慢性阻塞性肺疾病急性加重期中西医结合治疗效果观察

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疗效。方法2006年1月～2008年12月收治慢性阻塞性肺疾病加重期患者120例，随机分为单纯西药组和中西医结合组各60例。单纯西药组常规应用西药综合治疗，中西医结合组在单纯西药组的基础上加中药汤剂治疗，根据辨证施治原则酌情增减。结果中西医结合组显效40例、好转16例、无效3例、死亡1例；单纯西药组显效30例、好转20例、无效7例、死亡3例，两组比较差异有统计学意义（P〈0．05）。两组疗程结束后，未发现过敏、肝肾功能损害等明显不良反应。结论中西医结合治疗慢性阻塞性肺疾病急性加重期患者比单纯西药治疗效果好。

Combined Traditional Chinese Medicine with Western Medicine in Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Objective To observe the effect of combining traditional Chinese medicine with Western medicine in the treatment of acute exacerbation of chronic obstructive pulmonary disease. Methods We divided 120 cases of acute exacerbation of chronic obstructive pulmonary disease from Jan 2006 to Dec 2008 randomly into Western medicine group and combination group, with 60 cases in each group. The Western medicine group was given conventional Western medicine, and the traditional Chinese medicine decoction was added to the combination group on the basis of conventional Western medicine according to syndrome differentiation principle. Results In the combination group, 40 cases were markedly effective, 16 cases improved. 3 cases invalid and one case died, and in the Western medicine group, 30 cases were markedly effective,20 cases improved, 7 cases invalid and 3 cases died, with a significant difference between the two groups（P〈0.05）.The obvious adverse reactions such as kidney impairment and allergy failed to be found after the course of treatment finished. Conclusion Combined traditional Chinese medicine is superior to Western medicine in the treatment of acute exacerbation of chronic obstructive pulmonary disease.