肺肠同治法治疗慢性阻塞性肺疾病急性加重期临床观察  

Clinical Observation of Treating Both Lung and Intestine on Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：张照健[1] 李志军[2] 

机构地区：[1]天津中医药大学 [2]天津市第一中心医院

出　　处：《山西中医》2009年第10期19-21,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的:观察肺肠同治法控制慢性阻塞性肺疾病急性加重期的临床疗效及作用机理。方法:将慢性阻塞性肺疾病急性发作患者40例随机分为治疗组和对照组各20例。对照组只采用抗菌消炎,化痰解痉平喘等治疗;治疗组在如上治疗基础上加用凯时等改善肠道缺血及保持肠道通畅。结果:治疗组治疗后症状积分较对照组明显改善(t=-7.7974,P<0.05);PO2明显提高(t=2.5744,P<0.05);PCO2明显降低(t=-3.2887,P<0.01)。结论:肺肠同治法能更好地改善慢性阻塞性肺疾病急性加重期症状,纠正缺氧及二氧化碳潴留。Objective：To observe the curative effect of treating both lung and intestine on acute exacerbation of chronic obstructive pulmonary disease ,and investigate its mechanism of action. Method ：40 cases with acute exacerbation of chronic obstructive pulmonary disease were divided into two groups randomly. The cases in control group were treated by anti-bacterium to eliminate inflammation and dissipating phlegm and spasmolysis to relieve asthma. The ones in treatment group were treated by coloclyster with Kaishi, which could improve intestinal tract ischemia and maintain intestine easy and smooth, as well as above western medical treating. Result：After treating the symptom accumulated points in treatment group were improved markedly than those in control group （t = -7.797 4, P 〈0.05） ,PO2 was raised obviously （t =2. 574 4 ,P 〈0.05） and PC02 was cut down （t =-3. 288 7, P 〈 0. 01 ）. Conclusion：Treating both lung and intestine can improve the symptoms of acute exacerbation of chronic obstructive pulmonary disease effectively, and correct hypoxia and hypercapnia.

关 键 词：慢性阻塞性肺疾病 灌肠疗法 针刺疗法 中西医结合疗法 

分 类 号：R563[医药卫生—呼吸系统]