摘要
目的 基于“伏邪理论”探讨中西医结合治疗慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)的临床疗效。方法 于2021年1—12月期间随机选取吉林省吉林中西医结合医院收治的90例COPD患者作为研究对象。按照随机双盲法分组方式将其分为对照组(45例,常规西药治疗)和治疗组(45例,常规西药+平喘固本汤加减联合三九三伏贴治疗),统计分析肺功能、中医证候积分、呼吸困难指数、6 min步行试验指标、血气分析以及复发次数。结果 治疗后,治疗组用力肺活量、第1秒用力呼气容积以及FEV1/FVC%指标均高于对照组,中医证候积分、呼吸困难指数、6 min步行距离优于对照组,pH值、PaO_(2)、PaCO_(2)较对照组更接近正常范围,差异有统计学意义(P<0.05)。治疗组的复发率(4.44)%低于对照组(17.78%),差异有统计学意义(χ^(2)=4.050,P<0.05)。结论 基于“伏邪理论”指导下的平喘固本汤加减联合三九三伏贴治疗COPD可缓解相关症状,有利于患者肺功能、运动功能以及血气状态的改善,减少复发,可优先选择。
Objective To explore the clinical efficacy of combining traditional Chinese and Western medicine in the treatment of chronic obstructive pulmonary disease(COPD)based on the"Fuxie Theory".Methods From January to December 2021,a total of 90 patients with COPD admitted to Jilin Integrated Traditional and Western Medicine Hos⁃pital in Jilin Province were randomly selected as the study subjects.They were divided into control group(45 cases,conventional western medicine treatment)and treatment group(45 cases,conventional western medicine+Pingchuan⁃guben decoction plus reduction combined with Sanjiu Sanfu paste treatment)according to the randomized double-blind grouping method.Pulmonary function,TCM syndrome score,dyspnea index,6-minute walk test index,blood gas analysis and recurrence count index were statistically analyzed.Results After treatment,the forced vital capacity,forced expiratory volume in the first second and FEV1/FVC%indexes in the treatment group were higher than those in the control group,and the TCM symptoms score,dyspnea index and 6-minute walk distance were better than the con⁃trol group,and the pH value,PaO_(2) and PaCO_(2) were closer to the normal range,the difference was statistically significant(P<0.05).The recurrence rate 4.44%of the treatment group was lower than that of in the control group(17.78%),the difference was statistically significan(χ^(2)=4.050,P<0.05).Conclusion The treatment of COPD with the combina⁃tion of pacifying asthma and consolidating the essence soup plus reduction and Sanjiu Sanfu paste under the guidance of the theory of"Fuxie Theory"can alleviate the symptoms,improve the lung function,exercise function and blood gas status of patients,and reduce recurrence.It can be preferred.
作者
孙宇
姜宇
杨植媛
裴冬雪
塔晓红
王文艳
李秀茹
SUN Yu;JIANG Yu;YANG Zhiyuan;PEI Dongxue;TA Xiaohong;WANG Wenyan;LI Xiuru(Department of Pulmonary Diseases,Jilin Hospital of Integrative Medicine,Jilin,Jilin Province,132013 China;De-partment of Encephalopathy,Jilin Hospital of Integrative Medicine,Jilin,Jilin Province,132013 China;Departmentof Rheumatology,Jilin Hospital of Integrative Medicine,Jilin,Jilin Province,132013 China)
出处
《中外医疗》
2022年第31期1-4,共4页
China & Foreign Medical Treatment
基金
吉林市医疗卫生指导性计划项目(20210409028)。
关键词
伏邪理论
平喘固本汤
三九三伏贴
慢性阻塞性肺疾病
Fuxie Theory
Pingchuanguben Decoction
Sanjiu Sanfu Paste
Chronic obstructive pulmonary disease
