中医辨证治疗慢性支气管炎肺气肿的临床疗效评价

Clinical evaluation of TCM syndrome differentiation in the treatment of chronic bronchitis emphysema

目的:综合评价在慢性支气管炎肺气肿疾病治疗中,中医辨证的临床治疗效果和应用价值。方法:研究主要对佛山市中医院三水医院2017年9月-2019年7月所接收的90例患者以回归性方式进行分析,所有患者严格按照对照组(45例)和观察组(45例)为标准进行随机分配,两组分别予以现代西医疗法和传统中医辨证疗法,观察组患者根据不同临床症状辨证为肺阴不足、肾阳虚、肺肾气虚、风寒郁闭、痰浊壅肺、痰热郁肺、痰蒙神窍分别进行中药治疗,并且对患者临床治疗效果和疾病复发率对比分析。结果:从临床治疗效果来看,观察组95.6%(43/45)的总有效率明显高于对照组75.6%(34/45)的总有效率;而从疾病复发率来看,对照组复发人数大约为2例,复发率4.4%(2/45),观察组疾病复发人数接近11例,复发率24.4%(11/45),观察组优势极为明显。两组比较,差异具有统计学意义(P<0.05)。结论:相较于现代西医理念,中医辨证治疗方法主要治疗对象为肺和肾,药物以麻黄、黄芩、桑白皮、苦杏仁、半夏、紫苏子为主,从而达到宣肺和化痰的效果。中医辨证理念在治疗慢性支气管炎肺气肿疾病中的整体治疗效果较为显著,不但能够形成对患者各类临床症状的有效缓解,且能够在某种程度上提高医院整体诊治水平,故具有临床推广及应用价值。

Objective:To comprehensively evaluate the clinical effect and application value of TCM syndrome differentiation in the treatment of chronic bronchitis emphysema.Methods:90 patients admitted to Sanshui Hospital of Foshan Traditional Chinese Medicine Hospital from September 2017 to July 2019 were analyzed in a regressive manner.All the patients were randomly assigned in strict accordance with the standards into the control group(45 cases)and the observation group(45 cases).The two groups received modern western medicine therapy and traditional Chinese medicine syndrome differentiation therapy respectively.Patients in the observation group were treated with traditional Chinese medicine according to different clinical symptoms including deficiency of lung Yin,deficiency of kidney Yang,deficiency of lung kidney Qi,stagnation of wind and cold,phlegm obstruction of lung,phlegm heat stagnation of lung and phlegm,and the clinical treatment effect and recurrence rate of the disease were compared and analyzed.Results:From the clinical treatment effect,the effective rate of 95.6%(43/45)in the observation group was significantly higher than that of 75.6%(34/45)in the control group.In terms of disease recurrence rate,the number of patients with disease recurrence in the observation group was about 2(4.4%)(2/45),and the number of patients with disease recurrence in the control group was nearly 11(24.4%)(11/45).The difference between the two groups was statistically significant(P<0.05).Conclusion:Compared with modern western medicine,the main treatment targets of TCM are lung and kidney,and the drugs are mainly Ephedra,Scutellaria baicalensis,Mulberry white skin,Almond,Pinellia Fructus penellae and Suzi(紫苏子),so as to achieve the effect of promoting lung and eliminating phlegm.The overall treatment effect of TCM syndrome differentiation is relatively significant in the treatment of chronic bronchitis emphysema disease,it can not only form an effective relief of all kinds of clinical symptoms of patients,and to some extent,can improve the overall diagnosis and treatment level of the hospital,so it has clinical promotion and application value.