肺胀2号方对慢性阻塞性肺疾病稳定期肺肾气阴两虚型患者中医证素的影响
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R563.9

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福建省医学创新课题(2014-CXB-28);福建省卫生计生委青年科研课题(2016-1-89)


Lung Distension No.2 Prescription Has Effecton Chinese Medicine Syndrome Differentiati on Factors of Patients with Syndrome of Qi and Yin Deficiency of Lung and Kidney in Chronic Obstructive Pulmonary Disease(COPD)Stationary Phase
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    摘要:

    目的:观察肺胀2号方治疗慢性阻塞性肺疾病(COPD)稳定期肺肾气阴两虚型患者证素变化的情况。方法:将70例符合纳入标准的COPD稳定期肺肾气阴两虚型患者随机分为2组各35例,治疗组在西医常规治疗的基础上予肺胀2号方,对照组在西医常规治疗的基础上予安慰剂治疗,疗程3月,比较2组治疗前后病位证素和病性证素的变化。结果:2组实际完成均为33例。治疗组治疗后病位肺、肾,病性气虚、阴虚、阳虚和痰证素积分均明显下降,前后比较,差异均有统计学意义(P<0.01);2组治疗后病位、病性证素积分比较,差异均有统计学意义(P<0.01)。治疗后,病位证素肾2组病理分级情况比较,差异有统计学意义(P<0.05)。治疗后,2组气虚、阴虚、痰病性证素病理分级情况分别比较,差异均有统计学意义(P<0.05,P<0.01)。结论:肺胀2号方可以降低COPD稳定期肺肾气阴两虚型患者病位、病性证素积分,一定程度改善其中医病理损害。

    Abstract:

    Objective:To observe lung distension No.2 prescription in treating syndrome differentiation factors in patients with syndrome of qi and yin deficiency of lung and kidney in chronic obstructive pulmonary disease(COPD)stationary phase and changes during this process.Methods:Divided 70 cases of patients with syndrome of qi and yin deficiency of lung and kidney in COPD stationary phase who met the inclusion criterion into two groups randomly,35 cases in each group.The treatment group was given lung distension No.2 prescription on the basis of routine western medicine treatment,while the control group was treated with placebo treatment based on routine western medicine treatment.The course of treatment for both groups lasted for 3 months.Compared the changes of syndrome differentiation factors of disease location and nature of disease in the two groups before and after treatment.Results:33 cases were completely analyzed in the two groups respectively.The scores of syndrome differentiation factors of disease locations such as lung and kidney and of natures of disease such as qi deficiency, yin deficiency, yang deficiency and phlegm in the treatment group were significantly decreased,compared the results before and after treatment,differences being significant(P<0.01).After treatment,there were significant differences being found in the comparisons of the scores of the syndrome differentiation factors of disease location and nature of disease in the two groups(P<0.01).After treatment,there were significant differences being found in the comparisons of the pathological grades of disease location in the kidney in the two groups(P<0.05).After treatment,compared the pathological grades of syndrome differentiation factors of natures of disease such as qi deficiency,yin deficiency and phlegm in the two groups,there were significant differences being found(P<0.05,P<0.01).Conclusion:The application of lung distension No.2 prescription can reduce the scores of syndrome differentiation factors of disease location and nature of disease in patients with syndrome of qi and yin deficiency of lung and kidney in COPD stationary phase and improve the Chinese medicine pathological damage to a certain extent.

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柯庚申,黄锦榕,杨朝阳,洪敏俐.肺胀2号方对慢性阻塞性肺疾病稳定期肺肾气阴两虚型患者中医证素的影响[J].新中医,2018,50(12):79-82

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  • 在线发布日期: 2018-12-09
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