摘要
目的:选取肺气虚证型的稳定期慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)患者作为研究对象采取参芪补肺汤治疗,分析其对患者肺功能的影响。方法:选取2014年4月-2016年4月到台山市中医院进行治疗的80例稳定期COPD患者,中医辨证为肺气虚证。根据治疗方案不同,将其分为两组。对照组40例,轻度患者使用沙丁胺醇治疗(雾化吸入,每次2喷,每日3~4次),中度患者在沙丁胺醇基础上,联合氨茶碱治疗(口服,每次0.1 mg,每日3次)。观察组患者在西药治疗基础上,使用参芪补肺汤治疗(基本方:黄芪30 g,桑白皮、丹参、党参各15 g,百部、紫菀、补骨脂各12 g,陈皮6 g)。两组患者均治疗3个月,根据患者治疗前后临床症状积分减分率评价其治疗效果,对比两组患者的FVC、FEV1等肺功能指标。结果:观察组总有效率为90%(36/40)(临床控制8例,显效12例,有效16例),对照组总有效率为70%(28/40)(临床控制4例,显效7例,有效17例),差异明显(P<0.05);观察组患者治疗后FVC、FEV1指标均明显高于对照组(P<0.05)。结论:对肺气虚证型的稳定期COPD患者使用参芪补肺汤辅助常规西药治疗,可提高治疗有效率,改善患者肺功能,与单纯应用西药相比具有明显的优越性。
Objective:Stable COPD patients with lung qi deficiency syndrome were selected as the research subjects,and Shenqi Bufei Decoction(参芪补肺汤)was used to analyze its effect on patients'lung function.Methods:80 cases of stable COPD patients who were admitted to our hospital for treatment from April 2014 to April 2016 were selected,and the TCM syndrome was lung qi deficiency.They were divided into two groups according to the treatment regimen.In the control group,40 cases of mild patients were treated with salbutamol(atomized inhalation,2 sprays/time,3~4 times/d),moderate patients were treated with salbutamol combined with aminophylline(orally,0.1 mg/time,3 times/d).The patients in the observation group were treated with Shenqi Bufei Decoction on the basis of western medicine(basic prescription:astragalus membranaceus 30 g,mulberry white bark 15 g,salvia miltiorrhiza 15 g,codonopsis pilosa 15 g,tuber tuber 12 g,tuber 12 g,and tangerine peel 6 g).Patients in both groups were treated for 3 months.The therapeutic effect was evaluated according to the score reduction rate of clinical symptoms before and after treatment,and FVC,FEV1 and other pulmonary function indicators in the two groups were compared.Results:The total effective rate in the observation group was 90%(36/40)(8 cases of clinical control,12 cases of significant effect,16 cases of effective effect),and the total effective rate in the control group was 70%(28/40)(4 cases of clinical control,7 cases of significant effect,17 cases of effective effect),which was with significant difference(P<0.05).After treatment,FVC and FEV1 indexes in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:For stable COPD patients with lung qi deficiency syndrome,the use of Shenqi Bufei Decoction as adjuvant treatment to conventional western medicine treatment can improve the treatment efficiency and promote the lung function of patients,which is significantly superior to the use of western medicine alone.
作者
郑妙瑜
黄春燕
Zheng Miaoyu;Huang Chunyan
出处
《中医临床研究》
2020年第3期22-23,共2页
Clinical Journal Of Chinese Medicine
关键词
肺气虚证
慢性阻塞性肺疾病
参芪补肺汤
Lung qi deficiency syndrome
Chronic obstructive pulmonary disease
Shenqi Bufei Decoction
