慢性阻塞性肺疾病患者营养不良的脾胃论治临床研究

发布时间：2018-08-21 09:08

【摘要】：目的观察从脾胃论治慢性阻塞性肺疾病(COPD)稳定期伴营养不良患者的疗效,以提高治愈率。方法收集2011年3月-2012年12月106例COPD稳定期营养不良患者,随机分为观察组和对照组各53例,对照组患者给予常规治疗,观察组在常规治疗的同时辩证给予健脾益肺中药口服治疗,两组疗程均为3个月,检测两组患者治疗前及治疗后1、3个月的相关指标,包括肺功能第一秒用力呼气容量(FEV1)和第一秒呼气容量/用力肺活量(FEV1/FVC)、CAT量表、6min步行距离试验。结果观察组治疗后1、3个月肺功能FEV1为(54.8±4.66)%、(60.4±5.12)%,FEV1/FVC(75.3±4.21)%、(80.1±3.26)%,6min步行距离数值(330.3±74.33)m、(421.9±83.42)m,CAT量表(28.3±4.91)、(12.4±6.13)分,观察组与对照组各检测指标相比差异均有统计学意义(P0.05)。结论从脾胃论治慢性阻塞性肺疾病稳定期伴营养不良患者,是一种科学并有效的中西医结合治疗方法,在临床实践中值得进一步应用及推广。
[Abstract]:Objective to observe the curative effect of treating chronic obstructive pulmonary disease (COPD) with malnutrition from spleen and stomach. Methods from March 2011 to December 2012, 106 patients with stable COPD malnutrition were randomly divided into observation group (n = 53) and control group (n = 53). The observation group was treated with traditional Chinese medicine for invigorating spleen and benefiting lung. The course of treatment in both groups was 3 months. The relative indexes before treatment and 1 and 3 months after treatment were detected. The first second forced expiratory volume (FEV1) and the first second expiratory volume / forced vital capacity (FEV1/FVC) cat were included in the 6-minute walking distance test. Results the FEV1 of pulmonary function was (54.8 卤4.66), (60.4 卤5.12) and (75.3 卤4.21), (80.1 卤3.26) and (330.3 卤74.33) m, (, 421.9 卤83.42) MCAT (28.3 卤4.91), (, 12.4 卤6.13) respectively in the observation group, and there was significant difference between the observation group and the control group (P0.05). Conclusion treating chronic obstructive pulmonary disease patients with malnutrition from spleen and stomach is a scientific and effective method of integrated traditional Chinese and western medicine, which deserves further application and popularization in clinical practice.
【作者单位】：新疆医科大学附属中医医院呼吸科;
【基金】：新疆医科大学科研创新基金项目(ZYY201215)
【分类号】：R563.9

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