刘 彤，黎民希，郑伟玉，柯锦运（广东省惠州市博罗县人民医院中医科，广东 博罗 516100）



中西医结合治疗慢性阻塞性肺疾病急性加重期疗效观察

刘 彤，黎民希，郑伟玉，柯锦运
（广东省惠州市博罗县人民医院中医科，广东 博罗 516100）

［摘 要］目的：观察中西医结合治疗慢性阻塞性肺疾病急性加重期（AECOPD）的临床效果。方法：62例随机分为观察组和对照组各31例，对照组接受常规西药治疗，观察组接受宣肺通腑法联合西药治疗。结果：总有效率观察组93．55%、对照组77．42%，两组比较差异有统计学意义（P＜0．05）；观察组治疗后PaO2、FEV1、FEV1/FVC指标优于对照组，两组比较差异有统计学意义（P＜0．05）。结论：中西医结合治疗慢性阻塞性肺疾病急性加重期临床效果较好，显著改善患者的肺功能。

［关键词］慢性阻塞性肺疾病；急性加重期；中西医结合；对照治疗观察

［Abstract］Objective：To observe the clinical effect of diffusing the lung and purging fu-organ method combined with western medicine in treatment of chronic obstructive pulmonary disease in acute exacerbation （AECOPD）.Method：62 cases were divided into 2 groups evenly in random. 31 cases were treated with conventional western medicine as the control group while 31 cases were treated with diffusing the lung and purging fu-organ method therapy combined with western medicine as the observation group. Result：The total effective rate of the observation group was 93.55% while that of the control group was 77.42%. The difference was statistically significant（P＜0.05）.After the treatment，the index of PaO2，FEV1，FEV1 / FVC of the observation group was superior to that of the control group. The difference is statistically significant（P＜0.05）.Conclusion：In the treatment of patients with acute exacerbation of chronic obstructive pulmonary disease，diffusing the lung and purging fu-organ method on the basis of the conventional western medicine treatment has remarkable clinical effect and improves the pulmonary function of the patients.

［Key Words］ Chronic obstructive pulmonary disease；Acute exacerbation；Diffusing the lung and purging fu-organ method；Pulmonary function

慢性阻塞性肺疾病（COPD）是临床常见的呼吸系统疾病之一，发病率高﹑病死率高，对患者的生命安全构成威胁。目前临床西药治疗本病多采用抗感染﹑吸氧﹑扩张血管药物等措施。有研究表明，对AECOPD患者采取中西医结合治疗可取得一定的疗效［1］。笔者中西医结合方法治疗AECOPD效果较好，报道如下。

1　临床资料

共62例，均为2014年2月至2015年2月我院收治的AECOPD患者，随机分为对照组和观察组各31例。对照组男16例，女15例；年龄40～78岁，平均（58.6±2.3）岁；病程2～18年，平均（6.7±1.5）年。观察组男15例，女16例；年龄41～78岁，平均（59.2±2.4）岁；病程3～18年，平均（6.9±1.6）年。两组性别构成﹑年龄﹑病程等比较差异无统计学意义（P＞0.05），具有可比性。

纳入标准［2］：西医诊断符合我国《慢性阻塞性肺疾病诊断》（2013年修订版）中关于急性加重期的相关诊断标准；……