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目的观察清金化痰汤佐治慢性阻塞性肺疾病急性加重期(AECOPD)患者的临床疗效。方法选取2013年9月-2014年11月住院的AECOPD患者148例,随机分为观察组和对照组各74例。对照组患者采用布地奈德吸入治疗,观察组在对照组基础上给予清金化痰汤加减进行治疗,比较2组的治疗效果。结果观察组总有效率97.30%明显高于对照组的87.84%(P<0.05);观察组患者Pa O2、Pa CO2、FEV1改善情况明显优于对照组,差异有统计学意义(P<0.05)。结论清金化痰汤加减佐治慢性阻塞性肺疾病,患者具有良好的临床疗效,不良反应少,值得在临床上进一步推广。
Objective To observe the clinical effect of Qingjinhuatan decoction on patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods 148 AECOPD patients hospitalized from September 2013 to November 2014 were randomly divided into observation group and control group, with 74 cases in each group. Patients in the control group were treated with budesonide inhalation. The observation group was treated with Qingjin Huatan Decoction on the basis of the control group, and the treatment effect was compared between the two groups. Results The total effective rate in observation group was 97.30%, which was significantly higher than 87.84% in control group (P <0.05). The improvement of PaO2, PaCO2 and FEV1 in observation group was significantly better than that in control group (P <0.05) . Conclusion Qingjinhuatan Decoction plus adjutant treatment of chronic obstructive pulmonary disease, patients with good clinical efficacy, fewer adverse reactions, it is worth further promotion in the clinic.