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目的:探讨中西医结合治疗痰蒙神窍型急性加重期慢性阻塞性肺疾病(acute exacerbations of chronic obstructive pulmonary disease,AECOPD)的临床疗效。方法:将60例中医辨证属痰蒙神窍型AECOPD患者随机分为观察组及对照组各30例。对照组仅给予规范西医治疗,观察组在西医治疗基础上加用涤痰汤加减辨证施治,水煎服,每日1剂。两组均在连续治疗10 d后予以疗效评价。结果:治疗后,观察组总有效率为83.3%,优于对照组的60%(P<0.05);观察组患者治疗后其血氧饱和度(SaO2)、氧分压(PaO2)和CO2分压(PaCO2)等血气分析指标均优于对照组(P<0.05或P<0.01)。结论:中西医结合治疗痰蒙神窍型AECOPD疗效肯定。
Objective: To investigate the clinical efficacy of traditional Chinese and western medicine in the treatment of acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Methods: A total of 60 patients with TCM syndrome of phlegm and Acupuncture were randomly divided into observation group (30 cases) and control group (30 cases). The control group was given only standardized western medicine treatment. The observation group was treated with Ditan Decoction plus syndrome differentiation and decoction based on western medicine, Shuijianbi, a day. Both groups were treated for 10 days after treatment to be evaluated. Results: After treatment, the total effective rate in the observation group was 83.3%, which was better than 60% in the control group (P <0.05). SaO2, PaO2 and CO2 in the observation group after treatment Pressure (PaCO2) and other blood gas analysis indicators were better than the control group (P <0.05 or P <0.01). Conclusion: Integrative Chinese and Western medicine treatment of sputum Meng Shenqiao AECOPD positive effect.