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目的:观察滋阴化痰法辨证论治慢性阻塞性肺疾病(COPD)患者的疗效,为该病提供一种符合临床实际的中西医治疗方法。方法:选取符合条件的98例COPD患者,随机分为治疗组(50例)、对照组(48例),对照组采用常规西医处理方法,治疗组在对照组的基础上服用滋阴化痰类中药,入院第1天、治疗第7天分别评估病情、观察患者炎症指标、肺功能、血气分析等情况,并比较治疗前后及组间差异。结果:两组病人治疗前后各项指标变化均具有差异性(P<0.05),治疗组取得更加治疗效果,FEV1%、PaO2、PaCO2、SaO2与对照组结果相比具有统计学意义(P<0.05)。结论:滋阴化痰法辨证论治COPD患者,切中当前患者病机,能够取得更好的治疗效果。
Objective: To observe the curative effect of syndrome differentiation of nourishing yin and phlegm treating patients with chronic obstructive pulmonary disease (COPD), and to provide a kind of traditional Chinese and western medicine treatment which is suitable for clinical practice. Methods: A total of 98 patients with COPD were selected and randomly divided into treatment group (n = 50) and control group (n = 48). The control group was treated with routine western medicine. The treatment group was given Ziyin Huatan Chinese medicine, on the first day of admission and on the seventh day of treatment, the condition was evaluated respectively. Inflammatory index, pulmonary function and blood gas analysis were observed, and the differences between before and after treatment and between groups were compared. Results: Before and after treatment, there were significant differences in the indexes between the two groups (P <0.05), and the treatment group achieved more therapeutic effects. The FEV1%, PaO2, PaCO2 and SaO2 were significantly different from those of the control group (P <0.05) ). Conclusion: Nourishing Yin and Eliminating phlegm method treating COPD patients and cutting the current patients’ pathogenesis can achieve better therapeutic effect.