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[目的]观察健脾益肺补肾汤联合西药治疗慢性阻塞性肺病疗效。[方法]使用随机平行对照方法,将80例门诊患者按抛硬币法随机分为两组。对照组40例常规抗感染、平喘治疗。抗生素头孢匹胺钠,1.0g/次,q12h,静滴;气管舒张剂用茶碱缓释片,0.2g/次,q12h。治疗组40例健脾益肺补肾汤(贝母、补骨脂各10g,沙参、麦冬、白术、茯苓、桂枝、菟丝子、女贞子、瓜蒌、川芎、制附子、干姜各15g,党参20g,黄芪30g);1剂/d,水煎200mL,早晚口服。连续治疗7d为1疗程。西药治疗同对照组。观测临床症状、不良反应。连续治疗2疗程(14d),判定疗效。[结果]治疗组显效30例,有效7例,无效3例,总有效率92.50%。对照组显效16例,有效9例,无效15例,总有效率62.50%。治疗组疗效优于对照组(P<0.05)。[结论]健脾益肺补肾汤联合西药治疗慢性阻塞性肺病效果显著,值得推广。
[Objective] To observe the therapeutic effect of Jianpi Yifei Bushen Decoction combined with western medicine on chronic obstructive pulmonary disease. [Method] Using random parallel control method, 80 outpatients were randomly divided into two groups according to the coin tossing method. Control group 40 routine anti-infective, asthma treatment. Antibiotic cefpiramide sodium, 1.0g / times, q12h, intravenous infusion; tracheal relaxation with theophylline sustained release tablets, 0.2g / times, q12h. The treatment group, 40 cases of spleen and yin and reinforcing kidney Decoction (Fritillaria, psoralen the 10g, Radix, Radix, Atractylodes, Poria, Guizhi, dodder, Ligustrum lucidum, Chuanxiong, rhizoma, aconite, ginger 15g, Codonopsis 20g, Astragalus 30g); 1 / d, decoction 200mL, morning and evening oral. Continuous treatment 7d for a course of treatment. Western medicine treatment with the control group. Observed clinical symptoms, adverse reactions. Continuous treatment of 2 courses (14d), to determine the efficacy. [Result] The treatment group was effective in 30 cases, effective in 7 cases, ineffective in 3 cases, the total effective rate was 92.50%. In the control group, 16 cases were markedly effective, 9 effective and 15 ineffective, with a total effective rate of 62.50%. The treatment group was better than the control group (P <0.05). [Conclusion] Jianpi Yifei Bushen Decoction combined with Western medicine has significant effect on chronic obstructive pulmonary disease and is worth promoting.