摘要
目的观察益气补肾化痰祛瘀法对缓解期慢阻肺合并肺心病患者生存质量的改善效果。方法 80例缓解期慢性阻塞性肺疾病合并肺心病患者随机分为2组,对照组给予常规西医治疗,治疗组在西医治疗基础上给予益气补肾、化痰祛瘀中药,两组患者疗程均为半个月,以SF-36量表评价生活质量,比较2组患者治疗前后生存质量变化以及中医证候疗效差异。结果治疗组总有效率高于对照组(P<0.05);治疗后两组生存质量各项指标评分都明显高于本组治疗前(P<0.05),且治疗组明显高于对照组(P<0.05);治疗组治疗后咳嗽、咳痰、气喘、心肌以及水肿等证候评分均明显低于对照组(P<0.05)。结论益气补肾化痰祛瘀中医治疗有助于改善缓解期慢性阻塞性肺疾病合并肺心病患者生存质量、缓解临床症状。
Objective To observe the effect of kidney qi, resolving phlegm and removing blood stasis therapy on improving quality of life in patients with Chronic obstructive pulmonary disease and chronic pulmonary heart disease. Methods 80 cases of remission period of chronic obstructive pulmonary disease combined with pulmonary heart disease patients were randomly divided intotwo groups. The control group was treated with conventional western medicine treatment, the treatment group was given Chinese herb based on the control group. After treating for half a month, used the SF - 36 table level to evaluate quality of life, compared survival quality changes and TCM syndromes. Results The total effective rate of treatment group was better than control group( P 〈 0.05 ). After treatment, quality of life indicators score were significantly higher compared with before treatment ( P 〈 0.05 ) ; the quality of life indicators score in treatment group was significantly higher than that of the control group (P 〈 0.05) ; cough, sputum, asthma, myocardial edema and the syndrome score in the treatment group were significantly lower than those of the control group. Conclusion Tonifying qi , reducing phlegm and removing blood stasis therapy is helpful to improve the quality of life, and relieve the clinical symptoms of patients of chronic obstructive pulmonary disease with pulmonary heart disease in remission stage .
出处
《湖北中医药大学学报》
2015年第4期55-57,共3页
Journal of Hubei University of Chinese Medicine
基金
江苏省科技厅研究项目(JS04116-03)
关键词
慢性阻塞性肺疾病
肺心病
中西医结合疗法
chronic obstructive pulmonary disease
pulmonary heart disease
integrated Chinese -western therapy