| To explore Modern Chinese Medicine and Western Medicine for CVA due to the machine as well as CVA clinical characteristics, treatment, prognosis and curative effect, reflects the Traditional Chinese and Western Medicine treatment of CVA than single-use advantages of Western Medicine to treat the disease.Method1 General informationFor the study in September 2007 to September 2008 in Hubei Province, Chinese medicine treatment of 60 cases of the door with CVA patients, patients were selected in line with CVA diagnostic criteria, 60 patients, 27 cases of male, female 33 patients, aged 33 to 63 years old, on average(45.2±3.4years). Were randomly divided into treatment and control groups, including the treatment of 30 patients, 30 cases in the control group. Two groups of patients with gender, age, course and extent of the disease bystatistical analysis, no significant differences between comparable.2 Diagnostic Criteria 2.1 TCM efficacy criteria (in the light of "new Chinese medicine clinical study of the guiding principles" to develop )2.2 Assessment of efficacy of Western medicine standards are as follows:(1) Recurrent cough>1 month, of 10 at night or early onset of cough, sputum little movement after the increase.(2)No clinical symptoms of infection or longer-term antibiotic treatment ineffective. (3)With bronchodilators can ease the coughing attack diagnosis of the disease is the basic condition. (4)Personal or family history of allergy, airway responsiveness determination, allergens can be detected, such as diagnosis. (5)With the exception of other causes of chronic cough.3 clinical characteristicsOf all cases in the following major clinical manifestations:(1) seasonal incidence, the incidence of 24 cases of spring and autumn, winter incidence of 18 cases. (2) there is more than personal or family history of allergy, 60 patients in 13 cases of family history, personal history of allergies, including allergic rhinitis, drug allergy history, the history of food allergies were 15 cases. (3) for the performance of the patients had paroxysmal cough, to clear the early morning or at night, after the intensified campaign, or a case of cold air pollution in the air increase the cough. Among 33 cases of irritating dry cough, cough a small amount of white mucus sputum of 15 cases. (4) All patients with a variety of antibiotics and cough medicine had no significant effect. (5) medical examination:20 cases of pharyngeal normal, mild to moderate congestive heart in 26 cases, 14 cases of severe congestive heart; lungs breathing sound clear 38 cases, 22 cases of respiratory sound rough, there are a small number of sputum-ming. (6) laboratory tests: white blood cell classification and are normal; eosinophil count of 23 cases of direct>0.3×10~9/L,12 cases were within the normal range, and the remaining patients did not check; X-ray examination of 34 cases of normal, 26 Cases of lung markings thickening.4 treatmentPatients in the control group given only western medicine treatment, to give Seretide (salmeterol and fluticasone propionate inhalation powder mixing, One salmeterol 50ug, fluticasone 250ug), one day sooner or later, the smoke, coughing to be changed to improve after a day smoking, the course of 2 months. Chinese medicine treatment of traditional Chinese medicine to give to the dialectic, a day, and with Seretide treatment. All told during the medication in patients with diet to maintain light deprivation pungent Greasy, avoid smoking and drinking, cold attention to the warm.5 to determine efficacyTwo groups of symptoms, signs point to change that, cough, sputum, pharynx, as well as lung auscultation situation in accordance with the degree of improvement were recorded as 0,1,2,3,the cure rate reached, it is calculated, significant efficiency, efficient, inefficient, compared with two sets of differences, so as to determine efficacy.6 count data using statistical methods x~2 test, measurement data by test.ResultsComparative efficacy of two groups: the treatment group healed in 12 cases, 20 cases markedly effective in 11 cases, 3 cases with a total effective rate 93.75%; in the control group healed in 2 cases, the effect of 5 cases, 4 cases effective, 5 cases ineffective, with a total 68.75 percent efficient. After statistical analysis, the difference was significant(P<0.05), efficacy in the treatment group than in the control group.ConclusionFor long-term chronic cough patients need a high degree of vigilance of the existence of the disease, improve the cough variant asthma awareness and reduce the rate of misdiagnosis, timely diagnosis and treatment can effectively control the occurrence of CVA. Early in the prevalence of bronchodilator therapy can be tried to find this disease early can prevent misdiagnosis. Once diagnosed, should be the treatment of bronchial asthma in order to reduce the incidence.
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