首页|麻杏石甘汤合千金苇茎汤联合噻托溴铵对AECOPD患者肺功能、呼吸功能的影响

麻杏石甘汤合千金苇茎汤联合噻托溴铵对AECOPD患者肺功能、呼吸功能的影响

扫码查看
目的 分析麻杏石甘汤合千金苇茎汤联合噻托溴铵对慢性阻塞性肺疾病急性加重期(AECOPD)患者肺功能、呼吸功能的影响。方法 选取 2020 年 1 月至 2021 年 12月收治的 150 例AECOPD患者作为研究对象,按照红蓝球随机法将其分为常规组(75 例,噻托溴铵治疗)和观察组(75例,麻杏石甘汤合千金苇茎汤联合噻托溴铵治疗)。比较两组的治疗效果。结果 观察组的治疗总有效率显著高于常规组,差异具有统计学意义(P<0。05)。治疗后,观察组的用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)、第 1 秒用力呼气容积占预计值百分比(FEV1%pred)、最大肺活量(VCmax)、最大通气量(MVV)及 6 min步行试验(6MWT)均高于常规组(P<0。05)。治疗后,观察组的改良版英国医学研究委员会呼吸困难问卷(mMRC)评分及细胞间黏附分子-1(ICAM-1)、内皮白细胞黏附分子-1(ELAM-1)水平均显著低于常规组(P<0。05)。结论 麻杏石甘汤合千金苇茎汤联合噻托溴铵治疗AECOPD患者可快速改善肺功能指标,降低呼吸困难指数及气道炎症生化指标水平,以此取得理想疗效。
Effects of Maxing Shigan decoction and Qianjin Weijing decoction combined with tiotropium bromide on pulmonary function and respiratory function in patients with AECOPD
Objective To analyze the effects of Maxing Shigan decoction and Qianjin Weijing decoction combined with tiotropium bromide on pulmonary function and respiratory function in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 150 patients with AECOPD admitted from January 2020 to December 2021 were selected as the research objects.According to the red and blue ball random method,the patients were divided into routine group(75 cases,tiotropium bromide treatment)and observation group(75 cases,Maxing Shigan decoction and Qianjin Weijing decoction combined with tiotropium bromide treatment).The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was significantly higher than that in the routine group,and the difference was statistically significant(P<0.05).After treatment,the forced vital capacity(FVC),forced expiratory volume in one second(FEV1),forced expiratory volume in one second as a percentage of predicted value(FEV1%pred),maximal vital capacity(VCmax),maximal voluntary ventilation(MVV)and 6-min walk test(6MWT)in the observation group were higher than those in the routine group(P<0.05).After treatment,the modified British Medical Research Council(mMRC)score and the levels of intercellular cell adhesion molecule-1(ICAM-1)and endothelial leukocyte adhesion molecule-1(ELAM-1)in the observation group were significantly lower than those in the routine group(P<0.05).Conclusion Maxing Shigan decoction and Qianjin Weijing decoction combined with tiotropium bromide in the treatment of AECOPD patients can quickly improve lung function indicators,and reduce dyspnea indexes and airway inflammation biochemical indicators,so as to achieve ideal curative effect.

acute exacerbation of chronic obstructive pulmonary diseaseMaxing Shigan decoctionQianjin Weijing decoctiontiotropium bromide

李涛、王玉萍

展开 >

三原县医院,陕西 咸阳,713800

慢性阻塞性肺疾病急性加重期 麻杏石甘汤 千金苇茎汤 噻托溴铵

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(10)
  • 15