首页|理痰汤联合布地奈德福莫特罗治疗慢性阻塞性肺疾病急性加重期痰浊阻肺证临床观察

理痰汤联合布地奈德福莫特罗治疗慢性阻塞性肺疾病急性加重期痰浊阻肺证临床观察

扫码查看
目的 探讨理痰汤联合布地奈德福莫特罗治疗慢性阻塞性肺疾病(COPD)急性加重期(AECOPD)痰浊阻肺证的临床疗效,以及对患者肺功能、免疫功能的影响。方法 选取医院 2019 年 6 月至 2022 年 12 月收治的AECOPD痰浊阻肺证患者 116 例,随机分为对照组和观察组,各 58 例。两组患者均予布地奈德福莫特罗雾化吸入治疗,观察组患者加用理痰汤,均治疗 3个月。结果 观察组总有效率为 93。10%,显著高于对照组的 77。59%(P<0。05)。治疗后,两组患者的肺功能指标第 1 秒用力呼气容积(FVE1)、最大肺活量(FVC)、FVE1/FVC均显著升高(P<0。05),且观察组均显著高于对照组(P<0。05);两组患者的T淋巴细胞亚群CD4+和CD4+/CD8+均显著升高(P<0。05),CD8+均显著降低(P<0。05),且观察组上述指标改善程度均显著优于对照组(P<0。05);两组患者的中医证候积分均显著降低(P<0。05),且观察组显著低于对照组(P<0。05);观察组患者治疗后 2 个月和 3 个月的COPD评估测试量表(CAT)评分均显著低于对照组(P<0。05)。观察组和对照组不良反应发生率相当(13。79%比 24。14%,P>0。05)。结论 理痰汤联合布地奈德福莫特罗治疗AECOPD痰浊阻肺证的临床疗效良好,可改善患者的肺功能、免疫功能、中医证候,且安全性良好。
Clinical Observation of Litan Decoction Combined with Budesonide Formoterol in the Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease with Phlegm-Turbidity Obstructing Lung Syndrome
Objective To investigate the clinical efficacy of Litan Decoction combined with budesonide formoterol in the treatment of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)with phlegm-turbidity obstructing lung syndrome,and its effect on lung function and immune function.Methods A total of 116 patients with AECOPD with phlegm-turbidity obstructing lung syndrome admitted to the hospital from June 2019 to December 2022 were selected and randomly divided into the control group and the observation group,with 58 cases in each group.The patients in the two groups were treated with budesonide formoterol atomization inhalation,on this basis,the patients in the observation group were treated with Litan Decoction.Both groups were treated for three months.Results The total effective rate in the observation group was 93.10%,which was significantly higher than 77.59%in the control group(P<0.05).After treatment,the lung function indexes[forced expiratory volume in one second(FVE1),forced vital capacity(FVC),FVE1/FVC]in the two groups significantly increased(P<0.05),and those in the observation group were significantly higher than those in the control group(P<0.05).The T lymphocyte subsets CD4+and CD4+/CD8+in the two groups significantly increased(P<0.05),while the T lymphocyte subsets CD8+in the two groups significantly decreased(P<0.05),and the improvement of the above indexes in the observation group was significantly better than that in the control group(P<0.05).The TCM syndrome scores in the two groups significantly decreased(P<0.05),and those in the observation group were significantly lower than those in the control group(P<0.05).Two and three months after treatment,the COPD Assessment Test(CAT)scores in the observation group were significantly lower than those in the control group(P<0.05).The incidence of adverse reactions was comparable between the observation group and the control group(13.79%vs.24.14%,P>0.05).Conclusion Litan Decoction combined with budesonide formoterol has clinical efficacy and safety in the treatment of patients with AECOPD with phlegm-turbidity obstructing lung syndrome,which can improve the patients'lung function,immune function,and traditional Chinese medicine syndrome.

Litan Decoctionbudesonide formoterolacute exacerbation of chronic obstructive pulmonary diseasephlegm-turbidity obstructing lung syndromelung functionimmune function

陈卜伟、周燕、符海燕、蒙仕祥

展开 >

海南省海口市中医医院,海南 海口 570206

理痰汤 布地奈德福莫特罗 慢性阻塞性肺疾病急性加重期 痰浊阻肺证 肺功能 免疫功能

海南省卫生健康行业科研项目

22A200141

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(15)