橘红胶囊联合桉柠蒎肠溶软胶囊治疗慢性阻塞性肺疾病临床研究
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Clinical Study on Juhong Capsules Combined with Eucalyptol,Limonene and Pinene Enteric Soft Capsules for Chronic Obstructive Pulmonary Disease
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    摘要:

    目的:观察橘红胶囊联合桉柠蒎肠溶软胶囊治疗慢性阻塞性肺疾病的临床疗效。方法:将慢性阻塞性肺疾病患者86 例按随机数字表法分为观察组和对照组各43 例。对照组给予吸氧、抗感染、化痰平喘等常规治疗,观察组在对照组的基础上给予橘红胶囊联合桉柠蒎肠溶软胶囊治疗。观察比较2 组临床症状消失时间,治疗前后肺功能[用力呼气量(FVC)、第1 秒用力呼气容积(FEV1)、第1 秒用力呼气容积占预计值百分比(FEV1%)、最大呼气流量(PEF)] 及T 淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+)、血清炎症因子[降钙素原(PCT)、肿瘤坏死因子-α(TNF-α)、细胞间黏附因子-1(ICAM-1)] 水平变化。结果:治疗前,2 组FVC、FEV1、FEV1%、PEF 水平比较,差异无统计学意义(P>0.05);治疗后,2 组FVC、FEV1、FEV1%、PEF 水平均较治疗前升高(P<0.05),且观察组各项指标均高于对照组(P<0.05)。治疗前,2 组CD3+、CD4+、CD8+及CD4+/CD8+水平比较,差异无统计学意义(P>0.05)。治疗后,2 组CD3+、CD4+、CD4+/CD8+水平较治疗前降低(P<0.05)、CD8+水平较治疗前升高(P<0.05),且观察组各项指标改善均优于对照组(P<0.05)。治疗前,2 组PCT、TNF-α、ICAM-1 水平比较,差异无统计学意义(P>0.05);治疗后,2 组PCT、TNF-α、ICAM-1 水平均较治疗前降低(P<0.05),且观察组PCT、TNF-α、ICAM-1 水平均低于对照组(P<0.05)。观察组肺部啰音、咳嗽、咳痰消失时间均短于对照组,差异有统计学意义(P<0.05)。结论:橘红胶囊联合桉柠蒎肠溶软胶囊治疗慢性阻塞性肺疾病,能有效改善患者肺功能,提高机体免疫力,减轻炎症反应,快速缓解患者的临床症状。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Juhong capsules combined with eucalyptol,limonene and pinene enteric soft capsules for chronic obstructive pulmonary disease. Methods: A total of 86 cases of patients with chronic obstructive pulmonary disease were divided into the observation group and the control group according to the random number table method, 43 cases in each group. The control group was given routine treatments including oxygen inhalation, antiinfection, resolving phlegm and calming panting. The observation group was additionally given Juhong capsules combined with eucalyptol,limonene and pinene enteric soft capsules based on the treatment of the control group. The disappearance time of clinical symptoms was observed and compared between the two groups. Before and after treatment,the changes in the lung function [forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),the percentage of predicated value of FEV1(FEV1%),peak expiratory flow(PEF)],as well as levels of T-lymphocyte subsets(CD3+,CD4+,CD8+,and CD4+/ CD8 + ) and inflammatory factors in serum [procalcitonin(PCT), tumor necrosis factor- α(TNF- α), intercellular adhesion molecule-1(ICAM-1)] were observed and compared between the two groups. Results:Before treatment,when compared levels of FVC,FEV1,FEV1%,and PEF between the two groups,there was no significance in the difference(P>0.05). After treatment, levels of FVC, FEV1, FEV1% , and PEF in the two groups were increased when compared with those before treatment(P<0.05),and each index above in the observation group was higher than that in the control group(P<0.05). Before treatment, when compared levels of CD3 + , CD4 + , CD8 + , and CD4 +/CD8 + between the two groups, there was no significance in the difference(P>0.05). After treatment, levels of CD3 + , CD4 + , and CD4 +/CD8 + in the two groups were decreased when compared with those before treatment(P<0.05), and the level of CD8 + was increased(P<0.05); the improvement of the indexes above in the observation group was better than that in the control group(P<0.05). Before treatment,when compared levels of PCT,TNF-α,and ICAM-1 between the two groups,there was no significance in the difference(P>0.05). After treatment, levels of PCT, TNF- α, and ICAM- 1 in the two groups were decreased when compared with those before treatment(P<0.05),and the three levels above in the observation group were lower than those in the control group(P<0.05). The disappearance time of the lung rales,cough,and expectoration in the observation group was earlier than that in the control group,the difference being significant(P<0.05). Conclusion:In the treatment of chronic obstructive pulmonary disease,the therapy of Juhong capsules combined with eucalyptol,limonene and pinene enteric soft capsules can effectively improve the lung function,enhance immune function,relieve inflammatory responses,and rapidly alleviate clinical symptoms.

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曹晨蕾,陈鼎文,林天锋,俞晓东.橘红胶囊联合桉柠蒎肠溶软胶囊治疗慢性阻塞性肺疾病临床研究[J].新中医,2021,53(22):71-74

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  • 在线发布日期: 2021-11-26
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