中西医结合治疗慢性阻塞性肺疾病急性加重合并呼吸衰竭的临床研究

目的:分析中西医结合治疗慢性阻塞性肺疾病急性加重合并呼吸衰竭的临床效果。方法:将我院在2017年3月-2018年9月期间收治的72例慢性阻塞性肺疾病急性加重合并呼吸衰竭患者作为研究对象,应用计算机分组法进行分组,一组给予常规治疗,为常规组,一组给予中西医结合治疗,为观察组,比较两组患者的治疗效果。结果:观察组患者的治疗有效率高于常规组,数据差异有统计学意义;观察组患者治疗后用力肺活量(Forced Vital Capacity,FVC)为(2.11±0.21)L,格拉斯哥昏迷评分量表(Glasgow Coma Scale,GCS)为(42.19±6.47)m/s,1秒用力呼气肺容积(Forced Expiratory Volume in 1 second,FEV1)为(1.37±0.22)L,各项数据优于常规组,数据差异有统计学意义(P<0.05);观察组患者治疗后咳嗽评分为(1.0±0.1)分,喘息评分为(1.2±0.1)分,咳痰评分为(1.2±0.2)分,各项数据均优于常规组(P<0.05)。结论:中西医结合治疗慢性阻塞性肺疾病急性加重合并呼吸衰竭,可叠加药物疗效,治疗疗效显著,有效率较高,可以显著改善肺功能,临床应用价值较高,建议在临床中推广使用。

A study on treating acute exacerbation of chronic obstructive pulmonary diseasewith respiratory failure in the integrative medicine

Objective:To analyze the clinical effect of integrated medicine on chronic exacerbation of chronic obstructive pulmonary disease with respiratory failure.Methods:72 patients were divided into two groups by computer.The conventional group was given conventional treatment,and the observation group was treated in the integrative medicine.Results:The efficiency in the observation group was higher than the conventional group,with a statistically significant difference(P﹥0.05).After treatment,the FVC,GCS and FEV1 in the observation group were better than the conventional group,and the differences were statistically significant.The cough score,wheezing score and sputum score were better than the conventional group(P﹤0.05).Conclusion:The integrated medicine on chronic exacerbation of chronic obstructive pulmonary disease with respiratory failure shows a significant effect,can improve lung function significantly,is recommended to be promoted in the clinic.