参附汤合生脉散对慢性阻塞性肺疾病急性加重期机械通气患者及对呼吸肌功能的影响  

Effects of the Shenfu decoction plus Shengmai San on respiratory muscle function in mechanical ventilation patients

作　　者：陈华琼[1] 王国军[1] 谢昌联[1] 傅进艺[1] 黄小洵[1] 郭应军[1] 刘八一[1] 孟繁甦[1] 林冰[1] 王华敏[1] 

机构地区：[1]中山市中医院,广东中山528400

出　　处：《中医临床研究》2017年第11期33-34,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探析参附汤合生脉散对慢性阻塞性肺疾病急性加重期机械通气患者及对呼吸肌功能的影响。方法:选取我院收治的90例慢性阻塞性肺疾病急性加重期患者为研究对象,根据患者入院时间先后分组,每组45例。对照组给予机械通气和常规营养支持治疗,观察组在对照组的基础上增加参附汤合生脉散治疗,对临床治疗效果进行对比分析。结果:观察组的临床治疗总有效率与对照组相比差异显著(P<0.05);治疗后,观察组的动脉血气指标、APACHEⅡ评分、住院时间、血清乳酸值、肺功能指标均明显优于对照组(P<0.05)。结论:给予参附汤合生脉散治疗慢性阻塞性肺疾病急性加重期机械通气患者的临床效果较为显著,可提升临床治疗有效率,改善呼吸肌功能,可在临床上推广。Objective:To explore the Shenfu decoction plus Shengmai San on respiratory muscle function in mechanical ventilationpatients.Methods:90patients were chosen as the research objects,45cases for each group.The observation group was added the Shenfudecoction plus Shengmai San than mechanical ventilation in the control group.Results:In the observation group and the control group,the clinical efficiencies are different significantly(P<0.05);after the treatment,in the observation group arterial blood gas index,APACHEII score,hospitalization time,serum lactate value,index of pulmonary function were significantly better than those in the control group(P<0.05).Conclusion:Chronic obstructive pulmonary disease acute exacerbation of patients with mechanical ventilation could be given theShenfu decoction plus Shengmai San,and it can improve clinical efficiency,improve respiratory muscle function.

关 键 词：参附汤合生脉散 慢性阻塞性肺疾病急性加重期 机械通气 呼吸肌功能 

分 类 号：R256.1[医药卫生—中医内科学]