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咳嗽是呼吸系统疾病常见的症状之一,对于一些长期慢性咳嗽患者使用一般镇咳袪痰剂往往奏效不佳,甚至无效。为此,我们大胆试用了静脉注入奴佛卡因的方法,经过一个阶段的临床观察,疗效尚称满意。治疗方法我们选择慢性支气管炎26例,支气管哮喘4例,共计30例,进行门诊治疗。方法是:自静脉注射0.5%奴佛卡因5毫升,七次为一疗程,并酌情给予适量镇咳袪痰药物,一个疗程结束后可间隔一周再行第二疗程。治疗效果本组30例治疗结果,有效率达93.4%。多数患者注入后12小时,就觉咳嗽等症状减轻,疗效可维持至第二次注射时,较吸入法持续时间长。本文报告的30例,其中痊愈7例,显著好转6例,好转15例,无效2例。疗效标准:痊愈:咳嗽仅出现于咽喉有痰时,多见于早晨起床后,白天不咳嗽,临床物理检查及 X 射线检查均无异常者。显著好转:一般状况尚好,咳嗽多出现在睡眠前后,白天很少咳嗽,胸闷及气急消失,临床物理检查及 X 线检查无异常者。好转:临床症状较前减轻,但不显著,临床物理检查及 X 射线检
Cough is one of the common symptoms of respiratory diseases. It is often ineffective or even ineffective to use general antitussive and expectorant in some chronic cough patients. To this end, we boldly tried intravenous injection of novocaine, after a period of clinical observation, the effect is still satisfied. Treatment Methods We selected 26 cases of chronic bronchitis, bronchial asthma in 4 cases, a total of 30 cases, out-patient treatment. The method is: intravenous injection of 0.5% novocaine 5 ml, seven times for a course of treatment, and appropriate amount of antitussive and phlegm drugs, a course of treatment after a week and then the second course of treatment. The treatment effect of this group of 30 cases of treatment, the effective rate of 93.4%. Most patients 12 hours after injection, you feel relieved cough and other symptoms, the effect can be maintained until the second injection, more time than inhalation. This article reports 30 cases, of which 7 cases were cured, significantly improved in 6 cases, improved in 15 cases, 2 cases. Efficacy criteria: cure: cough only occurs in the throat with sputum, more common in the morning after getting up, do not cough during the day, clinical physical examination and X-ray examination were normal. Significant improvement: the general condition is still good, cough and more occurred before and after sleep, rarely cough during the day, chest tightness and shortness of breath disappear, clinical physical examination and X-ray examination were normal. Improvement: clinical symptoms were reduced, but not significant, clinical physical examination and X-ray examination