發(fā)布時(shí)間：2018-10-17 19:01

【摘要】：目的:觀察參芪補(bǔ)肺方對(duì)慢阻肺穩(wěn)定期(肺腎氣虛兼血瘀證)患者的6min步行距離、癥狀積分、急性加重次數(shù)、血清IL-17水平的影響,評(píng)價(jià)其臨床療效及安全性。方法:共選取符合納入標(biāo)準(zhǔn)的COPD穩(wěn)定期患者64例,治療組、對(duì)照組各32例,治療組:給予噻托溴銨粉吸入劑每次1吸,每吸(18 μg),日1次,加服參芪補(bǔ)肺方,每日一劑,早晚飯后各服150ml,溫水送服;對(duì)照組:給予噻托溴銨粉吸入劑每次1吸,每吸(18μg),日1次,加服補(bǔ)肺活血膠囊,每次4粒,每日3次口服。2組療程均為90天。在治療前后統(tǒng)計(jì)兩組患者進(jìn)行6min步行距離、血清IL-17水平、中醫(yī)主證證候積分,統(tǒng)計(jì)兩組治療后6個(gè)月急性加重次數(shù)。結(jié)果:1.兩組患者治療后6min步行距離均上升(P0.05),但組間比較無差異(P0.05)。2.治療后6個(gè)月治療組急性加重次數(shù)明顯少于對(duì)照組,組間比較有統(tǒng)計(jì)學(xué)意義(P0.05)。3.兩組患者治療后血清IL-17水平較治療前均降低(P0.05);兩組患者治療后血清IL-17水平比較(P0.05),組間比較有統(tǒng)計(jì)學(xué)意義,治療組降低血清IL-17水平優(yōu)于對(duì)照組。4.兩組患者治療后中醫(yī)主證證候總分均降低(P0.05),且治療組優(yōu)于對(duì)照組(P0.05)。5.兩組患者中醫(yī)主證證候療效無統(tǒng)計(jì)學(xué)意義,療效相當(dāng)(P0.05)。6.兩組患者治療前后安全性指標(biāo)檢測(cè)均無臨床意義。結(jié)論:1.參芪補(bǔ)肺方能改善患者中醫(yī)主證證候、降低急性加重次數(shù)、提高6min步行距離。2.參芪補(bǔ)肺方能夠降低血清中IL-17的水平。3.參芪補(bǔ)肺方安全有效,適宜在臨床中推廣應(yīng)用。
[Abstract]:Objective: to observe the effect of Shenqi Bufei recipe on 6min walking distance, symptom score, acute exacerbation times and serum IL-17 level in patients with chronic obstructive lung at stable stage (lung and kidney qi deficiency and blood stasis syndrome), and to evaluate its clinical efficacy and safety. Methods: a total of 64 patients with stable COPD, 32 patients in treatment group and 32 patients in control group, were selected. The treatment group was given tiotropium bromide powder inhalation once a time (18 渭 g), / d), plus Shenqi Bufei recipe once a day. The control group was given tiotropium bromide powder inhaler once a time, every time (18 渭 g), day), plus Bufei Huoxue capsule, 4 capsules each time, 3 times a day. The course of treatment in both groups was 90 days. Before and after treatment, the walking distance of 6min, the level of serum IL-17, the integral of main syndromes of TCM and the times of acute exacerbation after 6 months of treatment were counted. The result is 1: 1. The walking distance of 6min increased in both groups after treatment (P0.05), but there was no difference between the two groups (P0.05). Six months after treatment, the number of acute exacerbations in the treatment group was significantly lower than that in the control group, and there was statistical significance between the two groups (P0.05). After treatment, the serum IL-17 level in the two groups was lower than that before treatment (P0.05), the serum IL-17 level in the two groups after treatment (P0.05), the comparison between the two groups was statistically significant, the treatment group decreased the serum IL-17 level was better than the control group. 4. After treatment, the total scores of main syndromes of TCM decreased in both groups (P0.05), and the treatment group was superior to the control group (P0.05). Two groups of patients with traditional Chinese medicine syndromes syndrome efficacy was not statistically significant, the efficacy was comparable (P0.05). 6. There was no clinical significance for the detection of safety indexes in both groups before and after treatment. Conclusion: 1. Shenqi Bufei prescription can improve the syndrome of TCM, reduce the times of acute aggravation, and improve the walking distance of 6min. 2. Shenqi Bufei prescription can reduce the level of IL-17 in serum. 3. 3. Shenqi Bufei prescription is safe and effective and suitable for clinical application.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R563.9

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