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The clinical observation of Suhuang Cough Capsules combined with Salmeterol/Fluticasone Propionate in the treatment of cough variant asthma |
CHEN Huifen XIE Yanping FU Huanqin YAO Wei |
The Department of Respiratory, the First People′s Hospital of Huzhou, Zhejiang Province, Huzhou 313000, China |
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Abstract Objective To explore the clinical effect of Suhuang Cough Capsules combined with Salmeterol/Fluticasone Propionate in the treatment of cough variant asthma (CVA). Methods Sixty patients diagnosed with CVA from December 2015 to August 2017 in First People′s Hospital of Huzhou were selected and randomly divided into two groups, with 30 cases in each group. Patients in the observation group were treated with Salmeterol 50 μg/Fluticasone Propionate 250 μg inhalation combined with Suhuang Cough Capsules. Patients in the control group were treated with Salmeterol 50 μg/Fluticasone Propionate 250 μg inhalation, both groups were treated for 4 weeks. After two weeks of continuous drug treatment, the cough symptom score was observed in both groups. After 4 weeks, patients of the two groups were evaluated by the asthma control test (ACT) questionnaire, and the levels of total serum IgE, TNF-α, IL-4 and IL-6 were measured and the percentage of sputum eosinophils was induced. Results The total efficiency of the observation group (93.33%) was higher than that of the control group (73.33%), the difference was statistically significant (P < 0.05). After treatment, the scores of both groups were significantly lower than those before treatment, and the observation group was significantly lower than the control group (P < 0.05). The ACT score of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). After treatment, the sputum eosinophil percentage, serum IgE, TNF-α levels in two groups were lower than those before treatment (P < 0.05), and the observation group was significantly lower than the control group (P < 0.05). Conclusion Suhuang Cough Capsules combined with Salmeterol/Fluticasone Propionate can reduce the level of serum IgE, TNF-α and the sputum eosinophil percentage in adult patients with cough variant asthma, reduce airway inflammation and improve cough symptoms, so as to improve the therapeutic effect.
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