保肺汤加减联合西药治疗30例慢性阻塞性肺疾病稳定期的临床观察  

Clinical observation of modified Baofei decoction combined with western medicine on 30 patients with stable chronic obstructive pulmonary disease

作　　者：胡晓英[1] 武维屏[2] 牛晓亚[1] 

机构地区：[1]民航总医院中医科,北京100123 [2]北京中医药大学东直门医院

出　　处：《现代中医临床》2016年第4期33-35,共3页Modern Chinese Clinical Medicine

摘　　要：目的观察保肺汤加减治疗慢性阻塞性肺疾病稳定期患者的临床效果。方法将60例气阴两虚兼痰瘀互阻型的慢性阻塞性肺疾病稳定期患者,按照简单随机对照的方法分为对照组30例和治疗组30例。对照组给予西医常规治疗,治疗组在此基础上予以保肺汤加减治疗,疗程8周,观察2组中医证候改善情况、6分钟步行距离及慢性阻塞性肺疾病评估测试(CAT)评分。结果治疗组中医证候改善总有效率为93.33%,高于对照组(76.67%),2组比较有统计学意义(P<0.05)。2组6分钟步行距离改善以及CAT评分改善差异均有统计学意义(P<0.05)。结论在西医常规治疗的基础上联合保肺汤加减治疗能改善慢性阻塞性肺疾病稳定期患者的中医证候,提高活动能力及生活质量。Objective To observe the clinical efficacy of modified Baofei decoction on the treatment of stable chronic obstructive pulmonary disease （COPD）. Methods 60 patients with qi and yin deficiency combining phlegm-stasis obstruction type COPD were randomly divided into control group （n = 30） and treatment group （n = 30）. The control group was given conventional therapy of western medicine, while the treatment group was given modified Baofei decoction besides the conventional therapy, the treatment period was 8 weeks. The improvement of traditional Chinese medicine （TCM） syndrome, 6-minute walk distance and COPD assessment test（CAT） scores were compared between 2 groups. Results The total effective rate of TCM syndrome improvement in treatment group was 93.33% , which was superior to control group（76. 67% ）, the difference was significant（P 〈 0.05 ）. There were significant differences in 6- minute walk distance and CAT scores between 2 groups （ P 〈 0.05 ）. Conclusion Western medicine combined with modified Baofei decoction could improve TCM syndrome of stable phase of COPD patients, and the life quality was improved.

关 键 词：慢性阻塞性肺疾病稳定期 保肺汤 临床疗效 

分 类 号：R256.1[医药卫生—中医内科学]