机械通气结合自拟中药汤剂对慢阻肺合并呼吸衰竭的疗效  

Efficacy of mechanical ventilation plus self-made TCM decoction on chronic obstructive pulmonary disease with exhaustion

作　　者：陈超平 Chen Chaoping

机构地区：[1]湛江市第二中医医院

出　　处：《中医临床研究》2019年第28期115-116,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:研究中西医结合在慢性阻塞性肺疾病(简称慢阻肺)合并呼吸衰竭中的临床治疗效果。方法:取我院确诊82例慢阻肺合并呼吸衰竭患者纳入研究对象,随机将82例患者分为两组,取其中41例为对照组应用西药治疗,另41例为观察组在西药治疗基础上联合中药汤剂治疗,比较两组治疗效果。结果:治疗前,两组中医症状积分比较差异无统计学意义(P>0.05);治疗后观察组中医症状积分优于对照组在西药治疗,比较差异有统计学意义(P<0.05);治疗后的各项指标与治疗前相比均有显著改善(P<0.05);并且观察组治疗后的各项指标水平均比对照组显著更优(P<0.05)。观察组复发率(12.20%)低于对照组的48.78%,两组比较差异统计学意义(P<0.05)。结论:中西医结合治疗慢阻肺合并呼吸衰竭治疗效果理想,而且能有效降低复发率,值得推广应用。Objective:To study the clinical effect of the integrative medicine on chronic obstructive pulmonary disease(COPD)with respiratory failure.Methods:82 patients were randomly divided into two groups.41 patients were treated with western medicine in the control group;41 patients were treated with TCM decoction more in the observation group.The effects in groups were compared.Results:Before treatment,there was no difference in TCM symptom scores between groups(P>0.05).After treatment,the TCM symptom scores in the observation group were better than the control group,with significant differences(P<0.05);the indexes in the observation group were significantly improved(P<0.05);those in the observation group were significantly better than the control group(P<0.05).The recurrence rate in the observation group was 12.20%,lower than 48.78%in the control group,with a significant difference(P<0.05).Conclusion:The integrative medicine on COPD with respiratory failure shows an ideal effect,can effectively reduce the recurrence rate,which is worthy of popularization and application.

关 键 词：中西医结合 慢阻肺 呼吸衰竭 治疗效果 观察 

分 类 号：R563.8[医药卫生—呼吸系统]