中西医结合治疗慢性阻塞性肺疾病急性加重期疗效观察

Integrative Treatment of Chronic Obstructive Pulmonary Disease with Acute Exacerbation of Efficacy

目的:自拟清热化痰汤联合常规抗感染、解痉、祛痰治疗慢性阻塞性肺疾病急性加重(AECOPD)辨证属于痰热蕴肺证患者的临床疗效。方法选择我院2012年1月~2013年8月60例慢性阻塞性肺疾病急性加重患者,采用完全随机方法分为对照组30例和治疗组30例。对照组常规抗感染、解痉、祛痰等治疗方法,治疗组在抗感染、解痉、祛痰等治疗基础上加用清热化痰汤,均以14d为1个疗程,观察患者的死亡率、平均住院时间、气管插管率及呼吸机使用时间、住院费用、临床疗效。结果治疗组能有效降低死亡率、平均住院时间、气管插管率及呼吸机使用时间、住院费用、缓解临床症状,作用均优于对照组,差异有显著性(P<0.05)。结论清热化痰汤联合常规抗感染、解痉、祛痰治疗慢性阻塞性肺疾病急性加重(AECOPD)辨证属于痰热蕴肺证患者有较好疗效。

Objective:Self phlegm decoction combined conventional antibiotics,antispasmodic,expectorant treatment of chronic obstructive pulmonary disease(AECOPD)Yun-lung phlegm syndrome belongs to the patient's clinical ef icacy.Methods:Our hospital from January 2012 to August 2013 60 patients with chronic obstructive pulmonary disease exacerbations in patients with completely random method is divided into 30 cases of the control group and treatment group of 30 cases.Control group,conventional antibiotics,antispasmodic,expectorant and other treatment methods,the treatment group in the anti-infection,antispasmodic,expectorant and other treatments based on the use phlegm soup,are 14 days for a course of treatment,observation of the patient's death rate,the average length of stay,endotracheal intubation rate and ventilation time,hospital costs,clinical ef icacy.Results:The treatment group can ef ectively reduce mortality,average length of stay,endotracheal intubation and mechanical ventilation time,hospital costs,relieve symptoms,ef ects than the control group,the dif erence was significant(P<0.05).Conclusion:phlegm decoction combined conventional antibiotics,antispasmodic,expectorant treatment of chronic obstructive pulmonary disease with acute exacerbation(AECOPD)syndrome belongs to phlegm retention in the lung syndrome has a good ef ect.