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目的:观察通肺泻浊汤治疗慢性阻塞性肺疾病急性加重期(AECOPD)合并肺动脉高压(PH)的疗效。方法:将99例AECOPD合并PH患者按数字表法分为两组,两组均对症治疗,对照组45例给予硝酸甘油注射剂治疗,观察组54例联合应用通肺泻浊汤治疗,1个疗程后对比两组疗效。结果:观察组总显效率87.04%,显著高于对照组的66.67%,观察组治疗后症状评分及静息时平均肺动脉压(mPAP)显著低于对照组,差异均有统计学意义(P<0.05)。结论:通肺泻浊汤佐治AECOPD合并PH可促进症状缓解,提高疗效。
Objective: To observe the effect of Tongmozhuazhuo decoction in treating acute exacerbation of chronic obstructive pulmonary disease (AECOPD) combined with pulmonary hypertension (PH). Methods: Ninety-nine AECOPD patients with PH were divided into two groups according to the digital table method. Both groups were symptomatically treated. In the control group, 45 cases were treated with nitroglycerin injection. In the observation group, 54 cases were treated with Tongmo Xiezhuo decoction. One course of treatment After comparing the two groups curative effect. Results: The total effective rate in the observation group was 87.04%, which was significantly higher than that in the control group (66.67%). The symptom scores and resting pulmonary arterial pressure (mPAP) in the observation group were significantly lower than those in the control group (P < 0.05). Conclusion: Tongfei Xiezhuo Decoction AECOPD combined with PH can promote the symptom relief and improve the curative effect.