从《伤寒论》少阴论治慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭的研究  

Study on COPD and Type-2 Respiratory Failure with Shaoyin Theory in Treaties on Febrile Disease

作　　者：胡海波 王燕青 王宁 赵国静[2] 

机构地区：[1]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250011

出　　处：《世界中西医结合杂志》2014年第2期172-174,共3页World Journal of Integrated Traditional and Western Medicine

基　　金：山东省中医药科技发展计划(2009-2010年度)基金项目(No.2009-196)

摘　　要：目的探讨真武汤加减治疗慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭的疗效价值。方法通过随机对照的方法,收集60例少阴里虚患者,分为治疗组及对照组,每组30例,两组均给予必要的西药治疗,其中治疗组加用真武汤加减治疗,观察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,且治疗组综合疗效优于对照组。结论研究证实了从少阴病方证对应关系来论治COPD合并Ⅱ型呼吸衰竭的有效性,为中医药治疗COPD进行了必要的探索。Objective To discuss the efficacy value of the modified Zhenwu Decoction in the treat- ment of chronic obstructive pulmonary disease（ COPD） and type 2 respiratory failure. Methods By the ran- domized controlled method, 60 cases of Shaoyin interior deficiency syndrome were collected and divided into a treatment group and a control group, 30 cases in each one. The western medicine treatment was required in the two groups. In the treatment group,the modified Zhenwu Decoction was added. In 7 days of observation, the changes in main symptoms, physical signs and blood - gas analysis were compared. The efficacy was eval- uated. Results There were different improvements in the main symptoms, physical signs and blood - gas a- nalysis. The comprehensive efficacy in the treatment group was superior to the control group. Conclusion The study proves that it is effective to treat COPD and type 2 respiratory failure by the corresponding relation- ship between the formulas and syndromes of Shaoyin disease. It is the necessary exploration in the treatment of COPD with traditional Chinese medicine.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 真武汤 伤寒论 

分 类 号：R563.8[医药卫生—呼吸系统]