慢阻肺汤联合肺康复训练治疗肺肾气虚型慢性阻塞性肺疾病稳定期临床研究
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Clinical Study on Manzufei Tang Combined with Pulmonary Rehabilitative Training for Chronic Obstructive Pulmonary Disease of Lung-Kidney Qi Deficiency Type in Stable Stage
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    摘要:

    目的:观察慢阻肺汤联合肺康复训练治疗肺肾气虚型慢性阻塞性肺疾病(COPD) 稳定期的临床疗效。方法:选取100 例肺肾气虚型COPD 稳定期患者,按随机数字表法分为观察组与对照组各50 例。2 组均给予止咳、平喘、抗感染等常规治疗,对照组在此基础上给予肺康复训练治疗,观察组在对照组基础上加用慢阻肺汤治疗。20 d 为1 个疗程,2 组均治疗3 个疗程。比较2 组临床疗效,观察2 组中医证候及肺功能的改善情况。结果:治疗后,2 组中医证候积分均较治疗前降低(P<0.05),第1 秒用力呼气容积(FEV1)、用力肺活量(FVC) 及FEV1/FVC 水平均较治疗前升高(P<0.05);观察组中医证候积分低于对照组(P<0.05),FEV1、FVC、FEV1/FVC 水平均高于对照组(P<0.05)。观察组总有效率为90.00%,对照组总有效率为72.00%,2 组比较,差异有统计学意义(P<0.05)。结论:慢阻肺汤联合肺康复训练治疗肺肾气虚型COPD 稳定期,可有效缓解患者的临床症状,改善其肺功能,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Manzufei tang combined with pulmonary rehabilitative training for chronic obstructive pulmonary disease(COPD) of lung-kidney qi deficiency type in stable stage. Methods:A total of 100 cases of COPD patients of lung- kidney qi deficiency type in stable stage were divided into the observation group and the control group according to the random number table method, 50 cases in each group. Both groups were given routine treatment including relieving cough and asthma as well as anti-infection;the control group was additionally given pulmonary rehabilitative training, and the observation group was additionally given Manzufei tang based on the treatment of the control group. Both groups were treated for three courses, 20 days being one course. The clinical effect in the two groups was compared,and the improvement of Chinese medicine syndromes and lung function were observed. Results: After treatment, Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05), and the levels of forced expiratory volume in one second(FEV1), the forced vital capacity(FVC) and FEV1/FVC were increased (P<0.05);the Chinese medicine syndrome score in the observation group was lower than that in the control group (P<0.05), and the levels of FEV1 , FVC and FEV1/FVC were higher(P < 0.05). The total effective rate was 90.00% in the observation group and 72.00% in the control group, the difference being significant(P<0.05). Conclusion: Manzufei tang combined with pulmonary rehabilitative training for COPD patients of lung- kidney qi deficiency type in stable stage can effectively relieve their clinical symptoms, and improve lung function and clinical effect.

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滕王娜.慢阻肺汤联合肺康复训练治疗肺肾气虚型慢性阻塞性肺疾病稳定期临床研究[J].新中医,2021,53(3):64-67

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  • 在线发布日期: 2021-02-03
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