郑惠之 黄梅 马一丹 赵荣

【摘 要】 目的：观察西药联合自拟止咳平喘汤治疗慢性支气管炎急性发作期的临床疗效。方法：选取慢性支气管炎急性发作期中医辨证为风寒袭肺型患者60例，随机分为对照组和治疗组各30例，对照组给予常规西药治疗，治疗组在对照组的治疗基础上加用自拟止咳平喘汤，比较两组临床疗效，咳嗽、咯痰、喘息消失时间。结果：治疗后治疗组总有效率明显高于对照组（P<0.05）；治疗组咳嗽、咯痰、喘息消失时间均低于对照组（P<0.05）。结论：西药联合自拟止咳平喘汤治疗慢性支气管炎急性发作期效果明显，值得临床应用推广。

【关键词】 慢性支气管炎；急性发作期；止咳平喘汤

【中图分类号】R562.2+1 【文献标志码】 A【文章编号】1007-8517（2018）04-0075-02

Abstract：Objective To observe the clinical effect of acute attack stage of chronic bronchitis treated by western medicine combined with Zhike Pingchuan decoction.Methods Choosed 60 patients with acute attack stage of chronic bronchitis were randomly divided into treatment group and control group with 30 cases in each.The control group were treated by west medicine，the treatment group were treated by Zhike Pingchuan decoction on the basis of control group treatment.The time when cough，sputum and breathing before and after treatment were observed and clinical effect was evaluated.Results The total effective rate in treatment group was higher than that in control group（P<0.05）.The time when cough，sputum and breathing of treatment group was less than that in control group（P<0.05）.Conclusion The effect of acute attack stage of chronic bronchitis treated by western medicine and Zhike Pingchuan decoction western is remarkable，is worthy of clinical application.

Keywords：Chronic Bronchitis； Acute Attack Stage； Zhike Pingchuan Decoction

慢性支氣管炎是临床常见病，病因尚不完全清楚，可能是在多种因素的影响下引起的气管、支气管黏膜及周围组织的慢性非特异性炎症，以反复咳嗽、咳痰为主要临床表现[1]。该病为临床多发病，50岁以上人群患病率在15%以上[2]，通常缓慢起病，病程长，反复急性发作而病情加重。急性加重期时咳喘等症状加重，若治疗不当，咳嗽咯痰等症状迁延不愈，最终可导致慢性阻塞性肺病、呼吸衰竭等，严重影响患者的生活质量[3]。临床治疗主要以抗感染、止咳化痰、平喘等为主，但不良反应较多[4]，而中医治疗呼吸系统疾病有独特优势，笔者在西医常规治疗的基础上加用自拟止咳平喘汤，取得较好效果，现报告如下。

1 资料与方法

1.1 一般资料 选择我院2016年2月至2017年2月收治的慢性支气管炎急性发作期患者60例，随机分为对照组和治疗组各30例。对照组中男17例，女13例；年龄48～64岁，平均（59.4±3.8）岁；病程4～19年，平均 （7.9±2.2） 年。治疗组中男16例，女14例，年龄45～63 岁，平均（60.5±3.2）岁；……