomly divided into two groups randomly according to the method of lot drawing of disease sign. The control group of 20 cases of antitussive, expectorant, asthma, anti-infection, acute bronchitis syrup, compound ammonium chloride mixture, quinolones and macrocyclic ester drugs. Treatment group, 20 cases of ephedra soup: Magnolia officinalis, Ephedra, gypsum, almonds, Pinellia each 10g, licorice, Asarum each 5g, wheat 15g, ginger 6g; phlegm damp lung, phlegm damp lung plus cloud Poria, Injured lung plus pear skin and Radix, wind and heat injury lung plus mulberry leaves and reed rhizome, wind beam of lung plus Nepeta, one hundred, Aster, 1 / d, morning and evening points; western medicine treatment with the control group. Continuous treatment for 2 months as a course of treatment. Observation of clinical symptoms, cough, sputum, lung wet rales, phlegm, residual volume, expiratory volume, maximum ventilation, adverse reactions. Treatment 1 course of treatment (2 months), determine the efficacy. [Results] In the treatment group, 11 cases were markedly effective, 6 cases were effective, 3 cases were ineffective, and the total effective rate was 85.00%. In the control group, 6 cases were markedly effective, 7 cases effective, 7 cases ineffective, and the total effective rate was 65.00% (P> 0.05). (P <0.01), the treatment group improved better than the control group (P <0.01) [Conclusion] Mahuang decoction combined with western medicine in treating pneumoconiosis complicated with bronchitis and Western medicine alone The total efficiency is equivalent, to improve lung function (residual volume, expiratory volume, maximum ventilation, etc.) has significant advantages, no serious adverse reactions, it is worth promoting.