中西医结合治疗急性加重期慢性阻塞性肺疾病

目的分析中西医结合方法治疗急性加重期慢性阻塞性肺疾病(COPD)的临床疗效及安全性。方法收治34例急性加重期COPD患者,根据患者症状采用解除支气管痉挛和祛痰药物,定时吸痰、呼吸机辅助呼吸等综合治疗。入院后根据痰培养结果选用抗生素。所有患者均服用宣肺益气、化痰通络中药汤剂。结果与治疗前比较,治疗后的肺功能、血气分析和症状评分均有显著改善,差异有统计学意义,且中药安全性良好。结论中西医结合方法治疗急性加重的COPD,肺功能、血气分析有较明显改善,有一定临床优势。

Acute Exacerbations of Chronic Obstructive Pulmonary Disease Treated by Integrated Traditional Chinese and Western Medicine

Objective To analyze the clinical efficacy and safety of the integrated methods of Traditional Chinese and Western medicine for acute exacerbation of chronic obstructive pulmonary disease (COPD).Methods 34 patients were admitted with acute exacerbation of COPD patients for relief of bronchospasm and expectorant drugs,regular suction,mechanical ventilation and other comprehensive treatment according to symptoms in patients.After admission,antibiotics was used on the basis of sputum culture results.All patients were taking Chinese medicine decoction.Results Compared with pre-treatment and post-treatment,lung function,blood gas,and symptom scores were significantly improved,and the Chinese medicine showed good safety.Conclusion Integrative treatment of acute exacerbation of COPD has significantly improved lung function and blood gas,which has certain clinical advantages.