中西医结合治疗肺心病急性发作期疗效观察

Treatment outcome of integration of TCM and WM therapy for treating the acute phase of pulmonary heart disease

目的 观察中西医结合治疗肺心病急性发作期的疗效。方法 将 80例患者随机分组 ,治疗组 40例采用以补肾利水、祛痰化瘀中药为主配合西医常规治疗的中西医结合疗法 ;对照组单纯采用西医常规疗法。治疗 1个疗程后 ,观察症状、体征及动脉血氧分压、二氧化碳分压、血液流变学变化。结果 治疗组在改善患者临床症状、体征 ,提高动脉血氧分压 ,降低动脉二氧化碳分压 ,降低全血黏度、血浆黏度、红细胞压积等方面明显优于对照组。总有效率明显提高。结论 西医常规治疗配合补肾利水。

Objective To evaluate the therapeutic effects of combination of TCM and WM therapy on the acute attack of pulmonary heart disease. Methods Eighty patients suffering from the acute onset of pulmonary heart disease,were randomly divided into two groups.According to the therapeutic principles of the diuresis ,reinforcing the kidney,expelling phlegm and removing stasis , the decoction of herbal medicines was prepared to be taken orally in treated group(n=40), combined with the Western routine therapy ; in control group(n=40) the Western routine therapy was taken only, with the therapeutic course of 12 d respectively.Results As compared with those in control group, the total effective rate ,the improved degrees of symptoms and signs ,and arterial partial pressure of oxygen increased significantly,the arterial partial pressure of carbon dioxide,whole blood viscosity,plasma viscosity and hematocrit decreased markedly (P<0.05 or 0.01). Conclusions The integration of TCM and WM therapy mentioned above can improve the treatment outcome of the acute attack of pulmonary heart disease.