首页|苓甘五味姜辛汤加减对慢阻肺急性加重期患者炎性指标、肺功能的影响

苓甘五味姜辛汤加减对慢阻肺急性加重期患者炎性指标、肺功能的影响

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目的:探讨苓甘五味姜辛汤加减对慢阻肺急性加重期(AECOPD)患者炎性指标、肺功能的影响.方法:选取符合纳入标准的AECOPD患者150例,依据随机数字表随机分为对照组和研究组,每组各75例.对照组给予西医常规治疗,研究组在对照组的基础上给予苓甘五味姜辛汤加减治疗,比较两组患者治疗前后临床症状相关指标(CAT评分、mMRC评分、六分钟步行试验)、炎性指标(IL-6、IL-8、CRP)、肺功能(FEV1、FEV1/FVC)和中医证候积分变化情况,比较临床疗效和及不良反应发生情况.结果:与治疗前比较,两组患者治疗后CAT评分、mMRC评分、中医证候积分均降低(P<0.05),6MWT升高(P<0.05),IL-6、IL-8、CRP均降低(P<0.05),FEV1、FEV1/FVC均升高(P<0.05),且研究组上述指标均优于对照组(P<0.01).研究组临床总有效率为90.67%(68/75),明显高于对照组76%(57/75)(P<0.05).研究组有2例患者出现不良反应,对照组有17例患者出现不良反应,两组不良反应发生率比较有统计学意义(P<0.05).结论:苓甘五味姜辛汤加减治疗AECOPD患者,可更有效改善患者临床症状,降低炎性指标,改善肺功能,提高临床治疗疗效,降低不良反应.
Effect of Modified Linggan Wuwei Jiangxin Decoction on Inflammatory Indicators and Lung Function in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Objective:To explore the effect of modified Linggan Wuwei Jiangxin Decoction(MLWJD)on inflammatory indicators and lung function in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:A hundred and fifty AECOPD patients meeting the inclusion criteria were selected and randomly divided into control group and study group according to the random number table,with 75 cases in each group.The control group received routine Western medicine treatment,while the study group received the same plus MLWJD.The clinical symptom disappearance time,inflammatory indicators,lung function,clinical treatment efficacy,and adverse reactions of the two groups were compared before and after treatment.Results:After treatment,CAT score,mMRC score and TCM syndrome score decreased(P<0.05),6MWT increased(P<0.05),IL-6,IL-8 and CRP were decreased(P<0.05).Both FEV1 and FEV1/FVC increased(P<0.05),and the above indexes in the study group were superior to those in the control group(P<0.01).The total clinical effective rate of the study group was 90.67%(68/75),which was significantly higher than that of the control group(76%(57/75)(P<0.05).Adverse reactions occurred in 2 patients in the study group and 17 patients in the control group,and the incidence of adverse reactions between the two groups was statistically significant(P<0.05).Conclusion:Modified Linggan Wuwei Jiangxin Decoction can effectively improve the symptoms of AECOPD patients,reduce inflammatory indicators,improve lung function,improve clinical treatment efficacy,and reduce adverse reactions.

Acute exacerbation of chronic obstructive pulmonary diseaseLinggan Wuwei Jiangxin DecoctionInflammatory indicatorsPulmonary function

费笑、柴坤、任琳琳

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驻马店市中医院,河南 驻马店 463000

慢阻肺急性加重期 苓甘五味姜辛汤 炎性指标 肺功能

河南省中医药科学研究专项

2022ZY2074

2024

中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
年,卷(期):2024.41(4)
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