中西医结合治疗慢性阻塞性肺疾病急性加重期疗效观察

目的：观察中西医结合治疗慢性阻塞性肺疾病急性加重期的肺功能及其临床疗效。方法：将80例COPD急性发作患者随机分为两组,中西医结合治疗组40例在予以西医常规治疗同时加服加味越婢加半夏汤治疗;对照组40例采用西医常规治疗。观察两组患者肺功能及临床症状、体征改善情况。结果：经过1个疗程的治疗后,两组治疗后第1s呼出气量（FEV1）、用力肺活量（FVC）均较治疗前均有改善,中西医结合治疗组治疗后第1s呼出气量（FEV1）、用力肺活量（FVC）改善与对照组比较有显著性差异（P〈0.05）。中西医结合治疗组临床显效12例,好转23例,无效5例,总有效率为87.5%。对照组临床显效6例,好转24例,无效10例,总有效率75.0%。两组总有效率比较,差异有显著性意义（P〈0.05）。中西医结合治疗组临床症状及体征改善优于对照组（P〈0.05）。结论：中西医结合治疗慢性阻塞性肺疾病急性发作具有良好的临床疗效,并优于西医常规治疗。

Combine Traditional Chinese and Western Medicine Treatment of Acute Exacerbation of Chronic Obstructive PuImonary Disease Clinical Observation Period

Objectives：Observation of combining traditional Chinese and western medicine treatment of acute exacerbation of chronic obstructive pulmonary disease of lung function and its clinical curative effect.Methods：80 cases of acute onset of COPD patients were randomly divided into two groups,combine traditional Chinese and western medicine treatment group in western medicine 40 patients with conventional treatment and add the slaves serve flavored decoction,40 patients with western medicine in conventional treatment.Two groups of patients,observe lung function and clinical symptoms and signs of improvement.Results：After a period of treatment,two groups after treatment,the first second（FEV1）gas exhaled,forced vital capacity（FVC）was all have improved,combine traditional Chinese and western medicine treatment group after treatment,the first second（FEV1）gas exhaled,forced vital capacity（FVC）improved compared with controls have significant difference（P〈0.05）.Combine traditional Chinese and western medicine treatment group got clinical 12,23 cases,invalid in 5 cases,the total effective rate was 87.5%.Control and improvement of clinical 6 cases,24 cases were invalid 10 cases,75.0%.2 group total effectiveness is significant difference（P〈0.05）.Combine traditional Chinese and western medicine treatment group of clinical symptoms and signs of improvement than in control group（P〈0.05）.Conclusions：The combined treatment of Chinese and western medicine has a favorable clinical therapeutic effect in treating chronic obstructive pulmonary diseases in acute exacerbation stage,with a superior effect to that of routine western medical treatment