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成都中医药大学 附属医院,成都 610075
Received:29 March 2021,
Published Online:28 May 2021,
Published:20 July 2021
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周飘,王依澜,郭静等.感毒清颗粒治疗普通感冒气虚邪犯证的临床观察[J].中国实验方剂学杂志,2021,27(14):81-86.
ZHOU Piao,WANG Yi-lan,GUO Jing,et al.Ganduqing Granules in Treatment of Common Cold Due to Qi Deficiency and Pathogen Invasion[J].Chinese Journal of Experimental Traditional Medical Formulae,2021,27(14):81-86.
周飘,王依澜,郭静等.感毒清颗粒治疗普通感冒气虚邪犯证的临床观察[J].中国实验方剂学杂志,2021,27(14):81-86. DOI: 10.13422/j.cnki.syfjx.20211496.
ZHOU Piao,WANG Yi-lan,GUO Jing,et al.Ganduqing Granules in Treatment of Common Cold Due to Qi Deficiency and Pathogen Invasion[J].Chinese Journal of Experimental Traditional Medical Formulae,2021,27(14):81-86. DOI: 10.13422/j.cnki.syfjx.20211496.
目的
2
观察和评价感毒清颗粒治疗普通感冒气虚邪犯证的有效性及安全性。
方法
2
采用多中心随机双盲安慰剂对照的临床研究方法,将120例患者随机分为试验组和对照组各60例,试验组予感毒清颗粒每次6 g,每日3次,口服;对照组予安慰剂每次6 g,每日3次,口服;两组服药疗程均为5 d。同时采用全分析集(FAS)和符合方案集(PPS)分析两组治疗5 d后的总体症状缓解率、主要症状总积分、次要症状总积分、所有症状总积分、总体症状缓解时间及中医证候疗效,安全性采用安全性分析集(SS)分析。
结果
2
试验组无脱落,对照组脱落3例;治疗5 d后试验组总体症状缓解率显著高于对照组(
P
<
0.01),FAS与PPS分析结果一致;试验组在改善主要症状总积分、次要症状总积分和所有症状总积分方面优于对照组(
P
<
0.01),FAS和PPS分析结果一致;两组总体症状缓解时间比较差异无统计学意义;试验组在改善恶风寒、鼻塞、流涕、倦怠乏力、气短懒言、咽干、咽痛、咳嗽、咳痰症状方面明显优于对照组(
P
<
0.05,
P
<
0.01),FAS与PPS分析结果一致;试验组中医证候疗效优于对照组(
P
<
0.01),FAS与PPS分析结果一致。所有患者服药后生命体征、血常规、肝肾功能检查均未出现明显异常;试验组与对照组不良事件发生率差异无统计学意义。
结论
2
感毒清能够有效改善普通感冒气虚邪犯证的症状、缩短疾病病程且安全性良好。
Objective
2
To observe and evaluate the efficacy and safety of Ganduqing Granules in the treatment of common cold due to qi deficiency and pathogen invasion.
Method
2
A multi-center, randomized, double-blind, and placebo-controlled clinical trial was conducted. One hundred and twenty patients were randomly divided into an experimental group (
n
=60) and a control group (
n
=60). Patients in the experimental group were treated with oral Ganduqing Granules, 6 g per time, 3 times per day, while those in the control group received placebo, 6 g per time, 3 times per day. After treatment for 5 successive days in both groups, the overall remission rate, total score of primary symptoms, total score of secondary symptoms, total score of all symptoms, time required for overall symptom remission, and therapeutic efficacy against traditional Chinese medicine (TCM) syndrome in the two groups were analyzed in both full analysis set (FAS) and per-protocol set (PPS), followed by the evaluation of safety in the safety set (SS).
Result
2
No drop-out was found in the experimental group, whereas 3 cases in the control group dropped out. After 5 days of treatment, the overall remission rate of the experimental group was significantly higher than that of the control group (
P
<
0.01). The analysis in FAS and PDS revealed identical results. The experimental group was obviously better than the control group in improving the total scores of primary symptoms, secondary symptoms, and all symptoms (
P
<
0.01). The analysis results in FAS and PDS were consistent. There was no significant difference in overall remission time between the two groups. The experimental group was remarkably superior to the control group in alleviating such symptoms as aversion to wind and cold, nasal congestion, runny nose, fatigue, shortness of breath, laziness to speak, dry throat, sore throat, cough, and expectoration (
P
<
0.05,
P
<
0.01). The analysis results in FAS were the same as those in PDS. All the patients did not present with significant abnormalities in vital signs, blood routine test, or liver and kidney function tests after medication. There was no significant difference in the incidence of adverse events between the experimental group and the control group.
Conclusion
2
Ganduqing Granules effectively alleviate the symptoms of patients with common cold and shorten the course of disease, without inducing obvious side effects.
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