中西医结合治疗慢性阻塞性肺疾病疗效分析

The Analysis of Traditional Chinese and Western Medicine in the Treatment of Chronic Obstructive Pulmonary Diseases

目的:探讨慢性阻塞性肺疾病的中西医治疗效果。方法:60例COPD患者随机分为观察组与对照组各30例,对照组在强心、利尿、扩血管、抗感染、沙丁胺醇等一般治疗基础上加用溴化异丙托品气雾剂,观察组在对照组基础上加用中药方剂加味六君子汤治疗,对比两组临床症状与体征、肺功能变化情况。结果:观察组临床症状体征改善率显著高于对照组(P<0.01),观察组FEV1、FVC治疗后6周及12周均显著高于治疗前(P<0.05),而对照组则未见显著变化(P>0.05),且治疗后6周及12周观察组FEV1、FVC均显著高于对照组(P<0.05),而两组FEV1/FVC治疗前后及组间比较差异无统计学意义(P>0.05)。结论:中西医结合治疗COPD可有效减轻患者咳嗽、咳痰、气促等症状,同时可明显改善患者肺功能,效果较为理想,值得临床推广应用。

Objective ：To discuss the effects of the application of integration of traditional Chinese and Western medicine in the treatment of chronic obstructive pulmonary diseases（COPD）.Methods ：60 patients with COPD were divided into the observation group（30 cases） and the control group（30 cases）, the control group were given bromide ipratropium product aerosol based on conventional treatment, the observation group were given integration of traditional Chinese and Western medicine, then we contrasted the clinical effects between the two groups.Results ：The improve rates of clinical symptoms and signs in the observation group were significantly higher than the control group（P〈0.01） ; FEVl, FVC were significantly higher in 6 and 12 weeks after treatment than before in the observation group（P〈O.05） ; but no significantly changes in the control group（P〉0.05） ; and FEVI, FVC of the observation group were significantly higher in 6 and 12 weeks after treatment than the control group（P〈0.05） ; but there was no significantly defferences on FEV1/FVC after or before treatment in the two groups（P〉0.05）.Conclusion ：The application of integration of traditional Chinese and Western medicine in the treatment of COPD can effectively reduce the symptoms of patients with cough, sputum, shortness of breath, and can significantly improve the lung function.It has desired effects, and is worthy of clinical application.