首页|百令胶囊联合乙酰半胱氨酸治疗慢性阻塞性肺疾病合并肺气肿患者的效果

百令胶囊联合乙酰半胱氨酸治疗慢性阻塞性肺疾病合并肺气肿患者的效果

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目的:观察百令胶囊联合乙酰半胱氨酸治疗慢性阻塞性肺疾病(COPD)合并肺气肿患者的效果.方法:回顾性分析2020 年 8 月至 2023 年 8 月该院收治的 80 例COPD合并肺气肿患者的临床资料,按照治疗方法不同将其分为对照组和研究组各 40 例.两组均予以常规治疗,在此基础上,对照组予以乙酰半胱氨酸治疗,研究组在对照组基础上联合百令胶囊治疗.比较两组临床疗效,治疗前后中医证候积分、肺功能指标[第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)、呼气流量峰值(PEF)]水平、血清学指标[嗜酸性粒细胞阳离子蛋白(ECP)、神经生长因子(NGF)、碱性成纤维细胞生长因子(bFGF)]水平,以及不良反应发生率.结果:研究组治疗总有效率为 92.50%(37/40),高于对照组的 75.00%(30/40),差异有统计学意义(P<0.05);治疗后,研究组喘息气短、咳嗽痰多、胸闷脘痞、倦怠乏力等中医证候积分均低于对照组,差异有统计学意义(P<0.05);治疗后,研究组FEV1、FVC、PEF水平均高于对照组,差异有统计学意义(P<0.05);治疗后,研究组NGF、bFGF、ECP水平均低于对照组,差异有统计学意义(P<0.05);治疗期间,两组均未见明显不良反应.结论:百令胶囊联合乙酰半胱氨酸治疗COPD合并肺气肿患者可提高治疗总有效率和肺功能指标水平,降低中医证候积分和血清学指标水平,效果优于单纯乙酰半胱氨酸治疗.
Effects of Bailing capsules combined with Acetylcysteine in treatment of patients with chronic obstructive pulmonary disease complicated with emphysema
Objective:To observe effects of Bailing capsules combined with Acetylcysteine in the treatment of patients with chronic obstructive pulmonary disease(COPD)complicated with emphysema.Methods:The clinical data of 80 patients with COPD complicated with emphysema admitted to the hospital from August 2020 to August 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and study group,40 cases in each group.Both groups were given routine treatment.On this basis,the control group was treated with Acetylcysteine,while the study group was treated with Bailing capsules on the basis of that of the control group.The clinical efficacy,the TCM syndrome scores,the lung function indexes[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),peak expiratory flow(PEF)]levels,the serological indexes[eosinophil cationic protein(ECP),nerve growth factor(NGF),basic fibroblast growth factor(bFGF)]levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 92.50%(37/40),which was higher than 75.00%(30/40)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as shortness of breath,cough and phlegm,chest tightness,abdominal distension and fatigue in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of FEV1,FVC and PEF in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of NGF,bFGF and ECP in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).During the treatment,there were no obvious adverse reactions in the two groups.Conclusions:Bailing capsules combined with Acetylcysteine in the treatment of the COPD patients with emphysema can improve the total effective rate and the lung function index levels,and reduce the TCM syndrome scores and the serological index levels.Moreover,it is superior to simple Acetylcysteine treatment.

Chronic obstructive pulmonary diseaseEmphysemaBailing capsulesAcetylcysteineLung functionTCM syndrome score

聂静、赵俭

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解放军联勤保障部队第九六八医院呼吸科,辽宁 锦州 121004

慢性阻塞性肺疾病 肺气肿 百令胶囊 乙酰半胱氨酸 肺功能 中医证候积分

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(15)
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