清肺泄浊益气法治疗慢性阻塞性肺疾病缓解期60例临床观察

Clinical observation on treating 60 cases of COPD by the method of Qingfei Xiezhuo Yiqi

目的:评价清肺泄浊益气法治疗慢性阻塞性肺疾病缓解期患者的临床疗效。方法:2009年4月～2010年10月在九江市中医院呼吸内科病区收集60例COPD缓解期患者,其中男性31例,女性29例,经中医辨证属肺脾气虚、痰浊内蕴,按照随机原则分别设立对照组(30例)和试验组(30例)。对照组采取戒烟和茶碱片口服治疗,试验组在对照组治疗的基础上加用清肺平喘汤加减口服。疗程为两个月。在治疗前后分别观察两组患者的临床症状和体征。结果:试验组总有效率为86.67%,对照组总有效率为73.33%,经统计学处理表明,试验组疗效优于对照组。结论:清肺泄浊益气法能明显缓解慢性阻塞性肺疾病缓解期的临床症状、体征,临床观察疗效较好。

Objective： To evaluate the effect of cleaning lung vent phlegm supplenmenting Qi herbs in patients with remissive chronic obstructive pulmonary disease （COPD）. Methods： 60 patients with stable COPD, 31 males and 29 females, were collected in ward of the TCM Hospital of JiuJiang city from April 2009 to October 2010. They were diagnosed lung distension after syndrome differentiation of TCM; belong to the type of insufficiency of lung-qi and spleen-qi, phlegm block. Patients were randomly divided into the treatment group （n=30） and the control group （n=30）. The control group quit smoking and was treated by oral Theophylline pose, and the treatment group was treated by cleaning lung vent phlegm supplementing Qi herbs, quit smoking and oral Theophylline pose for two months. We measured patients’ clinical symptom and the symptom. Results： The total effective rate of treatment group was 86.67%, the total effective rate of control group was 73.33%. Statistical analysis showed that the efficacy of the treatment group was superior to the control group. Conclusion： Cleaning lung vent phlegm supplenmenting Qi hevbs can obviously alleviate the chronic obstructive pulmonary disease remission patients’ clinical symptom and the symptom, clinical observation curative effect is good.