固本祛痰化瘀汤对慢性阻塞性肺疾病稳定期患者生活质量的影响

发布时间：2018-06-27 03:25

本文选题：慢性阻塞性肺疾病 + 稳定期　；参考：《河南中医》2017年02期

【摘要】：目的:观察固本祛痰化瘀汤对慢性阻塞性肺疾病稳定期患者生活质量的影响。方法:将2012年5月—2014年5月本院收治的80例慢性阻塞性肺疾病稳定期患者随机分为对照组和治疗组,每组各40例。对照组采用异丙托溴铵气雾剂药物进行吸入治疗,治疗组在对照组的基础上加用固本祛痰化瘀汤进行治疗。观察两组患者的临床疗效、生活质量评分及中医证候积分情况。检测两组患者治疗前后肺功能[一秒用力呼气容积(Forced expiratory volume in one second,FEV1)、呼气峰流速值(peak expiratory flow,PEF)及FEV1/FVC]变化情况。结果:治疗组圣乔治呼吸问卷评分显著低于对照组,中医证候积分显著高于对照组,差异均有统计学意义(P0.05)。两组患者治疗后FEV1、FEV1/FVC及PEF改善情况显著优于治疗前,且治疗组优于对照组,差异均有统计学意义(P0.05)。治疗组有效率为95.0%,对照组有效率为82.5%,两组患者临床疗效比较,差异具有统计学意义(P0.05)。结论:慢性阻塞性肺疾病患者处于稳定期时,采用固本祛痰化瘀汤治疗具有良好的临床疗效,肺功能得到明显改善。
[Abstract]:Objective: to observe the effect of Guben Quphan Huayu decoction on quality of life of patients with chronic obstructive pulmonary disease at stable stage. Methods: from May 2012 to May 2014, 80 patients with stable chronic obstructive pulmonary disease were randomly divided into control group and treatment group with 40 cases in each group. The control group was inhaled with ipratropium bromide aerosol and the treatment group was treated with Guben phlegm Huayu decoction on the basis of the control group. To observe the clinical effect, quality of life score and TCM syndrome score of the two groups. Pulmonary function [forced expiratory volume in one second expiratory volume (FEV1), peak expiratory flow rate (peak expiratory / FEF) and FEV1 / FVC] were measured before and after treatment. Results: the score of St George's respiratory questionnaire in the treatment group was significantly lower than that in the control group, and the TCM syndrome score was significantly higher than that in the control group (P0.05). The improvement of FEV1 / FEV1 / FVC and PEF in the two groups after treatment was significantly better than that before treatment, and the treatment group was better than the control group, the difference was statistically significant (P0.05). The effective rate was 95.0 in the treatment group and 82.5 in the control group. The difference between the two groups was statistically significant (P0.05). Conclusion: when the patients with chronic obstructive pulmonary disease are in stable stage, the treatment with Guben Quphan Huayu decoction has good clinical effect and the lung function is obviously improved.
【作者单位】：安阳市中医院;
【分类号】：R259

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