自拟利咽止咳汤治疗咽源性咳嗽68例
【摘要】咳嗽是临床常见症状,在呼吸内科门诊,约80-90%的病人是以咳嗽为首发症状,排除心肺及支气管疾患,咽源性咳嗽比较常见。有时口服西药及输液治疗效果欠佳。我在临床实践中自拟利咽止咳汤加减治疗取得了较好的疗效。
【关键词】咳嗽;自拟咽止咳汤;疗效
From plans the advantage to swallow relieves a cough the soup treatment to swallow the source cough 68 examples
Cun Junhai1Wang Jixin2
【Abstract】The cough is the clinical common symptom, in the breath internal medicine department outpatient service, the approximately 80-90% patients is take the cough as the first round symptom, removes cardiopulmonary and the bronchial tube illness trouble, swallows the source cough to be quite common. Sometimes takes orally the western medicine and the solution treatment result is unsatisfactory. I from planned the advantage in the clinical practice to swallow relieve a cough the soup addition and subtraction treatment to obtain the good curative effect.
, 百拇医药
【Key words】Cough; From plans to swallow relieves a cough the soup; Curative effect
【中图分类号】R276【文献标识码】B【文章编号】1002-574X(2010)07-0181-01
咳嗽是临床常见症状,在呼吸内科门诊,约80-90%的病人是以咳嗽为首发症状,排除心肺及支气管疾患,咽源性咳嗽比较常见。有时口服西药及输液治疗效果欠佳。我在临床实践中自拟利咽止咳汤加减治疗取得了较好的疗效。现报告如下:
1临床资料
1.1一般资料:共治疗142例,随机分为两组,治疗组68例,对照组74例,其中治疗组男32例,女36例;年龄在8-65岁之间,对照组(口服西药及输液治疗组)男34例,女40例。两组间无显著差异性。
, 百拇医药
1.2临床表现:每一位患者均出现咳嗽,咽痒,日久不愈,痰量或多或少,但咳吐不利,或闻异味则咳,或兼胸闷气紧,每位患者均经X线及其他检查除外心肺病变。
2治疗方法
治疗组口服利咽止咳汤,药物组成:双花20g、连翘15g、荆芥12g、蝉衣15g、牛蒡子15g、杏仁12g、桔梗12g、百部12g、川贝10g、知母15g、花粉20g、冬瓜子30g、甘草15g。对照组采用口服西药及输液治疗,两组均治疗7天为1疗程。
3疗效标准
治愈(咳嗽咽痒等临床症状消失);有效(咳嗽明显减轻或咳嗽次数减少);疗效:治疗组68例,治愈56例,有效9例,总有效率为95%;对照组74例,治愈46例,有效12例,总有效率为78.3;两组总有效率比较,治疗组优于对照组。
4讨论
咳嗽是临床常见症状,咽源性咳嗽多有慢性咽喉炎,上呼吸道感染引发,该病病程较长,缠绵难愈,治疗很棘手,患者长期咳嗽甚为痛苦。西医多用抗感染,对症治疗,收效甚微。该病服辛辣等刺激性食物即可发作或加重,常感痰滞咽喉,咳之难出,量少质粘咳吐不利,或兼胸闷气紧。治当清热解毒,宣肺止咳,自拟利咽止咳汤:方中双花、连翘清热解毒;荆芥、蝉衣疏风止痒;牛蒡子、桔梗宣肺祛痰,清利咽喉;杏仁、百部、川贝、知母润肺止咳;花粉、冬瓜子生津利痰;甘草止咳并可和胃。加减:胸闷者加瓜蒌、枳壳;口干欲饮者加麦冬。另外,对感冒后其他症状均已缓解,唯咽痒咳嗽日久不愈,口服各种止咳药及输液治疗无效,服本方可速解。临床上凡咽源性咳嗽见上症者,使用本方加减,均可收到显著疗效。, 百拇医药(崔俊海 王继新)
【关键词】咳嗽;自拟咽止咳汤;疗效
From plans the advantage to swallow relieves a cough the soup treatment to swallow the source cough 68 examples
Cun Junhai1Wang Jixin2
【Abstract】The cough is the clinical common symptom, in the breath internal medicine department outpatient service, the approximately 80-90% patients is take the cough as the first round symptom, removes cardiopulmonary and the bronchial tube illness trouble, swallows the source cough to be quite common. Sometimes takes orally the western medicine and the solution treatment result is unsatisfactory. I from planned the advantage in the clinical practice to swallow relieve a cough the soup addition and subtraction treatment to obtain the good curative effect.
, 百拇医药
【Key words】Cough; From plans to swallow relieves a cough the soup; Curative effect
【中图分类号】R276【文献标识码】B【文章编号】1002-574X(2010)07-0181-01
咳嗽是临床常见症状,在呼吸内科门诊,约80-90%的病人是以咳嗽为首发症状,排除心肺及支气管疾患,咽源性咳嗽比较常见。有时口服西药及输液治疗效果欠佳。我在临床实践中自拟利咽止咳汤加减治疗取得了较好的疗效。现报告如下:
1临床资料
1.1一般资料:共治疗142例,随机分为两组,治疗组68例,对照组74例,其中治疗组男32例,女36例;年龄在8-65岁之间,对照组(口服西药及输液治疗组)男34例,女40例。两组间无显著差异性。
, 百拇医药
1.2临床表现:每一位患者均出现咳嗽,咽痒,日久不愈,痰量或多或少,但咳吐不利,或闻异味则咳,或兼胸闷气紧,每位患者均经X线及其他检查除外心肺病变。
2治疗方法
治疗组口服利咽止咳汤,药物组成:双花20g、连翘15g、荆芥12g、蝉衣15g、牛蒡子15g、杏仁12g、桔梗12g、百部12g、川贝10g、知母15g、花粉20g、冬瓜子30g、甘草15g。对照组采用口服西药及输液治疗,两组均治疗7天为1疗程。
3疗效标准
治愈(咳嗽咽痒等临床症状消失);有效(咳嗽明显减轻或咳嗽次数减少);疗效:治疗组68例,治愈56例,有效9例,总有效率为95%;对照组74例,治愈46例,有效12例,总有效率为78.3;两组总有效率比较,治疗组优于对照组。
4讨论
咳嗽是临床常见症状,咽源性咳嗽多有慢性咽喉炎,上呼吸道感染引发,该病病程较长,缠绵难愈,治疗很棘手,患者长期咳嗽甚为痛苦。西医多用抗感染,对症治疗,收效甚微。该病服辛辣等刺激性食物即可发作或加重,常感痰滞咽喉,咳之难出,量少质粘咳吐不利,或兼胸闷气紧。治当清热解毒,宣肺止咳,自拟利咽止咳汤:方中双花、连翘清热解毒;荆芥、蝉衣疏风止痒;牛蒡子、桔梗宣肺祛痰,清利咽喉;杏仁、百部、川贝、知母润肺止咳;花粉、冬瓜子生津利痰;甘草止咳并可和胃。加减:胸闷者加瓜蒌、枳壳;口干欲饮者加麦冬。另外,对感冒后其他症状均已缓解,唯咽痒咳嗽日久不愈,口服各种止咳药及输液治疗无效,服本方可速解。临床上凡咽源性咳嗽见上症者,使用本方加减,均可收到显著疗效。, 百拇医药(崔俊海 王继新)
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