中西医结合治疗慢性阻塞性肺病急性发作期的临床观察

Clinical Experience of the Combination of Traditional Chinese Medicine and Western Medicine for COPD in Acute Period

目的:研究中西医结合在慢性阻塞性肺病(COPD)急性期的临床疗效。方法:对80例COPD急性发作期患者随机分成2组,治疗组40例在基础治疗基础上结合中医治疗,对照组40例单纯西医治疗,观察2组疗效。结果:治疗组临床控制、显效、有效、总有效率分别为35.0%、47.1%、15.0%、92.9%,明显高于对照组27.5%、30.0%、12.5%、70.0%(x^2=3.95,x^2=4.01,x^2=4.25,x^2=4.11,P均<0.05);治疗组治疗后P(O_2)、Sa(O_2)、FEV_1含量均高于治疗前(t=2.154,t=2.245,t=2.233,t=2.314,均<0.05);治疗组治疗后红细胞压积、全血黏度、血浆比黏度含量均低于于治疗前(t=2.411,t=2.344,t=2.325,t=2.322,P均<0.05)。结论:中西医结合治疗COPD急性发作期疗效肯定,有利于调节机体与药物平衡。

Objecrive：To research the clinical treatment effect of Traditional Chinese Medicine combined with Western Medicine for Chronizal Obstractive Palmonary Disease （COPD） in acute period. Methods：80 COPD in acute period were randomly divided into two groups.In the combination of Traditional Chinese Medicine（treatment group,n=40）and Western Medicine（control group.n=40）was adopted.The treatment effect were observed in two groups. Results：The treatment group of clinical control,markedly effective,effective,total effective rates were 35.0%, 47.1%. 15.0%, 92.9% were significantly higher than the 27.5%,30.0%,12.5%,70.0% in control group（Х^2=3.95,Х^2=4.01,Х^2=4.25,Х^2=4.11,P all 〈0.05）;The contents of P（O2）,Sa（O2）,FEV1 in treatment group after treatment were higher than before treatment（t=2.154,t=2.245,t=2.233,t=2.314,P all〈0.05）;The contents of hematocritiwhole blood viscosity, plasma viscosity in treatment group after treatment were lower than before treatment（t=2.411,t=2.344,t=2.325,t= 2.322,P all〈0.05）. Conclusion：The curative efffect of Traditionai and Western Medicine in COPD acute period were certainly,which helps the adjustment of balance between body and medicine.