中国中医药现代远程教育2025,Vol.23Issue(1) :159-162.DOI:10.3969/j.issn.1672-2779.2025.01.050

温补肺肾与祛痰行瘀法联合布地格福治疗慢性阻塞性肺疾病临床观察

Warming Lung and Kidney and Expelling Phlegm and Removing Blood Stasis Method Combined with Budesonide in the Treatment of Chronic Obstructive Pulmonary Disease

汪丽君 吴婷婷 董日
中国中医药现代远程教育2025,Vol.23Issue(1) :159-162.DOI:10.3969/j.issn.1672-2779.2025.01.050

温补肺肾与祛痰行瘀法联合布地格福治疗慢性阻塞性肺疾病临床观察

Warming Lung and Kidney and Expelling Phlegm and Removing Blood Stasis Method Combined with Budesonide in the Treatment of Chronic Obstructive Pulmonary Disease

汪丽君 1吴婷婷 1董日2
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作者信息

  • 1. 江西省婺源县中医院内5科,江西 婺源 333200
  • 2. 江西省婺源县中医院内2科,江西 婺源 333200
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摘要

目的 探究温补肺肾与祛痰行瘀法联合布地格福治疗慢性阻塞性肺疾病(COPD)的临床效果.方法 将2021年4月-2022年11月婺源县中医院收治的80例COPD患者随机均分为两组,对照组行常规西医治疗,观察组予温补肺肾与祛痰行瘀法联合布地格福治疗,两组均持续2个疗程.评价两组的治疗效果及用药安全性.结果 观察组的治疗总有效率95.00%(38/40)高于对照组的77.50%(31/40)(P<0.05).治疗后,两组第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、肺总量(TLC)、呼气峰流速值占预计值百分比(PEF%pred)均提高,且观察组高于对照组(P<0.05).治疗后,两组动脉血氧分压(PaO2)、血氧饱和度(SaO2)均提高,且观察组高于对照组(P<0.05);动脉血二氧化碳分压(PaCO2)、碱剩余(BE)水平均降低,且观察组低于对照组(P<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 温补肺肾与祛痰行瘀法联合布地格福治疗COPD,可改善患者肺功能及血气情况,有效且安全.

Abstract

Objective To explore the clinical efficacy of warming lung and kidney and expelling phlegm and removing blood method com-bined with Budesonide in the treatment of chronic obstructive pulmonary disease(COPD).Methods A total of 80 patients with COPD ad-mitted to Wuyuan Hospital of Traditional Chinese Medicine from April 2021 to November 2022 were randomly divided into two groups.Conventional Western medicine treatment was used as the control group,and the observation group was treated with warming lung and kidney and removing phlegm and blood stasis method combined with Budesonide.Both groups were treated for 2 courses of treatment.The therapeutic effect and drug safety of the two groups were evaluated.Results The total effective rate of the observation group was 95.00%(38/40),which was higher than that of the control group(77.50%,31/40)(P<0.05).After treatment,forced expiratory volume(FEV1),forced vital capacity(FVC),total lung volume(TLC)and peak expiratory flow rate in the first second to the predicted value(PEF%pred)were increased in both groups,and the observation group was higher than the control group(P<0.05).After treatment,the partial oxygen pressure(PaO2)and oxygen saturation(SaO2)of both groups were increased,and the observation group was higher than the control group(P<0.05).Arterial partial pressure of carbon dioxide(PaCO2)and base excess(BE)levels were decreased,and the observa-tion group was lower than the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions be-tween the two groups(P>0.05).Conclusion The combination of warming lung and kidney and expelling phlegm and removing blood sta-sis with Budesonide in the treatment of COPD can improve lung function and blood gas condition,which is effective and safe.

关键词

肺胀/慢性阻塞性肺疾病/温补肺肾法/祛痰行瘀法/布地格福/中西医结合疗法

Key words

lung-distension/chronic obstructive pulmonary disease/warming lung and kidney method/expelling phlegm and remov-ing blood method/Budesonide/therapy of integrated traditional Chinese and Western medicine

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出版年

2025
中国中医药现代远程教育
世中联(北京)远程教育科技发展中心

中国中医药现代远程教育

影响因子:0.531
ISSN:1672-2779
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