首页|参赭镇气汤对肺肾两虚型慢性阻塞性肺病急性加重期的临床研究

参赭镇气汤对肺肾两虚型慢性阻塞性肺病急性加重期的临床研究

Clinical study of Shenzhe Zhenqi decoction in the treatment of acute exacerbation of chronic obstructive pulmonary disease with deficiency of both lung and kidney

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目的:探讨参赭镇气汤治疗肺肾两虚型慢性阻塞性肺病急性加重期(AECOPD)的疗效.方法:60例AECOPD患者随机分为对照组(常规治疗)和观察组(常规治疗加参赭镇气汤),每组30例,疗程2周.比较两组临床疗效、血清炎症指标(CRP、IL-6、PCT、NLR、Cys-C)变化、疾病严重程度评分及不良反应.结果:治疗两周后,观察组患者的治疗总有效率高于对照组,差异具有统计学意义(P<0.05);两组患者胸闷气喘、咳嗽痰白、少气懒言、腰膝酸软中医证候积分与总积分均较治疗前降低(P<0.05),观察组上述证候积分与总积分均显著低于对照组(P<0.05);两组患者炎症指标均较治疗前降低(P<0.05),观察组患者CRP、IL-6、PCT、NLR、Cys-C均显著低于对照组(P<0.05);且与对照组相比,观察组患者疾病严重程度评分显著降低(P<0.05).两组患者治疗过程中,无药物不良反应.结论:参赭镇气汤对肺肾两虚型AECOPD疗效显著,能抑制炎症、降低疾病严重程度,安全性高.
Objective:To assess the efficacy of Shenzhe Zhenqi Decoction(SZD) for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) with lung and kidney deficiency.Methods:Sixty AECOPD patients were randomly divided into two groups:control (conventional treatment) and observation (SZD plus conventional treatment).Results:After two weeks of treatment,The total effective rate of treatment in the observation group was higher than that in the control group,The difference between the two groups was statistically significant (P<0.05);The TCM syndrome scores and total scores of chest tightness,asthma,cough,phlegm white,low qi and lazy speech,and waist and knee soreness and weakness in both groups of patients decreased compared with before (P<0.05).The observation group had significantly lower scores and total scores than control group (P<0.05);Both groups of inflammatory indicators decreased compared to before (P<0.05),besides the observation group had significantly lower levels of CRP,IL-6,PCT,NLR,and Cys-C than control group (P<0.05);Moreover,compared with control group,the severity score of disease in observation group was significantly reduced (P<0.05).During treatment process both of the patients had no adverse drug reactions.Conclusion:SZD effectively treats AECOPD with lung and kidney deficiency,reducing inflammation and disease severity with a high safety profile.

chronic obstructive pulmonary diseaseacute exacerbationlung and kidney deficiencyshenzhe zhenqi decoction

王旭东、李海、李国俊、张楚惠、吴珂、汪红梅

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黄山市中医医院 安徽黄山 245700

慢性阻塞性肺病 急性加重期 肺肾两虚 参赭镇气汤

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(4)