血府逐瘀汤加减治疗慢性阻塞性肺疾病急性发作临床观察

Clinical Observation of Modified Xue Fu Zhu Yu Decoction in the Treatment of Acute Episode of Chronic Obstructive Pulmonary Disease

目的观察血府逐瘀汤加减方治疗慢性阻塞性肺疾病急性发作(AECOPD)的临床疗效。方法120例AECOPD患者,随机分为治疗组、对照组各60例,均采用西药常规治疗;治疗组另加服中药治疗,10 d为1个疗程。结果治疗组临床控制15例,显效19例,有效22例,无效4例,总有效率93.33%。对照组临床控制9例,显效15例,有效26例,无效10例,总有效率83.33%。两组疗效相比有显著差异。结论中西医结合治疗AE-COPD的临床疗效优于单纯西医治疗。

Objective To observe the clinical efficacy of modified Xue Fu Zhu Yu decoction in the treatment of acute episode of chronic obstructive pulmonary disease （AECOPD）. Methods 120 cases of AECOPD patients were randomized into the therapeutic group and the control group with 60 cases in each. The patients in both groups were treated with conventional western medicine, while the therapeutic group was supplemented with additional traditional Chinese medicine, 10 days as a treatment course. Results In the therapeutic group, 15 cases were clinically controlled, 19 cases were markedly effective, 22 cases were effective, and 4 cases were ineffective, and the total effective rate was 93.33 %. In the control group, 9 cases were clinically controlled, 15 cases were markedly effective, 26 cases were effective, and 10 cases were ineffective, and the total effective rate was 83.33 %. The difference of the two groups＇effective rates was significant. Conclusion Integrated traditional Chinese and western medicine is superior to using western medicine alone in the treatment of AECOPD.