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目的:观察厚朴麻黄汤联合西医常规治疗慢性支气管炎合并肺气肿临床疗效。方法:选取100例慢性支气管炎合并肺气肿患者,随机分为2组各50例。对照组采用西医常规进行治疗;研究组在对照组治疗基础上给予厚朴麻黄汤治疗。比较2组临床疗效及肺功能[用力肺活量(FVC)、第1秒用力呼气量(FEV1)、用力呼气1秒率(FEV1/FVC)、呼气峰值流速(PEF)]。结果:总有效率研究组92.00%,对照组76.00%,2组比较,差异有统计学意义(P<0.05);2组治疗前肺功能FVC、FEV1、FEV1/FVC、PEF各项指标比较,差异无统计学意义(P>0.05);治疗后2组肺功能各项指标比较,差异有统计学意义(P<0.05)。不良反应率研究组6.00%,对照组4.00%,2组比较,差异无统计学意义(P>0.05)。结论:厚朴麻黄汤联合西医常规治疗慢性支气管炎临床疗效明显,且有效的促进患者肺功能的改善,安全可靠。
Objective: To observe the curative effect of Houpu Mahuang Decoction combined with Western routine treatment of chronic bronchitis and emphysema. Methods: One hundred patients with chronic bronchitis complicated with emphysema were randomly divided into two groups of 50 cases each. The control group was treated with western medicine routinely. The study group was treated with Houpu Mahuang Decoction on the basis of the control group. Clinical efficacy and pulmonary function (FVC, FEV1, FEV1 / FVC, and peak expiratory flow (PEF)] were compared between the two groups. Results: The total effective rate was 92.00% in the study group and 76.00% in the control group. There was significant difference between the two groups (P <0.05). The comparison of the indexes of pulmonary function FVC, FEV1, FEV1 / FVC, There was no significant difference between the two groups (P> 0.05). After treatment, the indexes of pulmonary function in the two groups were significantly different (P <0.05). Adverse reaction rate was 6.00% in the study group and 4.00% in the control group. There was no significant difference between the two groups (P> 0.05). CONCLUSION: The curative effect of Houqupuhuang Decoction combined with Western routine therapy on chronic bronchitis is obvious, and it can effectively promote the improvement of pulmonary function in patients and is safe and reliable.