| 摘要: |
| 目的：观察辛遂白芥散贴敷联合逐水消饮方治疗老年悬饮的临床疗效。方法：选取老年悬饮患者60例，将其随机分为治疗组与对照组，每组各30例，对照组予以西医常规治疗，治疗组在对照组基础上加用辛遂白芥散贴敷联合逐水消饮方治疗，2组疗程均为2周。比较2组中医证候积分、胸水量、胸腔穿刺引流使用率和不良反应发生情况，并评价临床疗效。结果：总有效率治疗组为86.7%（26/30），对照组为66.7%（20/30），2组比较，差异有统计学意义（P<0.05）。2组中医证候积分、胸水量治疗前后组内比较及治疗后组间比较，差异均有统计学意义（P<0.01或P<0.05）；胸腔穿刺引流使用率治疗组为3.3%（1/30），对照组为26.7%（8/30），2组比较，差异有统计学意义（P<0.05）；2组均未发生明显严重不良反应。结论：辛遂白芥散贴敷联合逐水消饮方治疗老年悬饮在提升疗效、减少有创操作方面优势显著，为临床悬饮治疗提供了安全有效的选择。 |
| 关键词: 悬饮 胸腔积液 老年 辛遂白芥散 逐水消饮方 中医证候 胸水量 胸腔穿刺引流 |
| DOI： |
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| Clinical effect of sticking therapy with Xinsui Baijie powder combined with Zhushui Xiaoyin prescription in treatment of elderly patients with suspending fluid retention: An analysis of 30 cases |
| TANG Yuan,,WANG Ying,QI Quanlv,YANG Weiwei |
| (Xiangtan Hospital of Traditional Chinese Medicine, Xiangtan 411100, Hunan, China) |
| Abstract: |
| Objective: To investigate the clinical effect of sticking therapy with Xinsui Baijie powder combined with Zhushui Xiaoyin prescription in the treatment of elderly patients with suspending fluid retention. Methods: A total of 60 elderly patients with suspending fluid retention were randomly divided into treatment group and control group, with 30 patients in each group. The patients in the control group were given conventional Western medicine treatment, while those in the treatment group were given sticking therapy with Xinsui Baijie powder combined with Zhushui Xiaoyin prescription in addition to the treatment in the control group, and both groups were treated for 2 weeks. The two groups were compared in terms of traditional Chinese medicine（TCM） syndrome score, pleural effusion volume, the rate of use of percutaneous thoracic drainage, and the incidence rate of adverse reactions, and clinical outcome was assessed. Results: There was a significant difference in overall response rate between the treatment group and the control group［86.7% （26/30） vs. 66.7% （20/30）, P < 0.05］. After treatment, both groups had significant changes in TCM syndrome score and pleural effusion volume, and there were significant differences in these indicators between the two groups after treatment （P < 0.01 or P < 0.05）. There was a significant difference in the rate of use of percutaneous thoracic drainage between the treatment group and the control group ［3.3% （1/30） vs. 26.7% （8/30）, P < 0.05］. No serious adverse reaction was observed in either group. Conclusion: In the treatment of elderly patients with suspending fluid retention, sticking therapy with Xinsui Baijie powder combined with Zhushui Xiaoyin prescription has the advantages of improving clinical outcome and reducing invasive operation, which provides a safe and effective option for the clinical treatment of suspending fluid retention. |
| Key words: suspending fluid retention pleural effusion elderly patients Xinsui Baijie powder Zhushui Xiaoyin prescription traditional Chinese medicine syndrome pleural effusion volume percutaneous thoracic drainage |
