小青龙汤加减治疗老年肝硬变合并慢性喘息型支气管炎33例

Senile Liver Cirrhosis Combined with Chronic Asthmatic Bronchitis Treated with Modified Small Qinglong Decoction

目的:观察小青龙汤加减治疗老年肝硬变合并慢性喘息型支气管炎的临床效果。方法:选取老年肝硬变合并慢性喘息型支气管炎急性发作期患者65例,随机分成对照组32例和观察组33例。对照组给予常规西医治疗,观察组在对照组治疗的基础上加用小青龙汤加减治疗。结果:对照组有效率78.12%,观察组有效率90.91%,观察组优于对照组(P<0.05);观察组临床症状缓解时间、临床体征消失时间、血氧饱和度恢复正常时间、住院时间、生活质量评分、实验室指标恢复正常时间和临床症状评分均优于对照组(P<0.05)。结论:小青龙汤加减能有效改善老年肝硬变合并慢性喘息型支气管炎急性发作期症状,提高临床疗效。

Objective： To observe the clinical curative effect of Modified Small Qinglong Decoction（ MSQLD） on senile liver cirrhosis combined with chronic asthmatic bronchitis. Methods： Sixty-five patients with senile liver cirrhosis combined with chronic asthmatic bronchitis during acute stage were randomly divided into the control group with 32 cases and the observation group with33 cases. The patients in the control group were treated with routine Western medicine,while the ones in the observation group were added MSQLD based on the treatment of the control group. Results： The effective rate of the control group was 78. 12%,while that of the observation group was 90. 91%; And the observation group was better than the control group（ P 〈0. 05）. The clinical symptoms relieving time,the clinical signs disappearing time,the time for blood oxygen saturation back to normal,hospital stay,life quality score,the time for laboratory indicators back to normal,and clinical symptom score of the observation group were all better than those of the control group（ P 〈0. 05）. Conclusion： MSQLD can greatly improve the symptoms of senile liver cirrhosis combined with chronic asthmatic bronchitis during acute stage,and enhance the clinical curative effect.