佛鱼饮治疗29例慢阻肺病急性发作期患者的疗效观察

Effect Observation of Fo Yu Decoction in the Treatment of 29 Cases of Chronic Obstructive Pulmonary Disease(COPD) During Acute Attack

目的观察清热化痰活血法组方的佛鱼饮联合西药治疗慢阻肺病急性发作期的临床疗效。方法59例患者随机分为两组,治疗组29例在西医常规治疗基础上口服佛鱼饮;对照组30例,给予抗感染、祛痰止咳平喘等常规治疗。结果治疗14 d,治疗组的临床总有效率为69.69%,明显好于对照组;治疗组动脉血气较对照组明显好转(P<0.05);两组白细胞总数、中性粒细胞百分数均较疗前明显降低(P<0.01),淋巴细胞百分数明显升高(P<0.01),治疗组改善比对照组明显。结论佛鱼饮联合西药治疗慢阻肺病急性发作的疗效优于对照组,是治疗慢阻肺病急性发作的有效方,值得临床推广运用。

Objective To observe the clinical effect of Fo Yu decoction which was composed of cleaning heat to resolve phlegm and promoting blood circulation integrated with western medicine for the treatment of COPD during acute attack. Methods 59 patients were randomly divided into two groups. 29 cases in the rapeutic group were given oral FoYu decoction in addition to conventional western medicine treatment. 30 cases in the control group were given conventional treatment of anti -infection and expectorant cough asthma＇. Results After 14 days＇ treatment, the total clinical effective rate of therapeutic group was 69.69 %, and the effect was obviously better than that of the control group. The arterial blood gas of the therapeutic group became better（ P 〈 0.05 ）. The total number of both groups＇white blood cells and the percentage of neutrophils decreased significantly after treatment（ P 〈 0.01 ）. The percentage of lymphocytes increased a lot（ P 〈 0.01 ）. The improvement of therapeutic group was more obvious than that of the control group. Condusion The effect of Fo Yu decoction combined with western medicine was better than that of the control group in treating acute attack of COPD. It is an effective prescription for treating acute attack of COPD and worthy of clinical promotion and application.