首页|清热化痰汤加减联合纤维支气管镜下肺泡灌洗对支气管扩张患者的影响

清热化痰汤加减联合纤维支气管镜下肺泡灌洗对支气管扩张患者的影响

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目的:探讨清热化痰汤加减联合纤维支气管镜下肺泡灌洗对支气管扩张患者的影响。方法:选取2020年10月—2023 年 10 月浠水县中医院收治的 80 例支气管扩张患者。根据随机数表法将其分为研究组与常规组,各 40 例。常规组接受常规西医治疗,研究组在常规组基础上给予清热化痰汤加减联合纤维支气管镜下肺泡灌洗。比较两组治疗后临床疗效,治疗前后临床症状评分、肺功能、血常规指标。结果:研究组总有效率(95。00%)显著高于常规组(77。50%),差异有统计学意义(P<0。05)。治疗后,两组临床症状评分均降低,研究组咳嗽、咳痰、咯血、发热、胸痛、呼吸困难评分均低于常规组,差异有统计学意义(P<0。05)。治疗后,两组肺功能指标均升高,研究组用力肺活量(FVC)和第 1 秒用力呼气容积(FEV1),最大呼气流速(PEF)均高于常规组,差异有统计学意义(P<0。05)。治疗后,两组血常规指标均降低,研究组白细胞(WBC)计数、中性粒细胞(NEU)计数、淋巴细胞(LYM)计数均低于对照组,差异有统计学意义(P<0。05)。结论:清热化痰汤加减联合纤维支气管镜下肺泡灌洗对支气管扩张患者的治疗有积极的作用,能够明显改善患者肺功能、血常规指标。
Effect of Modified Qingre Huatan Decoction Combined with Alveolar Lavage under Fiber Bronchoscopy on Patients with Bronchiectasis
Objective:To investigate the effect of modified Qingre Huatan Decoction combined with alveolar lavage under fiber bronchoscopy on patients with bronchiectasis.Method:A total of 80 patients with bronchiectasis admitted to Xishui County Traditional Chinese Medicine Hospital from October 2020 to October 2023 were selected.According to random number table method,the patients were divided into study group and routine group,40 cases in each group.The routine group received routine western medicine treatment,and the study group received modified Qingre Huatan Decoction combined with alveolar lavage under fiber bronchoscopy on the basis of the routine group.The clinical efficacy after treatment,clinical symptom score,lung function and blood routine index before and after treatment were compared between the two groups.Result:The total effective rate of the study group(95.00%)was significantly higher than that of the routine group(77.50%),and the difference was statistically significant(P<0.05).After treatment,the scores of clinical symptom were decreased in both groups,and the scores of cough,expectoration,hemoptysis,fever,chest pain and dyspnea in the study group were lower than those in the routine group,and the differences were statistically significant(P<0.05).After treatment,lung function indexes were increased in both groups,forced vital capacity(FVC),forced expiratory volume in one second(FEV1),and maximum peak expiratory flow(PEF)in the study group were higher than those in the routine group,and the differences were statistically significant(P<0.05).After treatment,blood routine examination indexes were decreased in both group,the white blood cell(WBC)count,neutrophil(NEU)count and lymphocyte(LYM)count in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Modified Qingre Huatan Decoction combined with alveolar lavage under fiber bronchoscopy has a positive effect on the treatment of patients with bronchiectasis,and can significantly improve the lung function and blood routine indexes of patients.

Qingre Huatan DecoctionFiber bronchoscopyfiber bronchoscopyBronchiectasis

王戈

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浠水县中医院 湖北 浠水 438200

清热化痰汤 纤维支气管镜 肺功能 支气管扩张

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(20)