桑白皮汤治疗痰热郁肺型慢性阻塞性肺疾病急性加重期疗效观察.pdfVIP

实 用 中 医 内 科 杂 志 NOV ．2 0 l 1 · 44 · JOURNALOFPRACTICALTRADITIONALCHINESE INTERNALMEDICINE V01．25 No．11 桑 白皮汤治疗痰热郁肺型慢性阻塞性 肺疾病急性加重期疗效观察 叶 玲 ，洪旭初 (福建中医药大学附属人 民医院，福建福州 350004) 摘 要：[目的]探讨桑白皮汤治疗痰热郁肺型慢性阻塞性肺疾病急性加重期(AECOPD)的临床疗效。[方法]将 60例患者随机分为两组。对照组30例采用西医常规治疗，治疗组30例在对照组治疗基础上加服桑白皮汤。经过 10d 治疗观察两组治疗前后临床症状、体征评价和肺功能(FEV1％、FEV1／FVC)、血气分析等指标。[结果]治疗组总体疗效 和咳、痰、喘症状改善均明显优于对照组(P0．05)。[结论]桑白皮汤配合西医常规治疗AECOPD疗效显著。 关 键 词 ：慢性阻塞性肺疾病急性加重期； 痰热郁肺； 桑 白皮汤； 疗效 中图分类号：R256．1 文献标识码：A doi：10．3969／j．issn．1671—7813．2011．11．20 EffectiveObservationonTreatingAcuteExacerbationofChronic ObstructivePuImOnaryDiseasewithSanbaipiDecotion YE Ling，HONG Xu—chu (FujianTCM UniversityAffiliatedHospital，Fuzhou350004，Fujian，China) Abstract：[Objective]TointegrativetheeffectoftreatingAcuteExacerbationofChronicObstructivePu1一 monaryDisease(AECOPD)inPatientsbyphlegm —heatlyingdepressedinthelungwithsanbaipi—decotion． [Methods]The60caseswererandomlydividedintotwogroups。30casesastreatedgroup．whichweretreated with sanbaipi— decotion and conventionaltherapy ofwestern medicine．30 casesas controlled rgoup， which were treated with conventionaltherapyofwestern medicineonly． 1Odwereobservedaftertreatmentofclinical symptoms，signsandpulmonaryfunctionevaluation(FEV1％ ，FEVI／FVC)，bloodgasanalysisandotherin— dicators．[Results]Thetreatedgroupwassuperiortothecontrolledrgoupinthecurativeeffectandtherelieving ofsyndromesuchascough，expectoration，breathe(P0．05)．[Conclusions]Thetherapeuticefficacyofcon— ventional therapy ofwestern medicine cooperated with sanbaipi——decotion in treating AECOPD by phlegm —— heatlying depressed in thelung issuperiortoconventionalther