摘要
[目的]观察补脾益气汤联合西药治疗慢性阻塞性肺病稳定期疗效。[方法]使用随机平行对照方法,将100例住院患者按病志号抽签法简单随机分为两组。对照组50例舒氟美,0.2g/次,2次/d;异丙托溴铵气雾剂,80ug/次,3次/d;依据情况支气管扩张剂、低流量氧疗、抗生素及化痰剂治疗。治疗组50例补脾益气汤(党参、黄芪、山药各20g,白术、茯苓、熟地、紫苑各15g,五味子、杏仁、桃仁各10g,甘草5g),1剂/d,水煎200m L,早晚口服;西药治疗同对照组。连续治疗90d为1疗程。观测临床症状、喘息、生存质量评分、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈15例,显效26例,有效7例,无效2例,总有效率96.00%。对照组痊愈11例,显效20例,有效10例,无效9例,总有效率82.00%。治疗组疗效优于对照组(P<0.05)。生存质量评分两组均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。[结论]补脾益气汤联合西药治疗慢性阻塞性肺病稳定期,疗效满意,无副作用,值得推广。
[Objective]To observe the Spleen Qi Tang combined with Western medicine treatment of chronic obstructive pulmonary disease stable effect. [Methods]Using random parallel control method, 100 cases of hospitalized patients with treatment order number method is simple and randomized into two groups. Control group, 50 cases Shu fluorine America, 0.2g / time, 2 times / d; ipratropium aerosol, 80 ug / time, 3 times / d; according to circumstances bronchodilators, low-flow oxygen therapy, antibiotics and chemical sputum therapy. Treatment group 50 cases of Spleen Qi Tang（Dangshen,Huangqi,Shanyao 20 g,Baizhu,Fuling,Shudi,Ziyuan 15 g, Wuweizi,Xingren,Taoren each 10 g, Gancao 5g）, 1/d, decoction 200 m L, sooner or later oral; western medicine with the control group. 90 d is a continuous course of treatment. Observation of clinical symptoms, wheezing, adverse reactions. A course of treatment to determine efficacy. [Results] 15 cases were cured, effective in 26 cases, effective 7 cases, 2 cases, the total efficiency of 96.00%. Control group, 11 cases cured, effective in 20 cases, 10 cases, 9 cases, the total efficiency of 82.00%. Treatment group than the control group（P〈0.05）. Improve the quality of life scores in both groups（P〈0.05）, improvement in the treatment group than the control group（P〈0.05）. [Conclusion]Spleen Qi Tang combined with Western medicine treatment of chronic obstructive pulmonary disease in stable effect is significant, it is worth promoting.
出处
《实用中医内科杂志》
2014年第12期87-88,121,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
慢性阻塞性肺病稳定期
补脾益气汤
舒氟美
异丙托溴铵
喘息
生存质量评分
中西医结合治疗
随机平行对照研究
Chronic obstructive pulmonary disease stabilization period
Spleen Qi Tang
Shu fluorine America
Ipratropium bromide
Wheezing
Quality of life scores
Integrated Chinese and Western medicine treatment
Randomized parallel group study
