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[目的]观察厚朴麻黄汤、按摩联合西药治疗老年慢性支气管炎疗效。[方法]使用随机平行对照方法,将80例门诊及住院患者按抽签法分为两组。对照组40例常规西药治疗,吸氧、抗炎及支气管舒张治疗,呼吸道顺畅,足够营养支持。治疗组40例厚朴麻黄汤(麻黄12g,五味子、厚朴、石膏、半夏各10g,甘草5g,杏仁10g;舌苔黄腻加佩兰、砂仁各10g;寒痰且病情较重,石膏减量,另取干姜10g;咳嗽严重加金银花8g,枇杷叶、浙贝母各10g;外寒内热、口渴心慌加黄芪、桑白皮各10g;久病脾虚加甘草炙、白术、党参各10g),1剂/d,水煎200m L,早晚口服;按摩:手掌心按摩风池穴,食指按摩迎香穴,以强壮固本,频率为35~60/min,1~4min/次,1次/d;西药治疗同对照组。连续治疗30d为1疗程。观测临床症状、影像学检查、支气管肺部阴影、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效30例,有效8例,无效2例,总有效率95.00%。对照组显效18例,有效7例,无效15例,总有效率62.50%。治疗组疗效优于对照组(P<0.05)。[结论]厚朴麻黄汤、按摩联合西药治疗老年慢性支气管炎效果显著,值得推广。
[Objective] To observe the curative effect of Magnolia officinalis Decoction and massage combined with Western medicine on senile chronic bronchitis. [Methods] Using randomized parallel control method, 80 outpatients and inpatients were divided into two groups by lottery. Control group of 40 cases of conventional western medicine, oxygen, anti-inflammatory and bronchial diastolic treatment, respiratory tract smooth, adequate nutrition support. The treatment group 40 cases of Magnolia officinalis soup (ephedra 12g, Schisandra, Magnolia, gypsum, Pinellia each 10g, licorice 5g, almonds 10g; yellow greasy plus Perrin, Amomum 10g; Amount, and the other to take ginger 10g; cough plus honeysuckle 8g, loquat leaf, Fritillaria 10g; cold outside the heat, thirst and palpitation Astragalus, Morus alba 10g; chronic illness Spleen plus licorice Sunburn, Atractylodes, Codonopsis 10g), 1 dose / d, decoction 200m L, sooner or later oral; massage: palm heart massage Fengchi acupoints massage Yingxiang points to a strong solid, the frequency of 35 ~ 60 / min, 1 times / d; Western medicine treatment with the control group. Continuous treatment of 30d for a course of treatment. Observation of clinical symptoms, imaging examination, bronchial lung shadow, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Result] In the treatment group, 30 cases were markedly effective, 8 cases were effective, 2 cases were ineffective, and the total effective rate was 95.00%. In the control group, 18 cases were markedly effective, 7 cases effective, 15 cases ineffective, and the total effective rate was 62.50%. The treatment group was better than the control group (P <0.05). [Conclusion] Magnolia officinalis Decoction, massage combined with Western medicine treatment of senile chronic bronchitis significant effect, it is worth promoting.