摘要
目的:观察补肺益肾法对慢性阻塞性肺疾病肺功能、急性发作次数、mMRC分级的影响。方法:将60例慢性阻塞性肺疾病患者随机分为对照组和治疗组各30例,两组患者均采用基础治疗和延续性护理,对照组在基础治疗和护理的基础上给予舒利迭吸入,每日2次,每次1吸。治疗组在对照组治疗的基础上给予自拟补肺益肾汤治疗,日1剂,分两次于饭后温服。两组患者均服药16周,随访16周。结果:两组患者治疗后FEV1、FEV1/FVC均较治疗前升高(P <0. 05),组间比较差异有统计学意义(P <0. 05);两组COPD患者治疗后急性加重次数均较治疗前减少,组间比较差异有统计学意义(P <0. 05);两组COPD患者治疗后mMRC分级均较前降低,组间比较差异有统计学意义(P <0. 05)。结论:补肺益肾法可以改善慢性阻塞性肺疾病肺功能,减少COPD的急性发作次数,缓解症状。
Objective: To observe the influence of method of supplementing the lung and nourishing the kidney in combination with continuous nursing on lung function and number of acute attacks and mMRC classification of Patients with chronic obstructive pulmonary disease( COPD) . Methods: Sixty patients with chronic obstructive pulmonary disease ( COPD) were randomly divided into the control group and the treatment group,with 30 cases in each group. Both groups were given basic treatment and continuous nursing. The ones in the control group were added Seretide for inhalation twice a day,one inhalation at a time. The ones in the treatment group were added self - made Decoction for Supplementing the Lung and Nourishing the Kidney on the basis of the treatment of the control group,one dose a day,two times after meals when it was warm. The patients in the two groups were treated for 16 weeks and followed up for 16 weeks. Results: After the treatment,the FEV1 and FEV1 /FVC% of the two groups were higher than those before the treatment,and the differences between the two groups were statistically significant (P<0. 05) . The number of acute exacerbation of COPD patients in the two groups after the treatment was significantly lower than that before the treatment,and the difference between the two groups was statistically significant (P<0. 05) . After the treatment,the mMRC grade of COPD patients in both groups was lower than that before the treatment,and there was significant difference between the two groups (P<0. 05) . Conclusion: Method of supplementing the lung and nourishing the kidney can improve the pulmonary function of COPD,reduce the number of acute attacks of COPD,and relieve symptoms of the patients.
作者
高青
GAO Qing(The First People's Hospital of Guannan,Guannan,Jiangsu,China,222500)
出处
《河南中医》
2018年第11期1706-1709,共4页
Henan Traditional Chinese Medicine
关键词
慢性阻塞性肺疾病
补肺益肾法
舒利迭
肺功能
急性发作次数
mMRC分级
chronic obstructive pulmonary disease ( COPD)
method of supplementing the lung and nourishing the kidney
Seretide
lung function
number of acute attacks
mMRC classification
