目的 探讨中医内外治方案联合用于老年慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease，AECOPD)治疗中的辅助效果。方法 选取2020年3月至2023年3月医院收治的120例AECOPD老年患者资料进行回顾性研究，根据患者治疗方案的不同将病例分为观察组和对照组，每组60例。对照组单独使用西医方案治疗，观察组在此基础上联用中药自拟方剂及穴位针刺治疗，比较两组患者的治疗效果。结果 治疗前两组咳嗽、喘息、咯痰积分差异无统计学意义(P>0。05)，观察组治疗后3项评分均低于对照组，差异有统计学意义(P<0。05)。两组治疗前血清降钙素原(procalcitonin，PCT)、C反应蛋白(C-reactive protein，CRP)、白细胞计数(white blood cell count，WBC)比较差异无统计学意义(P>0。05)，观察组治疗后3项指标均低于对照组，差异有统计学意义(P<0。05)。两组治疗前第 1秒用力呼气容积(forced expiratory volume in one second，FEV1)、用力肺活量(forced vital capacity，FVC)、呼气流量峰值(peak expiratory flow，PEF)肺功能比较差异无统计学意义(P>0。05)，观察组治疗后3项指标均高于对照组，差异有统计学意义(P<0。05)。观察组治疗总有效率91。67%，高于对照组的78。33%，差异有统计学意义(P<0。05)。两组不良反应率差异无统计学意义(P>0。05)。结论 在老年AECOPD的治疗加入中医内外治联合治疗可取得更理想效果。
Evaluation of the auxiliary effect of the combination of internal and external treatment of traditional Chinese medicine in the treatment of acute exacerbation of chronic obstructive pulmonary disease in the elderly
Objective To explore the auxiliary effect of traditional Chinese medicine combined with external treatment in the treatment of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)in the elderly.Methods A total of 120 elderly patients with AECOPD admitted to our hospital from March 2020 to March 2023 were retrospectively studied.According to the different treatment schemes of patients,the cases were divided into observation group and control group,with 60 cases in each group.The control group was treated with western medicine alone,while the observation group was treated with traditional Chi-nese medicine self-made prescription and acupoint acupuncture on this basis,and the therapeutic effects of the two groups were compared.Results There was no significant difference in the scores of cough,wheezing and expectoration between the two groups before treatment(P>0.05),but the scores of the ob-servation group were lower than those of the control group after treatment,with statistical significance(P<0.05).There was no statistical difference in serum PCT,CRP and WBC between the two groups before treatment(P>0.05),but the three indexes in the observation group were lower than those in the control group after treatment,with statistical difference(P<0.05).There was no statistical difference in FEV1,FVC and PEF lung function between the two groups before treatment(P>0.05),but the three indexes in the observation group were higher than those in the control group after treatment,with statistical difference(P<0.05).The total effective rate in the observation group was 91.67%,which was higher than that in the control group 78.33%,and the difference was statistically significant(P<0.05).There was no signifi-cant difference in adverse reaction rate between the two groups(P>0.05).Conclusion The combination of in-ternal and external treatment of traditional Chinese medicine can achieve better results in the treatment of se-nile AECOPD.
Chronic obstructive pulmonary diseaseAcute exacerbationTraditional Chinese MedicinePulmonary function
万方数据
维普
