补肺活血汤辅助西医常规治疗稳定期COPD的效果评价

Effective evaluation on treating stable COPD with the Bufei Huoxue decoction plus conventional western medicine

目的:探讨补肺活血汤辅助西医常规治疗稳定期慢性阻塞性肺疾病(COPD)的临床效果。方法:将2014年2月-2016年12月在我院治疗的60例稳定期COPD患者按照随机数字法平均分为两组,30例予以西医常规治疗(对照组),30例予以补肺活血汤辅助西医常规治疗(研究组)。比较两组患者临床疗效、干预前后中医证候积分、圣乔治呼吸问卷(SGRQ)积分、肺功能指标及血气指标变化情况。结果:研究组患者的临床总有效率(90.00%)较对照组(76.67%)显著要高(P<0.05)。研究组中医证候积分、SGRQ积分显著低于对照组(P<0.05),研究组FEV1、FVC显著高于对照组(P<0.05),研究组PaO_2显著高于对照组,PaCO_2显著低于对照组(P<0.05)。结论:补肺活血汤辅助西医常规治疗稳定期COPD具有很好的临床疗效,可显著改善患者临床症状,安全性较高。

Objective:To investigate clinical effects of the Bufei Huoxue decoction(补肺活血汤)with routine western medicine on stable chronic obstructive pulmonary disease.Methods:60 cases in our hospital from February 2014 to December 2016 were divided into two groups according to random digital method.30 cases were treated by routine western medicine(the control group);30 cases took the Bufei Huoxue decoction more(the study group).Results:The total efficiency in the study group(90.00%)was significantly higher than 76.67%in the control group(P<0.05).The TCM syndrome score and SGRQ score in the study group were significantly lower than those in the control group(P<0.05).The FEV1 and FVC in the study group were significantly higher than those in the control group(P<0.05).The PaO2 was significantly higher and the PaO2 was significantly lower in the study group than those in the control group(P<0.05).Conclusion:The Bufei Huoxue decoction based on western medicine routine treatment on stable COPD showed good clinical efficacy,could significantly improve clinical symptoms,with higher safety.