通下降气法治疗慢性阻塞性肺疾病急性加重期临床观察  

The Clinical Observation on the Therapeutic Effect of Tongxia Jiangqi method on Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：杨德玉[1] 李晗[1] 韩宁林[1] 李雪苓[1] 

机构地区：[1]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《中医药临床杂志》2017年第9期1485-1487,共3页Clinical Journal of Traditional Chinese Medicine

基　　金：2012安徽中医学院青年科研基金项目(编号2012LC1-038B)

摘　　要：目的通过检测降钙素原和C-反应蛋白观察新安医学"通下降气法"对慢性阻塞性肺疾病急性加重期患者影响。方法选择30例慢性阻塞性肺疾病急性加重期患者为对照组行抗感染、祛痰止咳、解除气道阻塞、改善通气、纠正酸碱失衡和电解质紊乱等常规治疗。30例慢性阻塞性肺疾病急性加重期患者为治疗组,治疗组在对照组用药基础上加用通下降气法的中药治疗。7d为1个疗程,检测两者的降钙素原、C-反应蛋白水平并进行分析。结果治疗组总有效率93.33%,对照组为73.33%(P<0.05)。治疗组降钙素原、C-反应蛋白检测结果显著低于正常对照组(P<0.05)。结论新安医学"通下降气法"是治疗慢性阻塞性肺疾病急性加重期安全、有效的方法。Objective： To investigate the effect of Xin＇ an Medical ＂Tongxia Jiangqi method＂ on patients with acute exacerbation of chronic obstructive pulmonary disease by detecting procalcitonin and C-reactive protein. Methods： 30 patients in the control group with acute exacerbation of chronic obstructive pulmonary disease were treated with rou- tine treatment such as anti-infection, expectorant cough, relieving airway obstruction, improving ventilation, correct- ing acid-base imbalance and electrolyte imbalance. 30 cases in the treatment was treated with Tongxia Jiangqi method based on the treatment in the control group. 7d for a course of treatment, both of the detection of procalcitonin, C- reactive protein levels was analyzed after the treatment. Results： The total effective rate was 93.33% in the treatment group and 73.33% in the control group （P〈0.05）. The results of calcitonin and C-reactive protein in the treatment group were significantly lower than those in the normal control group （P〈0.05）. Conclusion： Xin＇ an Medical ＂Tongxia Jiangqi method＂ is a safe and effective method for the treatment of acute exacerbation of chronic obstructive pulmonary disease.

关 键 词：通下降气法 COPD急性加重期 降钙素原 C-反应蛋白 

分 类 号：R285.6[医药卫生—中药学]