摘要
目的:观察在西医常规治疗的基础上加用中药治疗慢性阻塞性肺疾病(COPD)急性发作期呼吸衰竭、中医病机为胸中大气下陷,痰湿蕴肺,肺气不宣患者的临床疗效,为制定中西医结合治疗方案奠定基础。方法:对照组(34例)予无创正压通气与西医常规治疗,治疗组(36例)在对照组的基础上加中医论治,分别给予协定处方1,2,3号。结果:治疗组在症状、体征、PIC窗时间、无创正压通气时间及血气分析改善方面均优于对照组(均P<0.05)。结论:中西医结合治疗方案优于单纯西医治疗方案,能明显改善COPD急性发作期呼吸衰竭患者的症状、体征,使病人PIC窗时间提早出现,肺部感染得到有效控制,缩短无创正压通气时间,提高综合疗效。
Objective：To observe the clinical effect on treating respiration failure of COPD during acute attack stage with Western medicine routine treatment plus Chinese medicine.TCM patheogenesis of which is the sinkage of pectoral Qi,phlegm dampness in lung and obstruction of the lung Qi.Also to lay a foundation for intergrated traditional Chinese and Western medicine treatment of it.Methods：Thirty-four cases of Control Group received noninvasive positive pressure ventilation plus Western medicine routine treatment while thirty-six cases of Treatment Group received both noninvasive positive pressure ventilation plus Western medicine routine treatment and differentiation which was given agreement prescription NO1 or 2 or 3.Results：reatment Group was superior to Control Group on the improvement of symptoms,physical signs,window time of PIC,time of noninvasive positive pressure ventilation and blood gas analysis respectively（P0.05）.Conclusion：Intergrated traditional Chinese and Western medicine treatment is superior to simple Western medicine treatment.It could improve the symptoms and physical signs of Respiration Failure of COPD during acute attack stage obviously,advance the window time of PIC,make the effective control of pulmonary infection,shorten the time of noninvasive positive pressure ventilation and improve the comprehensive therapeutic effect.
出处
《辽宁中医杂志》
CAS
北大核心
2010年第2期310-312,共3页
Liaoning Journal of Traditional Chinese Medicine
关键词
COPD呼吸衰竭
胸中大气下陷
肺气不宣
中西医结合治疗方案
Respiration failure of COPD
Sinkage of pectoral Qi
Obstruction of the lung Qi
Intergrated traditional Chinese and Western medicine treatment
