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目的:观察补肺汤加减结合西药治疗慢性阻塞性肺病的疗效。方法:将86例患者随机分为治疗组50例,对照组36例。对照组应用常规吸氧、抗炎、解痉平喘、止咳化痰等治疗;治疗组在对照组治疗的基础上给予补肺汤加减口服,连用2周。结果:治疗组显效32例,有效14例,无效4例,总有效率为92.0%(95%CI=80.3%～97.7%);对照组显效14例,有效15例,无效7例,总有效率为80.6%(95%CI=64.0%～91.8%);两组综合疗效比较(u=2.1569,P=0.0311),有显著性差异。结论:补肺汤加减结合西药治疗COPD较单纯西药为佳,其收益为OR=0.36(但95%CI跨过1),NNT=9(95%CI=3.9～45.5)。
Objective: To observe the curative effect of Bufei Decoction combined with western medicine on chronic obstructive pulmonary disease. Methods: 86 patients were randomly divided into treatment group (50 cases) and control group (36 cases). The control group was treated with conventional oxygen inhalation, anti-inflammatory, antispasmodic and asthma, cough and phlegm treatment. The treatment group was treated with Bufei decoction plus oral treatment on the basis of the control group for 2 weeks. Results: In the treatment group, 32 cases were markedly effective, 14 cases were effective and 4 cases were ineffective. The total effective rate was 92.0% (95% CI = 80.3% -97.7%). In the control group, 14 cases were markedly effective, 15 cases were effective and 7 cases were ineffective. The efficiency was 80.6% (95% CI = 64.0% -91.8%). There was significant difference between the two groups (u = 2.1569, P = 0.0311). CONCLUSION: Bufei Decoction combined with western medicine is better than Western medicine alone in treating COPD with OR = 0.36 (95% CI, 1) and NNT = 9 (95% CI = 3.9-45.5).