廖定华

（广东省惠州市桥西街道麦地社区卫生服务中心，广东 惠州 516008）

罗浮山百草油吸入法联合加味止嗽散治疗感冒后咳嗽疗效观察

廖定华

（广东省惠州市桥西街道麦地社区卫生服务中心，广东 惠州 516008）

目的探讨罗浮山百草油吸入法联合加味止嗽散辨证治疗感冒后咳嗽的临床疗效。方法 将收治的感冒后咳嗽患者200例随机分成两组，各100例。观察组以罗浮山百草油吸入法联合加味止嗽散临证加减，吸入百草油，每天3次，中药汤剂水煎服，1天1剂；对照组仅以加味止嗽散水煎服。两组疗程均为7 d。结果 观察组总有效率为92．00%，明显高于对照组的76．00(P＜0．05)；观察组患者平均退热时间和止咳时间均短于对照组(P＜0．05）。结论 罗浮山百草油吸入法联合加味止嗽散治疗感冒后咳嗽的疗效明显优于单用加味止嗽散，值得临床推广。

感冒；咳嗽；罗浮山百草油；加味止嗽散

Abstract:Objective To investigate the clinical effect of Luofushan Baicao Oil combined with modified Zhisou San in treating cough due to colds．M ethods Totally 200 patients with cough due to colds admitted to our hospital were random ly divided into two groups,100 cases in each group．The observation group was given Luofushan Baicao Oil combined with modified Zhisou San,patients inhaled Baicao Oil,3 times per day,traditional Chinese medicine decoction was decocted in water for oral dose,1 dose per day．The control group was only given modified Zhisou San,which was decocted in water for oral dose．The two groups were treated for 7 days．Results The total effective rate of the observation group was 92．00%,which was significantly higher than 76．00% of the control group(P＜0．05)．The average antipyretic time and cough time in the observation group were shorter than those in the control group(P＜0．05)．Conclusion The effect of Luofushan Baicao oil combined with modified Zhisou San in treating cough due to colds is obviously superior to the only use of modified Zhisou San．It is worthy of clinical promotion．

Key words:cold;cough;Luofushan Baicao Oil;modified Zhisou San

感冒后咳嗽是指患者发热、鼻塞、流涕、咽痛等急性期症状消失后咳嗽仍迁延不愈的一种独立性疾病，多表现为刺激性干咳或咳少量白色黏液痰，持续3～8周，甚至更长时间，胸部X线摄片显示无异常。目前，感冒后咳嗽的发病机制尚不十分明确，可能是由于感染引起的气道非特异性炎症，气道上皮损伤脱落，上皮下感觉神经暴露，黏膜充血水肿，炎性细胞浸润和炎性递质释放，从而刺激咳嗽感受器[1]。目前，患者使用多种抗菌药物治疗后仍难以彻底根除，造成抗菌药物滥用增加了交叉感染的机会，逐渐转变成了慢性咳嗽。……