益气活血法对胸腔镜肺减容术后肺功能调节的临床研究

目的：观察肺减客手术治疗重度慢性阻塞性肺气肿病人术后辅助益气活血法治疗对肺功能的改变。方法：将46例患者随机分为2组各23例。治疗组于手术后当天开始予黄芪注射液、香丹注射液静滴连用7天；术后第7天起改服黄芪口服液、复方丹参片服用半年。对照组于手术后给予常规治疗。分别测定手术前、手术后3月、6月、1年的肺功能、血气分析、6min步行距离（6-MWD）。结果：2组术后1年与其他不同时间段第1秒用力肺活量（FEV1）、肺总量（TLC）、残气量（RV）、6-MWD比较，差异均有显著性意义（P〈0．05）；2组间肺功能指标比较，差异有显著性意义（P〈0．05）。2组不同时间段PaO2、PaCO2比较，差异均有显著性意义（P〈0．05）；2组问PaO2、PaCO2比较，差异有显著性意义（P〈0．05）。结论：减容术后辅以益气活血法治疗能巩固疗效，并能克服外科手术疗效维持时间较短的缺陷。

Effect of Therapy of Strengthening Qi and Activating Blood on Regulating Lung Function of Severe Chronic Obstructive Pulmonary Emphysema Patients After Lung Volume Reduction Surgery Under Thoracoscope

Objective:To observe the effect of herbal medicine combined with lung volume reduction surgery under thoracoscope on lung function of severe chronic obstructive pulmonary emphysema patients.Methods:Forty-six qualified patients were equally randomized into 2 groups.The two groups were given lung volume reduction surgery under thoracoscope.The treatment group received intravenous drip of Huangqi Injection and Xiangdan Injection for 7 continuous days from the first day of operation,and then was given oral use ...