| 摘要: |
| ［摘要］ 目的 观察通络活血和益气补肾法对慢性阻塞性肺疾病（COPD）患者临床症状和肺功能的改善效应，评价通络活血和益气补肾法对COPD患者临床症状和肺功能等的影响。方法 选择慢性阻塞性肺疾病急性发作期患者90例，随机分为三组：(1)治疗组用西医常规治疗法（简称“常法”）+中医通络活血和益气补肾法（简称“通法”）。(2)对照组用“常法”+中医活血化淤法（简称“活法”）。(3)常规组用“常法”（抗炎、平喘、祛痰等）。临床观察时间为6个月。结果 (1)治疗组比对照组及常规组的症状改善率较高，其中咳嗽、咳痰、喘息、哮鸣音的改善较为显著(P<0.05)；治疗组中，咳嗽缓解的总有效率为37%，咳痰为42%，喘息为18. 7%；临床体征方面则以哮鸣音减少较为明显。(2)治疗组总体疗效优于对照组及常规组(P<0.05)。(3)治疗组治疗前后Zrs、 R5%的改善有统计学差异（P<0.05）。结论 通络活血和益气补肾法对慢性阻塞性肺疾病急性发作期的临床症状和肺功能的改善有一定的效果。 |
| 关键词: 慢性阻塞性肺疾病 通络活血 益气补肾 肺功能 |
| DOI： |
| 分类号:R 563.9 |
| 基金项目: |
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| Clinical study on chronic obstructive pulmonary disease(COPD) treated by the method of activating collaterals to promote blood circulation and replenishing Qi to tonify the kidney |
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LIANG Jian-ping, XU Ping, LI Ping, et al.
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The Fourth Affiliated Hospital of Nanchang University, Nanchang 330003, China
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| Abstract: |
| ［Abstract］ Objective To observe the benefit of improvement in clinical symptoms of the method of activating collaterals to promote blood circulation and replenishing Qi to tonify the kidney (Activating method), in the treatment of patients with COPD, and to evaluate the affection of the method on the patients′ clinical symptom and lung function.Methods Ninety patients who were in the acute phase of the COPD, were randomly divided into three groups. Treatment group were treated by combined western medicine treatment (routine method) and the activating method. Control group were treated by the routine method and the method of promoting blood circulation to remove blood stasis (promoting method). Routine group were treated by the routine method, such as anti-inflammatory, relieving dyspnea, facilitating expectoration. The clinical watching time was six months.Results (1)The treatment group had bigher improvement ratio than the control and routine group, especially the symptom of cough, expectoration, gasp, wheezing rale had more remarkable improvement(P<0.05). The effect percentage of the cough anesis was 37%, expectoration was 42%, gasp was 18.7% in treatment group. The reduction of wheezing rale is more remarkable in physical sign.(2)As for total curative effect, treatment group had an advantage over the other groups (P<0.05).(3)There were significant differences in the improvement of Zrs, R% before and after treatment in the treatment group. Conclusion The method of activating collaterals to promote blood circulation and replenishing Qi to tonify the kidney plays some effect on the improvement of clinical symptoms and lung function for the patients who were in the phase of the illness. |
| Key words: COPD Activate collaterals to promote blood circulation Replenishing qi to tonify the kidney Lung function |
