辨证施治联合西药治疗老年肺心病急性加重期对照观察

Control Study about the Treatment of Senile Pulmonary Heart Disease during Acute Exacerbationby Chinese 'Medical Dialectical Therapy Combining with Western Medicine

[目的]观察辨证施治联合西药治疗老年肺心病急性加重期疗效。[方法]将119例住院患者按就诊顺序编号随机分为两组。对照组57例控制感染、畅通气道、改善呼吸功能、强心利尿等常规治疗。治疗组62例健脾补肾、活血化瘀,肺肾气虚小青龙汤和真武汤加减;痰热壅肺麻杏石甘汤加减;休克参附龙牡汤;有出血倾向生脉散合犀角地黄汤。西药治疗同对照组。观测临床症状、血液流变学指标。1周为1疗程,连续治疗3疗程,判定疗效。[结果]治疗组显效34例,有效19例,无效9例,总有效率85.48%。对照组显效21例,有效17例,无效19例,总有效率66.67%,治疗组疗效优于对照组(P<0.05)。血液流变学指标改善治疗组均优于对照组(P<0.05)。[结论]辨证施治联合西药治疗老年肺心病急性加重期效果满意。

[Objective]To explore the effect of senile pulmonary heart disease during acute exacerbation treated by Chinese medical dialectical therapy and western medicine.[Method]119 cases of hospitalized patients were divided into two groups at random according to registration order.One was the treatmentpart which had 62 cases,treated by spleen kidney,activating circulation to remove blood stasis and western medicine;the other was the control part which had 57 cases,treated by conventional western medicine in term of controlling infection,opening the airway,improving the respiratory function,andcardiotonic and diuretic therapy,which were similar to observing group.The treatment plan was carried out for 3 continuous one-week courses.[Results]The result showed the excellent was 34,the effective was 19,the failed was 9,and the total effective rate 85.48% in the treatment group.However,21,17,19 and 66.67% in the control one.The curative effect of treatment group was better than control group（P0.05）,and had better improvement in blood gas analysis and blood rheology（P0.05）.[Conclusion]It has satisfactory results to treat senile pulmonary heart disease during acute exacerbation by Chinese medical dialectical therapycombining with western medicine.