消导“伏痰”对慢性阻塞性肺疾病急性发作通畅气道的影响  

Impact on Xiaodao Futan Decoction to acute exacerbation of chronic obstructive pulmonary disease and the effects of airway patency

作　　者：蒲蓉[1] 王武军[1] 杨艳[1] 

机构地区：[1]成都中医药大学附属医院呼吸内科,四川成都610072

出　　处：《中国医药导报》2012年第16期120-121,共2页China Medical Herald

摘　　要：目的观察中药消导伏痰法与西药盐酸氨溴索静脉滴注对慢性阻塞性肺疾病急性发作(AECOPD)气道通畅的影响。方法将79例患者随机分为治疗组(40例)和对照组(39例),在西医常规治疗基础上,治疗组内服中药,1剂/d,对照组静脉滴注盐酸氨溴索30 mg,2次/d。两组均治疗10 d为1个疗程。结果治疗后治疗组中医症候积分明显减少,PaCO2降低明显优于对照组,治疗组总有效率为95.0%,对照组总有效率为84.6%,异有统计学意义(P<0.05)。结论中药消导伏痰法在AECOPD治疗中,能有效减少和清除痰液,通畅气道,从而改善通气,缓解临床症状,疗效确切。Objective To observe the influence of the traditional Chinese medicine of method of and intravenous drip of Ambroxol Hydrochloride to airway patency after acute exacerbation of chronic obstructive pulmonary disease（AECOPD）.Methods 79 patients were randomly divided into 40 cases in treatment group and 39 cases in control group.Based on the western conventional treatment,the treatment group takes Chinese medicine for 1 dose a day while the control group intravenously drops 30mg of ambroxol hydrochloride for twice a day.10 days is one period of treatment for both groups.Results TCM syndrome score in the treatment group decreased significantly and PaCO2 decreased obviously better than that in the control group.The effective rate of treatment group was 95.0% while the control groups was 84.6%,there were significant differences（P 0.05）.Conclusion In the treatment of AECOPD,the traditional Chinese medicine xiao dao fu tan method,which can effectively reduce and clear sputum and make airway unobstructed so as to improve ventilation and alleviate clinical symptoms,is effective.

关 键 词：中药 消导伏痰 慢性阻塞性肺疾病急性发作 通畅气道 

分 类 号：R563[医药卫生—呼吸系统]