真武汤合麻杏甘石汤治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的研究  

Treating Chronic Obstructive Pulmonary Disease with type Ⅱ Respiratory Failure With Zhenwu Decoction and Maxingshigan Decoction

作　　者：王燕青 王宁 胡海波 赵国静[2] 

机构地区：[1]山东省青岛市海慈医疗集团,山东青岛266033 [2]山东中医药大学,山东济南25000

出　　处：《中国中医急症》2014年第2期256-257,307,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：山东省中医药科技发展计划项目(2009-196)

摘　　要：目的观察真武汤合麻杏甘石汤治疗慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭的疗效,为从《伤寒论》少阴病与阳明病论治COPD并Ⅱ型呼衰的治疗思路提供支持。方法 60例少阴里虚兼痰热蕴肺证患者,随机分为治疗组及对照组各30例,两组均给予必要的西药治疗,治疗组加用真武汤合麻杏甘石汤治疗7 d。比较主要症状、体征及血气分析等指标的变化,评价疗效。结果两组在主要症状、体征、血气分析等方面有不同程度的改善,但治疗组综合疗效优于对照组(P<0.05)。结论从《伤寒论》阳明病与少阴病方证对应关系论治COPD合并Ⅱ型呼吸衰竭疗效可靠。Objective： To investigate the effectiveness and value of Zhenwu Decoction and Maxingshigan Decoc- tion in treating COPD with type II respiratory failure. Methods： 60 patients with Shaoyin deficiency and syn- drome of phlegm and heat accumulated in lung were divided equally into treatment group and control group. Both were given necessary western medicine, besides Zhenwu decoction and Maxingshigan decotion were given to treat- ment group. Compare major symptoms, signs and blood gas analysis and other indicators of change in 7 days and evaluate the effectiveness. Results： The two groups had improved to varying degrees in the main symptoms and signs,blood gas analysis and other aspects, but the treatment group proved better （P〈 0.05）. Conclusion： Yang- ming disease with shaoyin disease treatment from Treatise on Febrile Disease has a reliable effect on COPD with type II respiratory failure.

关 键 词：COPD 呼吸衰竭 真武汤 麻杏甘石汤 伤寒论 

分 类 号：R563.9[医药卫生—呼吸系统]