中西医综合治疗慢性阻塞性肺疾病稳定期临床观察_0.docVIP

中西医综合治疗慢性阻塞性肺疾病稳定期临床观察 作者：黄东晖，吴蕾，何德平，林琳 【关键词】 肺疾病 Clinical observation of tranquilization period of chronic obstructive pulmonary disease treated by integration of traditional Chinese medicine and Western medicine 　　【Abstract】 AIM: To explore the treatment effect of the integration of traditional Chinese medicine and western medicine on chronic obstructive pulmonary disease (COPD) patients in the tranquilization period. METHODS: Randomized controlled trial was conducted. Sixtythree COPD cases in the tranquilization period from our respiratory clinic were divided into two groups and were given basic western medical treatment. One of the groups, the treatment group, was also given Yupingfeng Granule, Bailing Capsules and JianpiyifEi Powder for 3 months. RESULTS: The treatment group was better than the other group in the sixminute walk distance, the score of quality of life and the times of acute exacerbation (P0.05). There was no significant difference in pulmonary function between the two groups (P0.05). CONCLUSION: Integrated treatment of traditional Chinese medicine and Western medicine, with mild adverse reaction and good compliance, can improve the quality of life, enhance the walking endurance and lessen the times of acute exacerbation. 　　【Keywords】 lung disease, chronic obstructive; traditional Chinese medicine; combined therapy 　　【摘要】 目的：探讨中西医综合 治疗 对慢性阻塞性肺疾病(COPD)稳定期患者的疗效. 方法 ：采用随机、对照、单盲的临床试验方案采用随机对照单盲临床 研究 方法，将在呼吸专科门诊入选的COPD稳定期患者63例随机分为治疗组（n=32）与对照组(n=31). 两组患者均按相关指南采用西医基础治疗，治疗组32例除基础治疗外还加服玉屏风颗粒、百令胶囊，健脾益肺冲剂. 疗程均为3 mo. 结果：治疗组在增加6 min步行距离与生活质量评分、减少急性加重次数上优于对照组(P0.05)，而肺功能改善与对照组比较差异无统计学意义(P0.05). 结论：中西医综合治疗较单纯西医基础治疗可提高患者的生活质量、行走耐力，减少其急性加重次数，不良反应轻微，患者依从性好. 　　【关键词】 肺疾病，慢性阻塞性；中医；综合治疗 　　0引言 　　慢性阻塞性肺病（chronic obstructive pulmonary disease，COPD）是一种慢性呼吸系统疾病，特征是慢性气流阻塞并进行性 发展 . 目前 COPD治疗越来越重视稳定期的防治，防治手段也倾向于综合治疗. 我们通过中西医综合治疗COPD稳定期患者取得满意疗效. 　　1对象和方法 　　1.1对象 　　200209/200409在我院呼吸专科门诊就诊的63例患者. 将患者随机分为治疗组与对照组. 其中治疗组32(男21，女11)例, 年龄(69.5±11.8)岁,病程(8.5±3.2) a, 病情分级：Ⅱ级17