清气化痰汤加减治疗痰热壅肺证慢性阻塞性肺疾病效果观察  

Observation the effect of modified Qingqi Huatan decoction on chronic obstructive pulmonary disease with phlegm heat obstructing lung syndrome

作　　者：尚凤翠 SHANG Fengcui(Department of Traditional Chinese Medicine,Ji'nan Integrated Traditional Chinese and Western Medicine Hospital,Ji'nan,Shandong 271100,China)

机构地区：[1]济南市中西医结合医院中医内科,山东济南271100

出　　处：《医药前沿》2025年第1期95-98,共4页Journal of Frontiers of Medicine

摘　　要：目的观察痰热壅肺证慢性阻塞性肺疾病患者实施清气化痰汤加减治疗的效果。方法选取2023年1—12月济南市中西医结合医院收治的65例痰热壅肺证慢性阻塞性肺疾病患者,根据治疗方法不同分为观察组(32例,西药联合中医清气化痰汤加减治疗)和对照组(32例,西药治疗),比较两组胸肺顺应性指标、气体交换参数等临床疗效指标。结果治疗后,观察组总顺应性、胸廓顺应性、肺顺应性、呼气峰值流速、平均有效压力、吸入最大空气量和动脉血氧分压高于对照组,动脉血二氧化碳分压和中医症候积分低于对照组,差异有统计学意义(P<0.05)。治疗期间,观察组症状缓解时间短于对照组,差异有统计学意义(P<0.05)。结论采用中西医结合(西药联合清气化痰汤加减)方案治疗痰热壅肺证慢性阻塞性肺疾病患者的效果十分显著,能提高患者的胸肺顺应性和气体交换参数,缓解患者的症状,且安全性较高。Objective To observe the effect of modifiled Qingqi Huatan decoction on patients with chronic obstructive pulmonary disease with phlegm heat obstructing lung syndrome.Methods A total of 65 patients with chronic obstructive pulmonary disease with phlegm heat obstructing lung syndrome admitted to Ji'nan Integrated Traditional Chinese and Western Medicine Hospital from January to December 2023 were selected and divided into observation group(32 cases,western medicine combined with traditional Chinese medicine modifiled Qingqi Huatan decoction)and control group(32 cases,western medicine)according to different treatment methods.The clinical efficacy indexes such as chest and lung compliance and gas exchange parameters were compared between the two groups.Results After treatment,the total compliance,thoracic compliance,lung compliance,peak expiratory flow,mean effective pressure,maximum inspiratory pressure,and arterial partial pressure of oxygen in the observation group were higher than those in the control group.The arterial partial pressure of carbon dioxide and traditional Chinese medicine symptom score were lower than those in the control group,and the differences were statistically significant(P<0.05).During the treatment period,the observation group had a shorter symptom relief time than the control group,and the difference was statistically significant(P<0.05).Conclusions The effect of traditional Chinese and western medicine(western medicine combined with modifiled Qingqi Huatan decoction)in the treatment of patients with chronic obstructive pulmonary disease caused by phlegm heat obstructing lung syndrome is very significant.It can improve patients'chest and lung compliance and gas exchange parameters,alleviate their symptoms,and has high safety.

关 键 词：慢性阻塞性肺疾病 痰热壅肺证 清气化痰汤 胸肺顺应性 气体交换参数 

分 类 号：R286[医药卫生—中药学]