强身益寿方治疗慢性阻塞性肺疾病稳定期 老年综合征患者的临床效果  

Clinical study of Qiangshen Yishou Prescription in treating stable senile syndrome patients with chronic obstructive pulmonary disease

作　　者：徐学敏[1] 李芮[1] 朱梦真 刘佳娜 XU Xuemin;LI Rui;ZHU Mengzhen;LIU Jiana(Geriatrics Center,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250000,China;Department of Traditional Chinese Medicine,Chaohu Road Community Health Service Center,Shinan District,Shandong Province,Qingdao 266000,China;Department of Traditional Chinese Medicine,Weihai Torch High-tech Industrial Development Zone Yiyuan Community Health Service Center,Shandong Province,Weihai 264209,China)

机构地区：[1]山东中医药大学附属医院老年医学中心,山东济南250000 [2]青岛市市南区巢湖路社区卫生服务中心中医科,山东青岛266000 [3]山东省威海火炬高技术产业开发区怡园社区卫生服务中心中医科,山东威海264209

出　　处：《中国当代医药》2023年第29期62-66,共5页China Modern Medicine

基　　金：山东省中医药科技发展计划项目(2019-0174)。

摘　　要：目的探讨强身益寿方治疗慢性阻塞性肺疾病(COPD)稳定期老年综合征患者的临床效果。方法选取2020年7月至2021年12月山东中医药大学附属医院收治的80例COPD并符合老年综合征患者作为研究对象,以随机数字表法分为对照组(40例)与观察组(40例)。对照组采用基础药物治疗,观察组采用基础药物治疗+强身益寿方治疗。比较两组患者肺功能、老年综合征评估量表(COPD特异性自我效能量表、日常生活能力量表、中医证候量表)治疗前后的变化。结果治疗后,观察组患者特异性自我效能评分、1秒率(FEV_(1))、用力肺活量(FVC)和FEV_(1)/FVC高于对照组,差异有统计学意义(P<0.05),观察组日常生活活动能力(ADL)评分和中医证候积分低于对照组,差异有统计学意义(P<0.05)。结论强身益寿方治疗COPD稳定期能改善患者的肺功能、生活能力和疾病症候,具有良好的近期疗效。Objective To investigate the clinical effect of Qiangshen Yishou Prescription in treating stable senile syndrome patients with chronic obstructive pulmonary disease(COPD).Methods A total of 80 patients with COPD who met the diagnosis of senile syndrome from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine from July 2020 to December 2021 were selected as the study objects,and they were divided into control group(40 cases)and observation group(40 cases)by random number table method.The control group was treated with basic drugs,and the observation group was treated with basic drugs+Qiangshen Yishou Prescription.The changes of lung function and geriatric syndrome assessment scale(COPD specific self-efficacy scale,activity of daily living,traditional Chinese medicine syndrome scale)before and after treatment were compared between the two groups.Results After treatment,the specific self-efficacy score,forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of activities of daily living(ADL)and traditional Chinese medicine syndrome scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Qiangshen Yishou prescription can improve the lung function,living ability and disease symptoms of patients with chronic obstructive pulmonary disease in stable stage,and has a good short-term effect.

关 键 词：慢性阻塞性肺疾病 强身益寿方 老年综合征 脾肾亏虚 

分 类 号：R563[医药卫生—呼吸系统]