健脾化痰汤治疗慢性阻塞性肺疾病急性期100例(1)
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[摘要] 目的 观察研究健脾化痰汤治疗慢性阻塞性肺疾病(COPD)急性期的疗效并探讨其机制。 方法 选择2007年6月～2011年6月本院住院治疗的COPD急性期患者190例，随机分为2组。治疗组、对照组均常规西药治疗(抗感染、解痉平喘及对症处理)，治疗组加用健脾化痰汤，观察治疗前后症状、体征及肺功能等变化情况。 结果 治疗组总有效率明显优于对照组(P < 0.01)，两组患者肺功能均改善，治疗组改善程度高于对照组(P < 0.05)。 结论 健脾化痰汤能改善慢性阻塞性肺疾病急性期患者的临床症状，提高临床疗效。
[关键词] 健脾化痰汤；慢性阻塞性肺疾病；中西医结合治疗；临床疗效
[中图分类号] R246.1 [文献标识码] A [文章编号] 1674-4721(2012)02(a)-0101-02
Jianpihuatan Decoction on 100 cases of acute chronic obstructive pulmonary disease
WANG Jinkun
Department of Respiratory Medicine, Shuangfeng Hospital of Chinese Medicine of Loudi City in Hunan Province, Shuangfeng 417000, China
[Abstract] Objective To observe the clinical efficacy of the Jianpihuatan Decoction on acute phase of chronic obstructive pulmonary disease (COPD) and explore its mechanism. Methods One hundred and ninety cases COPD patients on acute stage were chosen from June 2007 to June 2011 in our hospital, and all of them were divided into two groups randomly, both of the intervention group and control group were given the same collection of western medications that with the clinical effects of anti-infection, spasmolysis and semeiological treat conventionally. Jianpihuatan Decoction was used as an additional treatment in intervention group and observation to change of symptoms, signs and lung function was given before and after the medication therapy. Results The total effective rate of intervention group surpassed the control group according to statistic analysis (P < 0.01). Lung function of patients in both group were enhanced, with a greater change in intervention group than the control group (P < 0.05). Conclusion Acute clinical symptoms of patients with chronic obstructive pulmonary disease can be improved with the Chinese herbal medicine of Jianpihuatan Decoction and the Decoction is capable to enhance the efficacy of clinical therapy.
[Key words] Jianpihuatan Decoction; Chronic obstructive pulmonary disease; Integrative medicine; Clinical efficacy
慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)是指具有气流阻塞特征的肺部疾病，包括慢性肺气肿、慢性支气管炎、慢性肺源性心脏病等，是老年人呼吸道疾病中的常见病和多发病[1]。笔者于2007年6月～2011年6月 ......
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