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[目的]观察养阴清肺汤联合西药治疗慢性阻塞性肺气肿疗效。[方法]使用随机平行对照方法,将142例住院患者按随机数字表法分为两组。对照组71例西医综合治疗,包括低流量吸氧、抗炎、化痰止咳等对症支持治疗,必要时采取雾化吸入治疗。治疗组71例养阴清肺汤(生地黄、麦冬各15g,川贝、玄参、炒芍药各10g,丹皮、生甘草、薄荷后下各6g);热重加黄芩、胆南星;寒重加干姜;痰稠加苏子、白芥子、葶苈子;伴咯血丝加茜草、白及;1剂/d,清水泡水煎200mL,早晚口服。西医治疗同对照组。连续治疗7d为1疗程。观测临床症状、血气分析、X线、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效42例,有效23例,无效6例,总有效率91.55%。对照组显效29例,有效24例,无效18例,总有效率74.65%。治疗组疗效优于对照组(P<0.05)。[结论]养阴清肺汤联合西药治疗慢性阻塞性肺气肿效果显著,值得推广使用。
[Objective] To observe the curative effect of Yangyin Qingfei Decoction combined with western medicine on chronic obstructive pulmonary emphysema. [Methods] Using randomized parallel method, 142 inpatients were divided into two groups according to random number table. The control group of 71 cases of Western comprehensive treatment, including low-flow oxygen, anti-inflammatory, Huatanzhike symptomatic and other supportive treatment, if necessary, to take inhalation therapy. In the treatment group, 71 cases of Yangyin Qingfei Decoction (Rehmanniae Radix, Ophiopogon japonicus 15g each, Chuanbei, Scrophularia, fried peony 10g, Danpi, raw licorice, Cold plus heavy ginger; sputum thick plus Suzi, Mustard Seed, chinense miltiorrhiza; with hemoptysis plus madder, white and; 1 / d, clear water soaked 200mL, morning and evening oral. Western medicine treatment with the control group. Continuous treatment 7d for a course of treatment. Observation of clinical symptoms, blood gas analysis, X-ray, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Results] In the treatment group, 42 cases were markedly effective, 23 cases were effective and 6 cases were ineffective. The total effective rate was 91.55%. In the control group, 29 cases were markedly effective, 24 cases were effective, 18 cases were ineffective and the total effective rate was 74.65%. The treatment group was better than the control group (P <0.05). [Conclusion] Yangyin Qingfei Decoction combined with western medicine has significant effect in treating chronic obstructive pulmonary emphysema, and it is worth popularizing.