摘要
目的:探讨对慢性阻塞性肺疾病(简称慢阻肺)急性加重期痰热壅肺证患者采用清金化痰汤联合西药治疗的临床效果。方法:将60例慢阻肺急性加重期痰热壅肺证患者数字奇偶法分组;联合组(30例)采用清金化痰汤联合西药治疗;西药组(30例)采用常规西药治疗。就组间血清C反应蛋白(C-reactive Protein,CRP)、白细胞计数(White Blood Cell Count,WBC)、血清降钙素原(Procalcitonin,PCT)、气短喘息消失时间、咳嗽咳痰消失时间、肺部啰音消失时间、白细胞恢复正常时间、症状体征总积分展开对比。结果:治疗前,联合组CRP、WBC、PCT同西药组比较,差异不明显(P>0.05);治疗后,联合组CRP、WBC、PCT均明显低于西药组(P<0.05);联合组气短喘息消失时间、咳嗽咳痰消失时间、肺部啰音消失时间、白细胞恢复正常时间均明显短于西药组(P<0.05);治疗前,联合组症状体征总积分同西药组比较,差异不明显(P>0.05);治疗后,联合组症状体征总积分明显低于西药组(P<0.05)。结论:清金化痰汤联合西药方法的联合应用,可降低慢阻肺急性加重期痰热壅肺证患者炎性标志物水平,改善体征症状,实现有效预后。
Objective:To investigate clinical effects of the Qingjin Huatan decoction(清金化痰汤)plus western medicine on acute exacerbation of chronic obstructive pulmonary disease of Tanre Yongfei(痰热壅肺).Methods:60 cases were divided into groups by digital parity method.The combined group(30 cases)was given the Qingjin Huatan decoction plus western medicine.The Western medicine group(30 cases)took conventional Western medicine.Results:After treatment,CRP,WBC and PCT levels in the combined group were significantly lower than the western medicine group(P<0.05).The breath shortness and wheezing disappearance time,the cough and sputum disappearance time,the pulmonary rale disappearance time,and white blood cells return to normal time in the combined group were significantly earlier than the western medicine group(P<0.05).After treatment,the total score of symptoms and signs in the combined group was significantly lower than that in the western medicine group(P<0.05).Conclusion:The Qingjin Huatan decoction plus western medicine can reduce inflammatory markers and ameliorate signs and symptoms,and finally achieve an effective prognosis.
出处
《中医临床研究》
2021年第13期94-96,共3页
Clinical Journal Of Chinese Medicine
关键词
清金化痰汤
西药
慢性阻塞性肺疾病急性加重期痰热壅肺证
应用效果
The Qingjin Huatan decoction
Western medicine
Acute exacerbation of chronic obstructive pulmonary disease of phlegm-heat obstruction in the lung
Clinical effects
