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基于中医综合治疗模式促进COPD缓解期病情改善及气道黏膜组织修复机制研究
引用本文:张元雯,宋长丽,危蕾,王振伟.基于中医综合治疗模式促进COPD缓解期病情改善及气道黏膜组织修复机制研究[J].检验医学与临床,2021,18(7):897-900.
作者姓名:张元雯  宋长丽  危蕾  王振伟
作者单位:上海中医药大学附属岳阳中西医结合医院呼吸科,上海 200437;上海建工医院中医科,上海 200083;上海市宝山区中西医结合医院呼吸科,上海 201999
基金项目:上海市卫生和计划生育委员会中医优势病种(肺胀病)培育项目;上海中医药大学预算内项目;上海市进一步加快中医药事业发展三年行动计划项目[ZY(2018-2020)-FWTX-6010;上海市进一步加快中医药事业发展三年行动计划治未病服务产品和技术项目[ZY(2018-2020)-ZWB-1001-CPJS19;上海市科学技术委员会科研计划项目
摘    要:目的 研究中医综合治疗模式促进慢性阻塞性肺疾病(COPD)缓解期病情改善及气道黏膜组织修复机制.方法 选取2017年10月至2019年9月该院COPD缓解期患者82例,采用随机数字表法分为观察组和对照组,各41例.对照组采用健康教育、家庭氧疗、肺康复训练及常规西药治疗,观察组采用中医综合治疗模式.观察和检测两组患者治疗...

关 键 词:慢性阻塞性肺疾病  缓解期  中医综合治疗模式  气道损伤  黏膜修复

The mechanism of promoting the improvement of chronic obstructive pulmonary disease remission and the repair of airway mucosa tissue based on the comprehensive treatment model of Traditional Chinese Medicine
ZHANG Yuanwen,SONG Changli,WEI Lei,WANG Zhenwei.The mechanism of promoting the improvement of chronic obstructive pulmonary disease remission and the repair of airway mucosa tissue based on the comprehensive treatment model of Traditional Chinese Medicine[J].Laboratory Medicine and Clinic,2021,18(7):897-900.
Authors:ZHANG Yuanwen  SONG Changli  WEI Lei  WANG Zhenwei
Institution:(Department of Respiration,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Department of Traditional Chinese Medicine,Shanghai Jiangong Hospital,Shanghai 200083,China;Department of Respiration,Shanghai Baoshan Hospital of Integrated Chinese and Western Medicine,Shanghai 201999,China)
Abstract:Objective To study the comprehensive treatment mode of Traditional Chinese Medicine to promote the improvement of chronic obstructive pulmonary disease(COPD)and the repair mechanism of airway mucosa tissue.Methods Totally 82 patients with COPD in our hospital from October 2017 to September 2019 were selected and divided into observation group and control group according to random number table,41 cases in each group.The control group was given health education,home oxygen therapy,lung rehabilitation training and Conventional Western Medicine,and the observation group was given a comprehensive treatment model of Traditional Chinese Medicine.The number of acute attacks within 6 months after treatment and the COPD assessment test scale(CAT),pulmonary ventilation function1 second forced expiratory volume(FEV 1),forced vital capacity(FVC),FEV 1/FVC],serum inflammatory cytokinesinterleukin-8(IL-8),tumor necrosis factor-α(TNF-α)],and vascular endothelial growth factor(VEGF)levels were observed and compared within 3 months after treatment.Results The total incidence of acute attack in the observation group4.88%(2/41)]was lower than that in the control group19.51%(8/41)],and the difference was statistically significant(P<0.05).After treatment,the CAT score,serum IL-8,TNF-αand VEGF in the observation group were lower than those in the control group,and FEV 1/FVC were higher than the control group,the difference was statistically significant(P<0.05).After treatment,compared with before treatment,CAT score,serum IL-8,TNF-αand VEGF level decreased,FEV 1/FVC level increased,the difference was statistically significant(P<0.05).Conclusion The comprehensive treatment mode of Traditional Chinese Medicine can inhibit the inflammatory reaction and promote the repair of airway mucosa by regulating the function of viscera and correcting the pathological state.
Keywords:chronic obstructive pulmonary disease  remission period  comprehensive treatment model of Traditional Chinese Medicine  airway injury  mucosa repair
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