刘耀文

[摘要]目的 分析肺心病患者采取葶苈大枣泻肺汤合三子养亲汤治疗的可行性，为临床治疗提供参考。方法 选取该院在2013年3月—2014年7月收治的肺心病患者76例，依照治疗方法的不同分为治疗组和对照组各38例，治疗组患者采取葶苈大枣泻肺汤合三子养亲汤治疗，对照组患者采取常规西医治疗，比较分析两组患者止呕效果、血液流学变化情况以及不良反应等情况。结果 治疗组患者总治疗有效率（86.8%）明显高于对照组（65.8%），P<0.05，治疗后患者血气明显改善，P<0.05，治疗组患者血气指标改善情况明显优于对照组，P<0.05，治疗组患者临床症状改善时间明显短于对照组，P<0.05。结论 肺心病患者采取葶苈大枣泻肺汤合三子养亲汤能够提高治疗效果，安全高，具有推广使用价值。

[关键词]肺心病；血液流；葶苈大枣泻肺汤

[中图分类号]R5 [文献标识码]A [文章编号]1674-0742（2015）04（b）-0152-02

Feasibility Study of Tingli Dazao Xiefei Decoction and Three Sons of a Dear Decoction in the Treatment of Pulmonary Heart Disease

LIU Yaowen

Chinese Medicine in Cardiovascular Department， Nanyang Medical College Affiliated Hospital of traditional Chinese Medicine，Nanyang，Henan Province，473001 China

[Abstract]Objective To analyze the feasibility of takeing Tingli Dazao xiefei Decoction and three sons of a dear Decoction in the treatment of pulmonary heart disease， provides the reference for the clinical treatment.Methods 70 patients admitted in our hospital from March 2013 to July 2014 were selected，according to the different therapeutic methods divided into treatment group and the control group with 38 cases in each group，the patients in the treatment group were taken Tingli Dazao xiefei Decoction and three sons of a dear Decoction to treatment，patients in the control group take routine treatment of Western medicine， campared and analysis two groups of the antiemetic effect，tne change of blood rheology and adverse reaction.Results The total efficiency of treatment of the patients in the treatment group （86.8%） was significantly higher than the control group （65.8%）， P<0.05， after the treatment，the flesh of patients has ignificantly improved， P<0.05，the flesh index of treatment group were significantly higher than those in control group，P<0.05，clinical symptoms improved time of treatment group was significantly shorter than the control group，P<0.05.Conclusion Using Tingli Dazao xiefei Decoction and three sons of a dear decoction treat pulmonary heart disease has high effect and safety，with the promotion of value.

[Key words]Pulmonary heart disease；Blood flow；Tingli Dazao xiefei Decoction

肺心病是老年人常见的一种疾病，若是不及时治疗，很有可能威胁患者的生命安全，该院在肺心病患者治疗中，采用葶苈大枣泻肺汤合三子养亲汤治疗，取得很好的治疗效果，现整理该院患者临床资料，现报道如下。

1 资料与方法

1.1 一般资料

选取该院在2013年3月—2014年7月收治的肺心病患者76例，患者临床表现为肺水肿、双肺干湿啰音等，所有患者均符合慢性肺心病诊断标准，排除掉缺血性心脏病、风湿性心脏病、高血压心脏病等，41例患者为慢性支气管炎，17例患者为支气管哮喘，17例患者为肺结核，3例患者为矽肺病，54例患者心功能等级为II级，16例患者心功能等级为III级，8例患者心功能等级为IV级。随机分为治疗组和对照组各38例，治疗组患者男23例，女15例，年龄（65.6±3.7）岁，病程（10.3±2.6）年，对照组男22例，女17例，年龄（65.9±2.6）岁，病程（12.6±2.8）年，两组患者一般资料具有可比性，P>0.05。

1.2 方法

对照组患者采取常规西医治疗，包括抗感染、止咳化瘀、强心利尿等治疗，给予低流量持续吸氧，1次/d静脉滴注0.25 g氨茶碱、3 g头孢曲松钠、30 mg氨溴索注射液，1次/d静脉推注20 mg呋塞米注射液。