清气化痰汤联合贝母瓜蒌散加减治疗痰热壅肺型慢性阻塞性肺疾病合并肺部感染临床研究
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Clinical Study of Modified Qingqi Huatan Tang Combined with Beimu Gualou Powder for COPD of Phlegm-Heat Obstructing the Lung Type Complicated with Pulmonary Infection
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    摘要:

    目的:观察清气化痰汤合贝母瓜蒌散加减治疗痰热壅肺型慢性阻塞性肺疾病(COPD) 肺部感染的临床疗效。方法:将痰热壅肺型COPD 合并肺部感染患者168 例按随机数字表法分为对照组和观察组各84 例(其中对照组脱落1 例)。对照组给予乳酸左氧氟沙星氯化钠注射液治疗,观察组在对照组的基础上给予清气化痰汤合贝母瓜蒌散加减内服。2 组疗程均为10 d。比较治疗后2 组白细胞计数(WBC)、临床肺部感染评分(CPIS)、肺功能[第1 秒用力肺活量(FEV1)、FEV1 占预计值百分比(FEV1%)] 变化及临床疗效。结果:观察组总有效率为94.43%,明显高于对照组的84.34%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组WBC、CPIS 水平均较治疗前明显降低(P<0.05),且观察组CPIS、WBC 水平低于对照组(P<0.05)。治疗后,2 组FEV1、FEV1%水平均较治疗前明显升高(P<0.05),观察组FEV1、FEV1%水平高于对照组(P<0.05)。观察组不良反应发生率为10.71%,对照组为8.43%,2 组比较,差异无统计学意义(P>0.05)。结论:清气化痰汤合贝母瓜蒌散加减治疗痰热壅肺型COPD 肺部感染疗效良好,能改善肺部感染和肺功能,且不增加不良反应,安全性较好。

    Abstract:

    Abstract: Objective: To observe the curative effect of modified Qingqi Huatan tang combined with Beimu Gualou powder for chronic obstructive pulmonary disease(COPD) of Phlegm- heat obstructing the lung type complicated with pulmonary infection. Methods:A total of 168 cases of patients with chronic obstructive pulmonary disease were divided into the control group and the observation group according to the random number table method, with 84 cases in each group (including one case lost in the control group). The control group was treated with levofloxacin lactate and sodium chloride injection,and the observation group was additionally given oral administration of modified Qingqi Huatan tang combined with Beimu Gualou powder based on the treatment of the control group. Both groups were treated for 10 days. The changes in white blood cell(WBC) count,Clinical Pulmonary Infection Score(CPIS) and indexes of lung function including forced expiratory volume in one second(FEV1) and percentage of predicted value of FEV1(FEV1%) after treatment and the clinical effects in the two groups were compared. Results:The total effective rate was 94.43% in the observation group,significantly higher than that of 84.34% in the control group,the difference being significant(P<0.05). After treatment,the levels of WBC and CPIS in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the levels of WBC and CPIS in the observation group were lower than those in the control group(P<0.05). After treatment,the levels of FEV1 and FEV1% in the two groups were significantly increased when compared with those before treatment(P<0.05), and the levels of FEV1 and FEV1% in the observation group were higher than those in the control group(P<0.05). The incidence of adverse reactions was 10.71% in the observation group and 8.43% in the control group,there being no significance in the difference(P>0.05). Conclusion: Modified Qingqi Huatan tang combined with Beimu Gualou powder has a good curative effect in treating COPD of Phlegm- heat obstructing the lung type complicated with pulmonary infection,and can improve pulmonary infection and lung function without increasing adverse reactions with good safety.

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蔡金忠,江灵峰.清气化痰汤联合贝母瓜蒌散加减治疗痰热壅肺型慢性阻塞性肺疾病合并肺部感染临床研究[J].新中医,2022,54(6):30-33

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  • 在线发布日期: 2022-03-25
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