健脾益肺法对肺脾气虚型慢性阻塞性肺疾病呼吸肌疲劳的疗效观察

目的观察健脾益肺法对肺脾气虚型慢性阻塞性肺疾病（COPD）急性加重期呼吸肌疲劳的疗效。方法选择深圳市光明新区光明医院呼吸科及康复科2012年2～12月的100例肺脾气虚型COPD急性加重期患者,采用随机对照研究方法分为对照组50例和治疗组50例,两组均接受西医基础治疗,治疗组配合健脾益肺汤剂,疗程均为4周。比较两组患者6 min步行距离、肺功能中的第1秒用力呼气量（FEV1）占预计值的百分比和FEV1/用力肺活量（FVC）的变化。结果治疗组6 min步行距离为（341.42±53.65）m、肺功能中的FEV1占预计值的百分比为（59.2±3.9）%、FEV1/FVC治疗后数值为（81.2±3.5）%,均明显高于对照组（P〈0.05）。结论健脾益肺法治疗COPD患者呼吸肌疲劳是有效的治疗方法。

Observation of strengthening spleen and lung to treat deficiency syndrome of acute exacerbation of chronic obstructive pulmonary disease with res- piratory muscle fatigue

Objective To observe the effect of strengthening spleen and lung to treat deficiency syndrome of acute ex- acerbation of chronic obstructive pulmonary disease （COPD） with respiratory muscle fatigue. Methods 100 cases of lung and spleen deficiency patients with acute exacerbation of COPD were chosen from the Department of Respiration and Rehabilitation of Guangming Hospital of Guangming New District in Shenzhen City from February to December 2012. The cases were randomly divided into test group and control group. Each group had 50 cases. Both groups re- ceived the basic treatment of western medicine. The test group was treated by the traditional Chinese medicine of strengthening spleen and lung. Treated time was 4 weeks. The two groups were compared with the 6 minutes walking distance, percentage of FEV1 reading from reference and the change of FEV1/FVC. Results 6 minutes walking distance was （341.42±53.65） m in test group, lung function in FEV,, percentage of FEV1 reading from reference was （59.2± 3.9）%, FEV1/FVC was （81.2±3.5）%, all were significantly higher than those of the control group （P 〈 0.05）. Conclu- sion The method of strengthening spleen and lung treating patients with COPD respiratory muscle fatigue is an effec- tive treatment method.