Analysis Of The Curative Effect Of Oral And External Application Of Traditional Chinese Medicine Combined With Western Medicine In The Treatment Of Acute Bronchial Asthma (heat Asthma)

Purpose:By observing the internal and external treatment method that Chinese traditional medicine western medicine treatment of bronchial asthma acute phase(hot xiao)of TCM syndrome integral,TCM syndrome curative effect,pulmonary function(FEV1 %,PEFR %),asthma control questionnaire(ACQ-5),respiratory illness scale(AQ20),to explore Chinese medicine internal and external treatment method combined western medicine treatment of bronchial asthma acute phase(hot xiao)clinical curative effect.Material and method:Patients in the outpatient and inpatient department of pulmonary disease of our hospital from October 2016 to October 2018 were collected,and they were diagnosed as acute episode of bronchial asthma by western medicine and asthma(fever syndrome)by traditional Chinese medicine.Patients treated with conventional western medicine were included in the control group(n=36),and patients treated with conventional western medicine combined with internal and external application of traditional Chinese medicine were included in the treatment group(n=37).During the observation,1 patient in both groups refused to continue taking medicine due to the improvement of the condition,and the patient fell off within 14 days of the treatment course.In the treatment group,1 patient had skin allergy abscission due to acupoint application.Finally,a total of 70 patients were counted in this study,and 35 patients in the control group and the treatment group respectively.The control group was given:(1)theophylline sustained-release tablets(0.2g/ time,2 times a day);(2)sulidipine powder inhaler,50ug/250ug(inhaled twice a day);Ventolin(salbutamol sulphate aerosol)(inhaled on demand,100ug/ press,2 press per inhalation);(4)patients infected with antibiotics treatment;(5)sputum viscous and difficult to cough out the person to hydrochloric acid ambroxol sustained release capsules(75mg/ time,1 time a day oral);In the treatment group,on the basis of conventional treatment of western medicine,oral detoxification yangfei ointment was given,and acupoint application of guben qingfei plaster was performed.Two groups of treatment course 14 days.The TCM syndrome score,lung function(fev1%,PEFR%),asthma control questionnaire(acq-5),respiratory disease scale(AQ20)and clinical efficacy of the two groups were recorded,and SPSS17.0 software was used for statistical analysis.Results: 1.Total integral of TCM syndromes:(1)Intra-group comparison: Both groups had significant effect on the 14 th day of treatment compared with the 0th day of treatment(P < 0.01).(2)Inter-group comparison: on the third,seventh and fourteenth day of treatment,the curative effect of the treatment group was better than that of the control group(P < 0.01).2.Integral of TCM syndromes:(1)Scores of wheezing,asthma and fullness of the chest and diaphragm in the larynx:(1)Intra-group comparison: on the 14 th day of treatment,all three symptoms were controlled in the control group,compared with the 0th day of treatment(P < 0.01);on the 7th day of treatment,all three symptoms were controlled in the treatment group,compared with the 0th day of treatment(P < 0.01).(2)Inter-group comparison: On the 3rd and 7th day of treatment,the curative effect of the treatment group was better than that of the control group(P < 0.01).(2)Cough,phlegm,yellow and viscous score:(1)Intra-group comparison: Both groups had significant effect on the 14 th day of treatment compared with the 0th day of treatment(P < 0.01).(2)Inter-group comparison: On the 7th and 14 th day of treatment,the curative effect of the treatment group was better than that of the control group(P < 0.01).(3)Thirst score:(1)Intra-group comparison: Both groups had significant effect on the 14 th day of treatment compared with the 0th day of treatment(P < 0.05).(2)Inter-group comparison: On the 14 th day of treatment,there was no difference between the treatment group and the control group(P > 0.05).(4)Scarlet integral:(1)Intra-group comparison: The facial flushing symptoms disappeared on the third day of treatment in both groups,compared with that on the tenth day of treatment(P < 0.05).(2)Inter-group comparison: On the third day of treatment,there was no difference between the treatment group and the control group(P > 0.05).3.Pulmonary function:(1)Intra-group comparison: FEV1% and PEFR% of the two groups were significantly higher on the 14 th day than on the 0th day(P < 0.01).(2)Inter-group comparison: On the 14 th day of treatment,there was no difference between FEV1% and PEFR% groups(P > 0.05).4.ACQ-5 Questionnaire:(1)Intra-group comparison: The 14-day treatment of the two groups was significantly better than the 0-day treatment(P < 0.01).(2)Inter-group comparison: On the 14 th day of treatment,the improvement of the treatment group was better than that of the control group(P < 0.01).5.AQ20 Questionnaire:(1)Intra-group comparison: The 14-day treatment of the two groups was significantly better than the 0-day treatment(P < 0.01).(2)Inter-group comparison: On the 14 th day of treatment,the curative effect of the treatment group was better than that of the control group(P < 0.01).(3)In the improvement of psychological condition,the 14 th day of treatment in both groups was significantly better than the 0th day of treatment(P < 0.01);there was no difference between the two groups on the 14 th day of treatment(P > 0.05).6.Clinical efficacy: The total effective rate of the two groups is 100%,but the distribution of the curative effect is different.Statistical analysis of the two groups shows that the clinical recovery + marked effect of the control group is 60.0%,the clinical recovery + marked effect of the treatment group is 88.6%,and the treatment group is better than the control group(P < 0.01).Conclusion: 1.The internal and external application of traditional Chinese medicine combined with western medicine in the treatment of acute bronchial asthma(heat asthma syndrome)is superior to the conventional treatment of western medicine in terms of clinical symptoms(wheezing in the throat,shortness of breath,cough,yellow and viscous phlegm,and suffusion of the chest diaphragm)and overall effective rate.2.Internal and external application of traditional Chinese medicine combined with western medicine in the treatment of bronchial asthma in the acute attack stage(heat asthma syndrome)is relatively rapid in controlling the symptoms of wheezing in the throat,wheezing and suffusing the chest diaphragm,shortening the course of disease,accelerating the recovery of asthma,and the curative effect is better than the conventional treatment of western medicine.3.Internal and external application of traditional Chinese medicine combined with western medicine in the treatment of bronchial asthma in the acute attack period(heat asthma syndrome)can effectively control the symptoms of asthma and improve the quality of life of patients.