陈曦　王志颖

[摘要] 目的 研究苏黄止咳胶囊治疗慢性支气管炎急性发作期的临床效果。 方法 选取2015年8月～2017年5月我院收治的92例慢性支气管炎急性发作期患者进行分组研究，按照随机偶数奇数法分为对照组（n=46）和治疗组（n=46），对照组给予氨茶碱、盐酸氨溴索进行治疗，治疗组在对照组治疗基础上給予苏黄止咳胶囊进行治疗，对两组各临床症状、肺功能改善情况及整体治疗效果进行评比。 结果 对照组咳嗽、喘息、咯痰及肺部啰音消失时间均明显长于治疗组，差异有统计学意义（P<0.05）；两组治疗后FEV1、FEV1/FVC、FVC等肺功能指标改善效果比较，治疗组均明显优于对照组（P<0.05）；治疗组的临床治疗总有效率高于对照组，差异有统计学意义（P<0.05）。结论 苏黄止咳胶囊可有效缓解慢性支气管炎急性发作期临床症状，改善肺功能，提高临床治疗效果，具有积极的临床采纳和推广意义。

[关键词] 慢性支气管炎；苏黄止咳胶囊；急性发作期； 咳嗽；喘息

[中图分类号] R562.21 [文献标识码] B [文章编号] 1673-9701（2017）26-0096-03

Clinical effect of Suhuang Zhike Capsule in treating acute attack of bronchitis

CHEN Xi WANG Zhiying

Department of Respiratory Oncology， Lishui City Traditional Chinese Medicine Hospital in Zhejiang Province， Lishui 323000， China

[Abstract] Objective To study the clinical effect of Suhuang Zhike Capsule in the treatment of acute attack of bronchitis. Methods A total of 92 patients with acute attack of chronic bronchitis in our hospital from August 2015 to May 2017 were selected and divided into control group（n=46） and treatment group（n=46）， according to the random even number odd method. The control group was given aminophylline， ambroxol hydrochloride treatment， and the treatment group was treated with Suhuang Zhike Capsule based on the treatment of the control group. The clinical symptoms， improvement of lung function and overall treatment effect between the two groups were evaluated. Results The time of disappearance of cough， pant， expectoration and pulmonary rales in the control group was significantly longer than that in the treatment group（P<0.05）. The improvement effect of lung function indexes including FEV1， FEV1/FVC and FVC in the treatment group was significantly better than that in the control group after treatment（P<0.05）. Conclusion Suhuang Zhike Capsule can effectively relieve the clinical symptoms of acute attack of chronic bronchitis， improve lung function and the clinical treatment effect， which has positive clinical application and popularization significance.

[Key words] Chronic bronchitis； Suhuang Zhike Capsule； Acute attack； Cough； Pant

慢性支气管炎是多种因素共同导致的，其主要是指支气管黏膜及其周围组织、气管等发生非特异性的慢性炎症，患者典型症状表现以哮喘、咳嗽、咳痰、呼吸困难为主，若治疗不及时或治疗方法不当，随着病情的不断加重，会引起慢性肺心病或慢性阻塞性肺病（肺气肿）[1，2]。以慢性支气管炎的特点为依据，具体可将其分为3个时期，即，慢性迁延期、缓解期、急性发作期，以往临床多采用具有镇咳平喘、抗菌化痰的西药为慢性支气管炎进行发作期患者治疗，虽然其近期疗效比较理想，但副作用比较大，而中西医结合的治疗方法则具有效果显著、安全性高等优点[3，4]。中西医结合疗法克服了单纯使用西药治疗的缺陷，提高了临床疗效。慢性支气管炎患者常外感六淫诱发，导致内外合邪而病。……