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目的观察保肺汤加减治疗慢性阻塞性肺疾病稳定期患者的临床效果。方法将60例气阴两虚兼痰瘀互阻型的慢性阻塞性肺疾病稳定期患者,按照简单随机对照的方法分为对照组30例和治疗组30例。对照组给予西医常规治疗,治疗组在此基础上予以保肺汤加减治疗,疗程8周,观察2组中医证候改善情况、6分钟步行距离及慢性阻塞性肺疾病评估测试(CAT)评分。结果治疗组中医证候改善总有效率为93.33%,高于对照组(76.67%),2组比较有统计学意义(P<0.05)。2组6分钟步行距离改善以及CAT评分改善差异均有统计学意义(P<0.05)。结论在西医常规治疗的基础上联合保肺汤加减治疗能改善慢性阻塞性肺疾病稳定期患者的中医证候,提高活动能力及生活质量。
Objective To observe the clinical effect of Baotong Decoction on patients with stable chronic obstructive pulmonary disease. Methods Sixty patients with chronic obstructive pulmonary disease of both Qi and Yin deficiency and phlegm and blood stasis type were divided into control group (30 cases) and treatment group (30 cases) according to a simple randomized controlled trial. The control group was given routine western medicine treatment. On the basis of this, the treatment group was treated with BaoFei Decoction for 8 weeks. The TCM symptom improvement, 6-minute walking distance and chronic obstructive pulmonary disease evaluation test (CAT) were observed in the two groups. Results The total effective rate of TCM syndrome in treatment group was 93.33%, which was higher than that in control group (76.67%). There was significant difference between two groups (P <0.05). The 6-minute walking distance improvement and improvement of CAT score in 2 groups were statistically significant (P <0.05). Conclusion Based on the conventional treatment of Western medicine, the combination of Baofutang can improve TCM symptoms and improve the activity and quality of life of patients with stable COPD.