加味苇茎汤治疗慢性阻塞性肺疾病急性加重期（痰热壅肺型）临床疗效观察-中西医结合临床专业论文.docxVIP

加味苇茎汤治疗慢性阻塞性肺疾病急性加重期 （痰热壅肺型）临床疗效观察 中 文 摘 要 目的 ：观察加味苇茎汤治疗慢性阻塞性肺疾病急性加重期（痰热壅 肺型) 患者的症状、体征及对相关指标（血气、肺功能）的影响。 方法 ： 将60例 AECOPD 患者随机分为2组，对照组给予西医常规 治疗，治疗组在对照组治疗方法的基础上服用加味苇茎汤，2周后观察2 组的临床疗效以及血气分析、肺功能等指标。 结果 :（1）治疗组与对照组治疗慢性阻塞性肺疾病急性加重期（痰 热塑肺证）临床疗效比较差异有统计学意义（P0.05)，治疗组的总有效 率明显高于对照组。（2）两组患者各自治疗前后血气分析、肺功能的比 较：与同组治疗前比较，两组治疗后肺功能、血气分析指标均有显著改 善（P0.05），而治疗组改善程度明显高于对照组（P0.05)。 结论 ：加味苇茎汤联合西医治疗可有效改善慢性阻塞性肺疾病急性 加重期（痰热壅肺型）的症状、体征、血气及肺功能，临床疗效优于纯 西医治疗。 关键词：加味苇茎汤，AECOPD，痰热壅肺型，临床研究 Clinical observation on jiawei weijing soup in the Treatment Of Acute Exacerbations of Chronic Obstructive Pu1monary Disease (Phlegm-heat obstructing Lung) ABSTRACT Objective: To observe the curative effects of jiawei weijing soup in the Treatment Of AECOPD(Phlegm-heat obstructing Lung) and its effects on Clinical symptoms、signs、blood gas analysis and pulmonary function. Methods: 60 enrolled Patients were selected and randomly divided into control group and treatment group, 30 cases in each group .The control group were received western medicine, while the treatment group were received western medicine and jiawei weijing soup .One week as a course of treatment, lasting for two weeks. Results: (1)The clinical efficacy of treatment group is much better than the control group (P0.05); (2)The treatment group can get more effectual in blood gas analysis and pulmonary function; (3) None adverse reactions of Jiawei Weijing soup was discovered during the Process. Conclusion: The treatment group is superior to control group at the improvement of the clinical symptoms 、signs、blood gas analysis and pulmonary function without obvious adverse reactions. It has clinical Practical value. Key words：AECOPD, Jiawei weijing soup, Phlegm-heat obstructing Lung, Clinical study 目 录 引言???????????? ???????????????? 1 正文???????? ???????????????????? 3 1 实验材料和方法? ????????????????????? 3 1.1 实验对象?????????????????????????3 1.1.1 试验分组???????????????????????? 3 1.2 诊断标准???? ????????????? ??????? 4 1.2.1 中医诊断标准?????????