戴爱国,范咏梅,李柏完,陈红芳,肖秋元.降逆汤对支气管哮喘并胃食道返流患者肺功能及气道反应性的影响.[J].中南医学科学杂志.,1999,(3):.
降逆汤对支气管哮喘并胃食道返流患者肺功能及气道反应性的影响
Effect of Jiangni Decoction on Pulmonary Function and Airway Responsiveness in Asthmatics with Associated Gastroesophageal Reflux
  
DOI:
中文关键词:  降逆汤,哮喘,胃食道返流,气道反应性
英文关键词:Jiangni Decoction,asthma,gastroesophageal reflux,airway responsiveness
基金项目:
戴爱国  范咏梅  李柏完  陈红芳  肖秋元
衡阳医学院第三附属医院(戴爱国,李柏完,肖秋元)
,衡阳医学院第一附属医院(范咏梅,陈红芳)
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中文摘要:
      为探讨降逆汤对支气管哮喘( 简称哮喘) 并胃食道返流( G E R) 患者肺功能与气道反应性的影响,本研究将54 例哮喘并 G E R 患者随机分为降逆汤组、西药组与对照组,前两组分别给予降逆汤与雷尼替丁等西药治疗6 周。结果显示:降逆汤治疗后患者哮喘与 G E R 临床积分明显降低,内窥镜下食管炎明显改善,肺功能指标显著增加,气道反应性则明显降低( P 均< 0 .01) ;且和对照组比较,差异有非常显著性( P 均< 0 .01) ,但与西药组比较,差异无统计学意义( P 均> 0 .05) 。提示降逆汤通过治疗 G E R 而改善哮喘并 G E R患者之肺功能与气道反应性。
英文摘要:
      To study the effects of Jiangni Decoction on pulmonary function as well as airway responsiveness in asthmatics with associated gastroesophageal reflx(GER),54 patients with asthma and GER were divided into 3 groups randomly:Jiangni Decoction group(n=18),western drugs group(n=18) and control group(n=18). In the Jiangni Decoction and western drugs groups,patients were administered with Jiangni Decoction and Ranitidine as well as Cisapride for 6 weeks,respectively.The results showed that the refluent and asthmatic symptoms were significantly relieved and the VC,VC% Pred,FVC,FVC% Pred,FEV 1,FEV 1/FVC,PEF,PEF% Pred,histamine PC 20 FEV1 were markedly increased after Jiangni Decoction antireflux treatment(P<0.01).There were significant differences in these indexes between Jiangni Decocation group and control group(P<0.01),but no difference between Jiangni Decoction group and western drugs group(P> 0.05) .These results indicate that the pulmonary function and airway responsiveness can be improved after Jiangni Decoction antireflux treatment in asthmatics with associated GER.
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