中西医结合治疗慢性阻塞性肺疾病急性发作并Ⅱ型呼吸衰竭的疗效分析

发布时间：2018-01-08 23:20

本文关键词：中西医结合治疗慢性阻塞性肺疾病急性发作并Ⅱ型呼吸衰竭的疗效分析　出处：《中华中医药学刊》2015年11期 　论文类型：期刊论文

【摘要】：目的:了解慢性阻塞性肺疾病急性发作的主要临床表现,探讨中西医结合治疗对慢性阻塞性肺疾病并Ⅱ型呼吸衰竭的临床效果。方法:选择2013年2月—2015年2月期间,在医院就诊的72例慢性阻塞性肺疾病急性发作并Ⅱ型呼吸衰竭的患者作为本次研究的对象,其中采用常规西医治疗的36名患者作为本次研究的对照组,采用中西医结合治疗的36名患者作为本次研究的观察组。观察治疗后两组患者的肺功能、治疗效果、中医症状的变化以及患者治疗后的满意度,分析出现这些结果可能的原因。结果:对照组患者的峰值呼气流速(PEF),第一秒用力呼气量(FEV1),以及第一秒用力呼气量与用力肺活量的比值(FEV1/FVC)均明显低于观察组的患者,且差异具有统计学意义(P0.05);对照组的患者显效率为22.22%,明显低于观察组的患者显效率(33.33%),总有效率为61.11%,明显低于观察组的总有效率(86.11%),无效率为38.89%,明显高于观察组的无效率(13.89%),且差异具有统计学意义(P0.05);两组患者治疗后,观察组患者自汗、喘息、咳痰、大便异常、食少腹胀等症状较对照组改善更明显,且差异具有统计学意义(P0.05),咳嗽的改善情况两组差异无统计学意义(P0.05);观察组治疗后总满意度为86.11%,其中非常满意为41.76%,明显高于对照组的总满意度(55.56%),且两组差异具有统计学意义(P0.05)。结论:中西医结合治疗与常规的治疗方式相比,对慢性阻塞性肺疾病急性发作并Ⅱ型呼吸衰竭的临床效果更好,因此可在慢性阻塞性肺疾病的治疗中推广使用。
[Abstract]:Objective: to understand the clinical manifestations of acute exacerbation of chronic obstructive pulmonary disease, the combination of traditional Chinese and Western medicine treatment of the clinical effect on chronic obstructive pulmonary disease and respiratory failure. Methods: during the period February 2013 - February 2015, in 72 patients with acute exacerbation of chronic obstructive pulmonary disease and respiratory failure patients as the object of this study, 36 patients with conventional therapy as the control group in this study, 36 patients with treatment as the observation group for this study by Chinese and Western medicine. The pulmonary function was observed after treatment of the two groups of patients with treatment effect, change of TCM symptoms and satisfaction of patients after treatment these results may appear, cause analysis. Results: the patients in the control group the peak expiratory flow rate (PEF), forced expiratory volume (FEV1), as well as FEV1 and FVC The ratio (FEV1/FVC) were significantly lower than those of the patients in the observation group, and the difference was statistically significant (P0.05); patients in the control group markedly effective rate was 22.22%, significantly lower than the patients in the observation group were markedly effective (33.33%), the total effective rate was 61.11%, significantly lower than the total effective rate of the observation group (86.11%), no efficiency 38.89%, the observation group was significantly higher than that of the non efficiency (13.89%), and the difference was statistically significant (P0.05); the two groups of patients after treatment, the observation group of patients with spontaneous breathing, cough, abnormal stools, eat less bloating and other symptoms compared with the control group improved significantly, and the difference was statistically significant (P0.05), no statistical significance the difference between the two group improved cough (P0.05); the satisfaction degree of the observation group after treatment was 86.11%, 41.76% of them are very satisfied, the total satisfaction was significantly higher than that of control group (55.56%), and the two groups the difference was statistically significant (P0.05). Conclusion: treatment with combination of traditional Chinese and Western Medicine Compared with conventional treatment, it has better clinical effect on acute exacerbation of chronic obstructive pulmonary disease and type II respiratory failure, so it can be popularized in the treatment of chronic obstructive pulmonary disease.

【作者单位】：台州恩泽医疗中心(集团)路桥医院呼吸内科;台州恩泽医疗中心(集团)路桥医院中医科;
【分类号】：R563.9
【正文快照】： 慢性阻塞性肺疾病(COPD)是一种以持续存在的气流受限为特征的可以预防和治疗的疾病,其气流受限多呈进行性发展[1]。积极的预防与有效的治疗可延缓、减轻,甚至阻止病情的发展。但在其急性加重期病情严重,常常可伴有Ⅱ型呼吸衰竭,对患者的健康很不利,且单纯用西医治疗对其疗效不

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