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目的观察中西医结合治疗慢性阻塞型肺病合并呼吸衰竭的疗效。方法将2005年1月～2009年1月在我院呼吸科住院的30例慢性阻塞性肺疾病合并呼吸衰竭的患者随机分为中西医结合治疗组和西医对照组,两组均给予常规西医治疗,中西医结合治疗组加用祛痰化瘀、健脾益气的中药。观察两组的治疗有效率和血气分析结果。结果治疗组显效6例,有效8例,无效1例,总有效率93.3%,对照组显效4例,有效6例,无效6例,总有效率66.7%,两组相比,差异均有统计学意义(p<0.05);治疗组的氧分压(PaO2)改善明显优于对照组,其差异有统计学意义(p<0.05)。结论中西医结合治疗慢性阻塞型肺病合并呼吸衰竭有较好的疗效。
Objective To observe the curative effect of integrated traditional Chinese and western medicine on chronic obstructive pulmonary disease with respiratory failure. Methods Thirty patients with chronic obstructive pulmonary disease and respiratory failure who were hospitalized in our department of respiratory department from January 2005 to January 2009 were randomly divided into two groups: Integrative Medicine Group and Western Medicine Control Group. Both groups were given routine Western medical treatment , Integrative Medicine combined with expectorant stasis, spleen Qi Chinese medicine. Observation of the two groups of treatment efficiency and blood gas analysis results. Results In the treatment group, 6 cases were markedly effective, 8 cases were effective, 1 case was ineffective and the total effective rate was 93.3%. In the control group, 4 cases were markedly effective, 6 cases were effective, 6 cases were ineffective and the total effective rate was 66.7%. There were statistically significant differences between the two groups (P <0.05). The improvement of PaO2 in the treatment group was significantly better than that in the control group (p <0.05). Conclusion Integrative Chinese medicine treatment of chronic obstructive pulmonary disease with respiratory failure have a good effect.