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[目的]观察桑白皮汤联合西医治疗痰热郁肺型慢性阻塞性肺疾病疗效。[方法]使用随机平行对照方法,将70例住院患者按抽签法分为两组。对照组35例①控制性吸氧。②敏感抗生素抗感染治疗:多索茶碱0.3g/次,2次/d,静滴;氨溴索30mg/次,2次/d,静滴;异丙托溴铵/沙丁胺醇气雾剂2.5mL/次,3次/d,雾化吸入;必要时加用甲泼尼龙40mg/次,1~2次/d,静注。治疗组35例桑白皮汤(栀子9g,麻黄炙、甘草炙、苦杏仁各10g,黄连、法半夏各12g,苏子、川贝母、桑白皮、黄芩各15g,生石膏30g);1剂/d,水煎200mL,早晚口服。西医治疗同对照组。连续治疗10d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效18例,有效15例,无效2例,总有效率94.29%。对照组显效13例,有效13例,无效9例,总有效率74.29%。治疗组疗效优于对照组(P<0.05)。[结论]桑白皮汤联合西医治疗痰热郁肺型慢性阻塞性肺疾病效果显著,值得推广。
[Objective] To observe the curative effect of Sangbai Pi Decoction combined with Western medicine on the treatment of chronic obstructive pulmonary disease with phlegm-heat and phlegm. [Methods] Using randomized parallel control method, 70 inpatients were divided into two groups by lottery. The control group of 35 patients (1) controlled oxygen. ② sensitive antibiotics anti-infective treatment: doxofylline 0.3g / time, 2 times / d, intravenous infusion; ambroxol 30mg / times, 2 times / d, intravenous infusion; ipratropium bromide / albuterol aerosol 2.5 mL / time, 3 times / d, inhalation; if necessary, add methylprednisolone 40mg / time, 1 ~ 2 times / d, intravenous injection. The treatment group 35 cases of Sangbupi Tang (Gardenia 9g, Ephedra Sunburn, licorice Sunburn, bitter almond 10g, Coptis, France Pinellia each 12g, Su son, Fritillaria cirrhosa, Scutellaria 15g, gypsum 30g) ; 1 agent / d, decoction 200mL, sooner or later oral. Western medicine treatment with the control group. Continuous treatment of 10d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Result] In the treatment group, 18 cases were markedly effective, 15 cases were effective and 2 cases were ineffective. The total effective rate was 94.29%. In the control group, 13 cases were markedly effective, 13 cases were effective, 9 cases were ineffective, and the total effective rate was 74.29%. The treatment group was better than the control group (P <0.05). [Conclusion] Sangbupi Decoction combined with western medicine has a significant effect in treating pulmonary diseases with phlegm and phlegm, and is worth popularizing.