中国学术期刊网络出版总库入编期刊
CNKI中文期刊全文数据库全文收录期刊
中国核心期刊(遴选)数据库全文收录期刊
万方数据——数字化期刊群收录期刊
中文科技期刊数据库全文收录期刊

主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

慢阻肺及哮喘慢阻肺重叠综合征的临床分析

藏小娟

(陕西省延安市宝塔区人民医院,陕西 延安,716000)

浏览次数:256次 下载次数:313次

摘要:

目的 探讨中西医结合治疗慢阻肺及哮喘慢阻肺重叠综合征的临床效果。方法 选择2014 年9 月至2017 年1 月在我院 诊治的慢阻肺及哮喘慢阻肺重叠综合征患者78 例,随机分为观察组与对照组,各39 例。对照组应用无创通气呼吸机进行治 疗,观察组在对照组的基础上给予自拟中药方治疗,比较两组治疗效果。结果 观察组治疗的总有效率(94.87%)明显高于对 照组(79.49%)(P<0.05)。治疗后,两组患者的FEV1、FEV1/% pred 及FEV1/FVC 水平均改善,观察组优于对照组(P<0.05)。结论 中西医结合治疗慢阻肺及哮喘慢阻肺重叠综合征可明显改善肺功能,提高治疗效果。

关键词:哮喘慢阻肺重叠综合征;肺功能;中西医结合;无创通气呼吸机

中图分类号:R562.2文献标志码:A文章编号:2096-1413(2018)02-0042-02

    Clinical analysis of chronic obstructive pulmonary disease and asthmatic chronic obstructive pulmonary disease overlap syndrome
    ZANG Xiao-juan
    (Baota District People``s Hospital of Yan``an, Yan``an 716000, China)

    ABSTRACT: Objective To explore the clinical effect of integrated traditional Chinese and western medicine in the treatment of chronic obstructive pulmonary disease and asthmatic chronic obstructive pulmonary disease overlap syndrome. Methods From September 2014 to January 2017, 78 patients diagnosed with chronic obstructive pulmonary disease and asthmatic chronic obstructive pulmonary disease overlap syndrome in our hospital were selected, and randomly divided into observation group and control group, with 39 cases in each group. The control group was treated with non -invasive ventilation and breathing machine, and the observation group was treated with self-made Chinese medicine on the basis of the control group. The treatment effects of the two groups were compared. Results The total effective rate of the observation group and the control group were 94.87% and 79.49% respectively, and that of the observation group was significantly higher than the control group (P <0.05). After treatment, the FEV1, FEV1/% pred and FEV1/FVC levels significantly improved in both groups, those in the observation group were significantly better than the control group (P <0.05). Conclusion In the treatment of chronic obstructive pulmonary disease and asthmatic chronic obstructive pulmonary disease overlap syndrome, integrated traditional Chinese medicine and western medicine can promote pulmonary function and improve treatment effect.
    KEYWORDS: asthmatic chronic obstructive pulmonary disease overlap syndrome; pulmonary function; integrated traditional Chinese medicine and western medicine; non-invasive ventilation and breathing machine

    参考文献:
    [1] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2011 年修订版)[J].中华结核和呼吸杂志,2013,61(4):255-264.
    [2] 张秀伟,蔡伟,晋发,等.双水平气道正压通气对重叠综合征患者心功能及血管内皮功能影响[J].中华结核和呼吸杂志,2011,34(1):17-20.
    [3] 吴坎金,杜兰英,张连勇,等.重叠综合征征患者体内抗氧化能力的临床研究[J].中国综合临床,2014,30(11):1163-1165.
    [4] 张秀伟,蔡伟,普发.双水平气道正压通气对重叠综合征患者心功能及血管内皮功能影响[J].中华结核和呼吸杂志,2011,34(1):17-20.
    [5] RAND CM,CARROLL MS,WEESE-MAYER DE.Congenital central hypoventilation syndrome: a neurocristopathy with disordered respiratory control and autonomic regulation [J].Clin Chest Med,2014,35 (3):535-545.
    [6] 贺晓芳,顾雄华,季菲.益气养阴化痰通络法治疗慢性心力衰竭的 临床观察[J].中西医结合心脑血管病杂志,2015,13(17):1963-1965.
    [7] 张念,殷人易,袁文胜,等.化痰活血降气方治疗慢性阻塞性肺疾病 的临床试验[J].实用医学杂志,2016,32(7):1176-1179.
    [8] 范立磊.益气活血化痰汤对慢性阻塞性肺疾病急性发作期患者血 液流变学及肺功能的影响[J].河北中医,2014,36(2):181-183.
    [9] 魏亚东,鱼涛,张选国,等.平喘固金汤配合西药治疗慢性阻塞性肺 疾病稳定期48 例[J].陕西中医,2014,35(8):940-942.
    [10] 康庄,李士瑾.参芪心衰方对慢性心力衰竭患者血清sICAM-1、 IL-6 水平的影响[J].中医研究,2013,26(1):29-31.

上一篇门诊老年呼吸道感染患者建立合理用药量化评分体系的研究

下一篇重组牛碱性成纤维细胞生长因子滴眼液联合玻璃酸钠滴眼液治疗青光眼滤过术后干眼症的效果