首页|芪苈大黄泻肺汤联合西医常规治疗对慢性肺源性心脏病Ⅱ型呼吸衰竭患者疗效及炎症因子的影响

芪苈大黄泻肺汤联合西医常规治疗对慢性肺源性心脏病Ⅱ型呼吸衰竭患者疗效及炎症因子的影响

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目的 评估芪苈大黄泻肺汤联合西医常规治疗对慢性肺源性心脏病Ⅱ型呼吸衰竭患者疗效及炎症因子的影响。方法 采用回顾性研究,选取慢性肺源性心脏病(简称肺心病)Ⅱ型呼吸衰竭患者78例。其中一组接受西医常规治疗,作为对照组(37例);一组接受芪苈大黄泻肺汤联合西医常规治疗,作为观察组(41例)。以治疗2周为一疗程,统一评价疗效,治疗前后测定炎症因子[降钙素原(PCT)、白介素-6(IL-6)和C反应蛋白(CRP)]。结果 对照组的临床疗效低于观察组(P<0。05)。与治疗前比,治疗后两组血清PCT、IL-6和CRP指标下降(P<0。05);与对照组比,治疗后观察组血清PCT、IL-6和CRP指标较低(P<0。05)。结论 芪苈大黄泻肺汤联合西医常规治疗肺心病Ⅱ型呼吸衰竭的疗效确切,可以减轻炎症因子分泌,是一种有效的中西结合医治疗方案。
Curative Effect of Qi li Dahuang Xiefei Tang,Astragalus Membranaceus and Rheum Officinale Combined with Routine Western Medicine Treatment on Type Ⅱ Respiratory Failure Patients with Chronic Pulmonary Heart Disease and Its Effect on Inflammatory Factors
Objective To evaluate curative effect of Qi li Dahuang Xiefei Tang,astragalus membranaceus and rheum officinale combined with routine western medicine treatment on patients with chronic pulmonary heart disease type Ⅱ respiratory failure and its effect on inflammatory factors. Methods The paper chose 78 patients with type Ⅱ respiratory failure of chronic pulmonary heart disease (referred to as pulmonary heart disease) for retrospective study. One group was treated with routine western medicine as the control group (37 cases),the other group was treated with lung pathogenic fire purging decoction of draba,astragalus membranaceus and rheum officinale combined with routine western medicine as the observation group(41 cases). Curative effect was evaluated with treatment course of two weeks. Inflammatory factors of procalcitonin (PCT),interleukin-6 (IL-6),and C-reactive protein (CRP) were measured before and after treatment. Results Clinical effect of the control group was lower than the observation group,with statistical significance (P<0.05). The serum PCT,IL-6,and CRP indicators in both groups after treatment were lower than before (P<0.05). The observation group had significantly lower levels of serum PCT,IL-6,and CRP after treatment than the control group,with statistical significance (P<0.05). Conclusion Combination of Qi li Dahuang Xiefei Tang,astragalus membranaceus and rheum officinale and routine western medicine can achieve definite curative effect on type Ⅱ respiratory failure of pulmonary heart disease,can reduce secretion of inflammatory factors,is an effective treatment plan of traditional Chinese and western medicine.

Qi li Dahuang Xiefei TangRoutine Western medicine treatmentPulmonary heart diseaseType Ⅱ respiratory failureInflammatory factors

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张掖市中医医院,甘肃 张掖 734000

芪苈大黄泻肺汤 西医常规治疗 肺心病 Ⅱ型呼吸衰竭 炎症因子

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(29)