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目的:观察在西医常规治疗的基础上加用中药治疗慢性阻塞性肺疾病(COPD)急性发作期呼吸衰竭、中医病机为胸中大气下陷,痰湿蕴肺,肺气不宣患者的临床疗效,为制定中西医结合治疗方案奠定基础。方法:对照组(34例)予无创正压通气与西医常规治疗,治疗组(36例)在对照组的基础上加中医论治,分别给予协定处方1,2,3号。结果:治疗组在症状、体征、PIC窗时间、无创正压通气时间及血气分析改善方面均优于对照组(均P<0.05)。结论:中西医结合治疗方案优于单纯西医治疗方案,能明显改善COPD急性发作期呼吸衰竭患者的症状、体征,使病人PIC窗时间提早出现,肺部感染得到有效控制,缩短无创正压通气时间,提高综合疗效。
OBJECTIVE: To observe the clinical curative effect of traditional Chinese medicine (TCM) on chronic respiratory disease (COPD) in acute exacerbation of chronic obstructive pulmonary disease (COPD) based on routine treatment of Western medicine. To lay the foundation for the treatment of traditional Chinese and Western medicine. Methods: The control group (34 cases) was given noninvasive positive pressure ventilation and Western medicine routine treatment. The treatment group (36 cases) was treated with traditional Chinese medicine on the basis of the control group. Results: The treatment group was superior to the control group in symptom, sign, PIC window time, non-invasive positive pressure ventilation time and blood gas analysis improvement (all P <0.05). Conclusion: The combination of traditional Chinese and western medicine is superior to western medicine alone. It can significantly improve the symptoms and signs of patients with respiratory failure during acute exacerbation of COPD, and make the patients’ PIC window time appear earlier. The pulmonary infection can be effectively controlled and the duration of non-invasive positive pressure ventilation can be shortened , Improve the comprehensive effect.