中西医结合治疗慢性阻塞性肺病急性加重期的临床观察

目的观察加味麻黄汤联合西药治疗慢性阻塞性肺病(COPD)急性加重期的临床疗效。方法将60例COPD急性加重期患者随机分为治疗组和对照组各30例,对照组予以西医常规治疗,治疗组在常规治疗基础上加用加味麻黄汤,每日1剂,两组疗程均为7d,对治疗前后相关临床资料的变化进行评估。结果治疗后,两组患者的肺功能、血气情况及临床评分均较治疗前明显改善(P0.05),治疗组各项指标的改善较对照组更为显著(P0.05)。结论加味麻黄汤联合西药治疗COPD急性加重期临床疗效显著。

Clinical Observation of Integrated Traditional Medicine and Western Medicine in Treating Chronic Obstructive Pulmonary Disease at Acute Exacerbation Phase

Objective To observe the clinical efficacy of modified Mahuang decoction combined with western medicine in the treatment of chronic obstructive pulmonary disease at acute exacerbation phase. Methods 60 pa- tients with COPD at acute exacerbation phase were randomly divided into traditional Chinese medicine（TCM） group and the control group, 30 patients in each group. Patients in the control group were received routine western medicine,while patients in TCM group were given modified Mahuang decoction orally on the basis of conventional western medicine. The effects were evaluated after 7 days treatment. Results Compared with the situation before the treatment, the lung function, blood gas analysis, and clinical scores in both groups were improved significantly after treatment （P~0. 05） ,and the above parameters in TCM group were improved more obviously （P~0.05）. Conclusion Modified Mahuang decoction combined with western medicine is effectively in treating chronic ob- structive pulmonary disease at acute exacerbation phase.