首页|六君子汤合玉屏风散对肺脾气虚型慢性阻塞性肺疾病稳定期患者免疫功能的影响

六君子汤合玉屏风散对肺脾气虚型慢性阻塞性肺疾病稳定期患者免疫功能的影响

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目的:探讨六君子汤合玉屏风散对肺脾气虚型慢性阻塞性肺疾病(COPD)稳定期患者免疫功能的影响.方法:选取符合纳入标准的60例证属肺脾气虚型COPD稳定期患者,依据随机数字表随机分为对照组和观察组,每组各30例.对照组根据初始评估给予常规西医基础治疗方案,观察组在对照组治疗基础上加用六君子汤合玉屏风散,两组治疗时间均为4周.比较两组患者治疗前后中医证候积分、六分钟步行试验(6MWT)、改良版英国医学研究委员会呼吸困难量表(mMRC)分级、免疫球蛋白(IgA、IgG、IgM)含量和CD4+、CD8+水平及CD4+/CD8+比值的变化情况,并比较临床疗效.结果:观察组临床总有效率93.33%(28/30)显著高于对照组73.33%(22/30),两组比较差异有统计学意义(P<0.01);治疗后两组患者中医证候积分均较治疗前明显降低(P<0.01),且观察组优于对照组(P<0.01);与治疗前比较,治疗后两组患者6MWT、免疫球蛋白(IgA、IgG、IgM)水平以及CD4+水平、CD4+/CD8+比值均明显升高(P<0.01),mMRC分级、CD8+水平均明显改善(P<0.01,P<0.05),且观察组优于对照组(P<0.05,P<0.01).结论:六君子汤合玉屏风散可明显改善肺脾气虚型COPD稳定期患者的症状及免疫功能.
Effects of Six Gentlemen Decoction Combined with Jade Screen Powder on Immune Function in Patients with Stable Stage of Lung-Spleen Qi Deficiency Type Chronic Obstructive Pulmonary Disease
Objective:To investigate the effects of Six Gentlemen Decoction combined with Jade Screen Powder on immune function in patients with the lung-spleen qi deficiency type stable stage of chronic obstructive pulmonary disease(COPD).Methods:A total of 60 patients with lung-spleen qi deficiency type stable stage COPD who met the inclusion criteria were randomly divided into a control group and an observation group,with 30 cases in each group,using a random number table.The control group received routine Western medicine basic treatment based on initial assessment,while the observation group was treated with Six Gentlemen Decoction combined with Jade Screen Powder on top of the control group's treatment.Both groups were treated for 4 weeks.The changes in traditional Chinese medicine(TCM)syndrome scores,six-minute walk test(6MWT),modified British Medical Research Council(mMRC)dyspnea scale,immunoglobulins(IgA,IgG,IgM)levels,CD4+,CD8+levels,CD4+/CD8+ratio,as well as the clinical efficacy were compared before and after treatment.Results:The total clinical effective rate in the observation group was 93.33%(28/30),significantly higher than 73.33%(22/30)in the control group,with a statistically significant difference(P<0.01).After treatment,the TCM syndrome scores in both groups were significantly lower than before treatment(P<0.01),with the observation group showing better results than the control group(P<0.01).Compared with before treatment,the 6MWT,immunoglobulins(IgA,IgG,IgM)levels,CD4+level,and CD4+/CD8+ratio were significantly increased(P<0.01),while mMRC grade and CD8+level were significantly improved(P<0.01,P<0.05),with the observation group performing better than the control group(P<0.05,P<0.01).Conclusion:Six Gentlemen Decoction combined with Jade Screen Powder can significantly improve the symptoms and immune function in patients with lung-spleen qi deficiency type stable stage COPD.

Lung-spleen qi deficiency type COPD stable stageSix Gentlemen Decoction combined with Jade Screen PowderImmune function

刘春雨、张兴彩

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山东中医药大学,山东 济南 250355

山东省中医院,山东 济南 250000

肺脾气虚型慢性阻塞性肺疾病稳定期 六君子汤合玉屏风散 免疫功能

山东省自然科学基金面上项目山东省中医药科技项目

ZR2020MH351Z-2023009

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(9)