宣肺化痰活血法对慢性支气管哮喘患者肺功能的影响  

The Influence of Method of Dispersing Lung and Resolving Phlegm and Activating Blood Circulation on Pulmonary Function in Patients with Chronic Bronchial Asthma

作　　者：赵恒洁 徐红日[2] ZHAO Heng-jie;XU Hong-ri(Beijing Shijingshan District Bajiao Community Health Service Center,Beijing, China, 100043;Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing,China ,100700)

机构地区：[1]北京市石景山区八角社区卫生服务中心,北京100043 [2]北京中医药大学附属东直门医院,北京100700

出　　处：《河南中医》2018年第6期930-933,共4页Henan Traditional Chinese Medicine

摘　　要：目的:观察宣肺化痰活血法治疗慢性支气管哮喘的临床疗效及其对患者肺功能的影响。方法:将104例慢性支气管哮喘患者随机分为对照组和观察组,每组各52例。对照组给予常规西医治疗,观察组在对照组基础上联合以宣肺化痰活血为治疗大法的中药汤剂治疗。比较两组患者的临床疗效及治疗前后中医证候积分情况,检测两组患者治疗前后肺功能[用力肺活量(forced vital capacity,FVC)、一秒用力呼气容积(Forced expiratory volume in one second,FEV1)、呼气流量峰值(peak expiratory flow,PEF)占预计值的百分比]。结果:对照组有效率为73.08%,观察组有效率为92.31%,两组患者临床疗效比较,差异具有统计学意义(P<0.05)。两组患者治疗后中医证候积分低于治疗前,且观察组低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后FVC、FEV1及PEF占预计值高于治疗前,且观察组高于对照组,差异具有统计学意义(P<0.05)。结论:宣肺化痰活血法治疗慢性支气管哮喘效果明显,可显著改善患者肺功能,有效缓解临床症状。Objective：To observe the clinical curative effect of method of dispersing lung and resolving phlegm and activating blood circulation on patients with chronic bronchial asthma and its influence on their pulmonary function. Methods：One hundred and four patients with chronic bronchial asthma were randomly divided into the control group and the observation group,with 52 cases in each group. The ones in the control group were given conventional western medicine treatment,while the ones in the observation group were treated with traditional Chinese medicine decoction of dispersing lung,resolving phlegm and promoting blood circulation on the basis of the treatment of the control group. The therapeutic effects and improvement of pulmonary function were compared between the two groups. Results：The effective rate of the control group was 73. 08%,and that of the observation group was92. 31%. The difference in clinical efficacy between the two groups was statistically significant（ P〈0. 05）. The TCM syndromes of the two groups after the treatment were lower than those before the treatment,and the observation group was lower than that of the control group,the difference was statistically significant（ P〈0. 05）. After the treatment,the two groups＇ FVC,FEV1,PEF estimated values were higher than those before the treatment,and the observation group was higher than the control group,all the differences were statistically significant（ P〈0. 05）. Conclusion：Method of dispersing lung and resolving phlegm and activating blood circulation has a remarkable clinical curative effect on patients with chronic bronchial asthma,can significantly improve lung function and relieve clinical symptoms.

关 键 词：慢性支气管哮喘 宣肺化痰活血法 用力肺活量 一秒用力呼气容积 呼气流量峰值 中医药治疗 中西医结合 

分 类 号：R256.12[医药卫生—中医内科学]