首页|加味麻杏二三汤联合硫酸沙丁胺醇注射液治疗COPD急性加重期的临床疗效

加味麻杏二三汤联合硫酸沙丁胺醇注射液治疗COPD急性加重期的临床疗效

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目的:分析加味麻杏二三汤+硫酸沙丁胺醇注射液对慢性阻塞性肺疾病(COPD)急性加重期患者肺功能及血气指标的影响。方法:选择焦作市中医院 2022 年 1 月 1 日至 2023 年 6 月 30 日收治的COPD急性加重期患者94例,以抽签法分成对照组与观察组,各47例。分别采用硫酸沙丁胺醇、联合加味麻杏二三汤治疗,比较治疗效果,肺功能指标[第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)、最大呼气流量(PEF)、FEV1/FVC],血气指标[血氧分压(PaO2)、二氧化碳分压(PaCO2)]及安全性。结果:观察组患者总有效率比对照组高;观察组患者治疗后FVC、FEV1、PEF、FEV1/FVC比对照组高;观察组患者治疗后PaO2 比对照组高,PaCO2 比对照组低,上述差异均具有统计学意义(P<0。05)。两组患者药物不良反应发生率相比,差异无统计学意义(P>0。05)。结论:对于COPD急性加重期患者,采用加味麻杏二三汤联合硫酸沙丁胺醇注射液治疗有更好的疗效,还能改善肺功能、血气指标,且安全性较高。
Clinical Efficacy of Modified Maxing Shigan Ersan Decoction Combined with Salbutamol Sulfate Injection in the Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Objective To analyze the effects of Modified Maxing Shigan Ersan Decoction combined with salbutamol sulfate injection on pulmonary function and blood gas indicators in patients with chronic obstructive pulmonary disease(COPD)during acute exacerbation.Methods A total of 94 patients with acute exacerbation of COPD admitted to Jiaozuo Hospital of Traditional Chinese Medicine from January 1,2022 to June 30,2023 were selected and divided into a control group and an observation group by lottery,with 47 cases in each group.They were treated with salbutamol sulfate alone or in combination with Modified Maxing Shigan Ersan Decoction,respectively.The treatment effects,pulmonary function indicators[forced expiratory volume in 1 second(FEV1),forced vital capacity(FVC),peak expiratory flow(PEF),FEV1/FVC],blood gas indicators[partial pressure of oxygen(PaO2),partial pressure of carbon dioxide(PaCO2)],and safety were compared.Results The total effective rate of the observation group was higher than that of the control group;the levels of FVC,FEV1,PEF,and FEV1/FVC in the observation group were higher than those in the control group after treatment;The PaO2 in the observation group was higher than that in the control group,while PaCO2 was lower than that in the control group after treatment,with statistically significant differences(P<0.05).There was no statistically significant difference in the incidence of adverse drug reactions between the two groups(P>0.05).Conclusion For patients with acute exacerbation of COPD,the treatment with Modified Maxing Shigan Ersan Decoction combined with salbutamol sulfate injection has better efficacy,can also improve pulmonary function and blood gas indicators,and has high safety.

Acute exacerbation of chronic obstructive pulmonary diseaseModified Maxing Shigan Ersan DecoctionSalbutamol sulfate injection

马飞、郜亚红

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焦作市中医院,河南 焦作 454000

慢性阻塞性肺疾病急性加重期 加味麻杏二三汤 硫酸沙丁胺醇注射液

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(6)
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