中西医结合治疗对稳定期慢性阻塞性肺疾病患者肺功能的影响

目的探讨中西医结合治疗对稳定期慢性阻塞性肺疾病患者肺功能的影响。方法将稳定期慢性阻塞性肺疾病患者80例随机分为中西医(结合治疗)组和西医(治疗)组。西医组患者予吸氧、祛痰、抗炎、静脉滴注氨溴索和多索茶碱止咳化痰平喘等治疗;中西医组患者在同西医组患者治疗的基础上予中药治疗:当归50 g、川贝母50 g,丹参100 g、百合100 g、紫河车100 g、菟丝子100 g和山茱萸肉100 g,人参150 g、三七150 g,黄芪200 g,蛤蚧2对,诸药共研细末,每次15 g,早晚水煎分服。连用1个月为1个疗程。结果中西医组患者治疗的总有效率(92.5%)明显高于西医组患者(75.0%),差异有统计学意义(P0.05)。治疗后两组患者肺功能指标FEV1、FVC、FEV1/FVC均较治疗前明显提高;中西医组患者的FEV1、FVC、FEV1/FVC%较西医组患者升高更明显,差异有统计学意义(P0.05)。结论中西医结合治疗稳定期慢性阻塞性肺疾病患者疗效确切,能明显改善患者的肺功能,值得推广和应用。

Impact of integrated Chinese medicine and western medicine on lung function in patients with stable chronic obstructive pulmonary disease

Objective To investigate the impact of integrated Chinese medicine and western medicine on lung function in patients with stable chronic obstructive pulmonary disease. Methods 80 patients with stable chronic obstructive pulmonary disease were randomly divided into two groups. The western medicine group wert given oxygen, expectorant, anti-inflammatory, and intravenous ambroxol doxofylline cough and phlegm and asthma treatment, while the integrated group were treated with Chinese medicine based on western medicine. The traditional Chinese medicine were： Angelica 50 g, Fritillaria 50 g, Salvia 100 g, Lily 100 g, Placenta 100 g, Dodder seed 100 g and dogwood dodder meat 100 g, ginseng 150 g, thirty-seven 150 g, Astragalus 200 g, two pairs of Gecko, all the drugs were fine, and the dosage is 15 g for two times one day. The course of treatment was 1 month. Results The total effective rate of integrated group and western medicine group was 92.5% and 75.0%, respectively, which showed significant difference between the two groups（P 〈0.05）. After treatment, FEV1 ,FVC,FEV1/FVC in the two groups were higher than those before treatment, and all indexes in the integrated group were higher than those in the western medicine group （P 〈 0.05 ）. Conclusion Integrated Chinese medicine and western medicine can increase therapeutic effect and improve lung function in patients with stable chronic obstructive pulmonary disease, which is worthy applying and recommending.