世界复合医学2024,Vol.10Issue(5) :89-92.DOI:10.11966/j.issn.2095-994X.2024.10.05.22

厚朴麻黄汤联合西药治疗慢性支气管炎合并肺气肿的临床效果

Clinical Effect of Houpu Mahuang Decoction Combined with Western Medicine on Chronic Bronchitis Complicated with Emphysema

王翔阳 胡建国
世界复合医学2024,Vol.10Issue(5) :89-92.DOI:10.11966/j.issn.2095-994X.2024.10.05.22

厚朴麻黄汤联合西药治疗慢性支气管炎合并肺气肿的临床效果

Clinical Effect of Houpu Mahuang Decoction Combined with Western Medicine on Chronic Bronchitis Complicated with Emphysema

王翔阳 1胡建国1
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作者信息

  • 1. 张家港广和中西医结合医院肺病科,江苏 张家港 215600
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摘要

目的 分析在西药基础上联合厚朴麻黄汤治疗慢性支气管炎合并肺气肿的效果.方法 选取2022年5月—2023年11月张家港广和中西医结合医院接诊的慢性支气管炎合并肺气肿患者137例作为研究对象,按照治疗方法不同将患者分为两组,对照组(68例)以常规西药方案治疗,观察组(69例)在对照组基础上联用厚朴麻黄汤治疗.对比两组治疗效果、中医证候积分、肺功能指标(第一秒用力呼气容积、用力肺活量、呼气峰值流速).结果 观察组总有效率为98.55%(68/69),高于对照组的86.76%(59/68),差异有统计学意义(χ2=7.031,P<0.05).通过3个月持续治疗后,患者症状明显改善,肺功能指标好转,其中观察组中医症候积分低于对照组,肺功能指标优于对照组,差异有统计学意义(P均<0.05).结论 临床治疗慢性支气管炎合并肺气肿时,可联合使用常规西药和厚朴麻黄汤,效果明显,可有效促进患者症状缓解,改善肺功能.

Abstract

Objective To analyze the effect of treating chronic bronchitis with emphysema on the basis of Western medicine combined with Houpu Mahuang Decoction.Methods A total of one hundred and thirty-seven patients with chronic bronchitis combined with emphysema who were admitted to Zhangjiagang Guanghe Hospital of Integrated Traditional Chinese and Western medicine from May 2022 to November 2023 were se-lected as the study objects and the patients were divided into two groups according to the different treatment method.The control group(68 cases)was treated with conventional Western medicine,and the observation group(69 cases)was treated with Houpu Mahuang Decoction On the basis of the control group.The therapeutic effect,Tradition Chinese Medicine score and lung function index(forced expiratory volume in the first second,forced vital capacity,peak expiratory flow rate)were compared between the two groups.Results The total effec-tive rate of the observation group was 98.55%(68/69),which was higher than 86.76%(59/68)of the control group,and the difference was statistically significant(χ2=7.031,P<0.05).After 3 months of continuous treat-ment,the patient's symptoms and lung function indicators improved significantly.The Traditional Chinese Medicine scores of the observation group were lower than those of the control group,and the lung function in-dexes were better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Clinical treatment of chronic bronchitis combined with emphysema,conventional Western medi-cine and Houpu Huangma Decoction can be used in combination.The effect is obvious,which can effectively promote the symptoms relief and improve lung function.

关键词

厚朴麻黄汤/西药/慢性支气管炎/肺气肿/肺功能

Key words

Houpu Mahuang Decoction/Western medicine/Chronic bronchitis/Emphysema/Lung func-tion

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出版年

2024
世界复合医学

世界复合医学

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