益气活血化痰法对慢性阻塞性肺疾病患者生活质量的影响

目的 观察益气活血化痰法对慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）患者生活质量的影响。方法 将72例中医辨证属气虚血瘀痰阻证的COPD稳定期患者随机分为治疗组和对照组，对照组（37例）单用西药，治疗组（35例）在西药基础上服用以益气活血化痰立法的中药复方或肺康冲剂加百令胶囊；3个月后根据COPD生活质量评估软件评价疗效。结果 治疗组疗效优于对照组，两组比较，差异有显著性（P〈0．01）。结论 以益气活血化痰立法的中药复方可以改善COPD稳定期患者的一临床症状，提高生活质量。

Effect of TCM Therapy by Principle for Nourishing Qi, Activating Blood Circulation and Resolving Phlegm on Quality of Life of Patients with Chronic Obstructive Pulmonary Disease

ObjectiveTo observe the effect of TCM therapy, by principle for nourishing Qi, activating blood circulation and resolving phlegm, on quality of life of patients with chronic obstructive pulmonary disease (COPD). MethodsSeventy-two COPD patients with Qi-deficiency, blood stasis and phlegm retention syndrome were randomly divided into two groups. Thirty-five patients in the treated group were treated with the integrative traditional and Western medicine, that is, conventional Western medicine combined with Chinese compound recipe prescribed based on the principle of nourishing Qi, activating blood circulation and resolving phlegm, or with Feikang granule and Bailing capsule, while 37 in the control group was treated with conventional Western medicine alone. The clinical efficacy was evaluated by assessment software of COPD quality of life after patients were treated for 3 months. ResultsThe clinical efficacy in the treated group was superior to that in the control group, showing significant difference (P<0.01).ConclusionCompound recipe prescribed according to the therapeutic principle for nourishing Qi, activating blood circulation and resolving phlegm can improve the symptoms of patients with COPD at stable stage, elevate their quality of life.