本文關(guān)鍵詞：中西醫(yī)結(jié)合治療慢性阻塞性肺疾病急性發(fā)作并Ⅱ型呼吸衰竭的療效分析　出處：《中華中醫(yī)藥學(xué)刊》2015年11期 　論文類型：期刊論文

  更多相關(guān)文章： 中西醫(yī)結(jié)合 慢性阻塞性肺病 呼吸衰竭 臨床療效

【摘要】：目的:了解慢性阻塞性肺疾病急性發(fā)作的主要臨床表現(xiàn),探討中西醫(yī)結(jié)合治療對慢性阻塞性肺疾病并Ⅱ型呼吸衰竭的臨床效果。方法:選擇2013年2月—2015年2月期間,在醫(yī)院就診的72例慢性阻塞性肺疾病急性發(fā)作并Ⅱ型呼吸衰竭的患者作為本次研究的對象,其中采用常規(guī)西醫(yī)治療的36名患者作為本次研究的對照組,采用中西醫(yī)結(jié)合治療的36名患者作為本次研究的觀察組。觀察治療后兩組患者的肺功能、治療效果、中醫(yī)癥狀的變化以及患者治療后的滿意度,分析出現(xiàn)這些結(jié)果可能的原因。結(jié)果:對照組患者的峰值呼氣流速(PEF),第一秒用力呼氣量(FEV1),以及第一秒用力呼氣量與用力肺活量的比值(FEV1/FVC)均明顯低于觀察組的患者,且差異具有統(tǒng)計學(xué)意義(P0.05);對照組的患者顯效率為22.22%,明顯低于觀察組的患者顯效率(33.33%),總有效率為61.11%,明顯低于觀察組的總有效率(86.11%),無效率為38.89%,明顯高于觀察組的無效率(13.89%),且差異具有統(tǒng)計學(xué)意義(P0.05);兩組患者治療后,觀察組患者自汗、喘息、咳痰、大便異常、食少腹脹等癥狀較對照組改善更明顯,且差異具有統(tǒng)計學(xué)意義(P0.05),咳嗽的改善情況兩組差異無統(tǒng)計學(xué)意義(P0.05);觀察組治療后總滿意度為86.11%,其中非常滿意為41.76%,明顯高于對照組的總滿意度(55.56%),且兩組差異具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:中西醫(yī)結(jié)合治療與常規(guī)的治療方式相比,對慢性阻塞性肺疾病急性發(fā)作并Ⅱ型呼吸衰竭的臨床效果更好,因此可在慢性阻塞性肺疾病的治療中推廣使用。
[Abstract]:Objective: to understand the clinical manifestations of acute exacerbation of chronic obstructive pulmonary disease, the combination of traditional Chinese and Western medicine treatment of the clinical effect on chronic obstructive pulmonary disease and respiratory failure. Methods: during the period February 2013 - February 2015, in 72 patients with acute exacerbation of chronic obstructive pulmonary disease and respiratory failure patients as the object of this study, 36 patients with conventional therapy as the control group in this study, 36 patients with treatment as the observation group for this study by Chinese and Western medicine. The pulmonary function was observed after treatment of the two groups of patients with treatment effect, change of TCM symptoms and satisfaction of patients after treatment these results may appear, cause analysis. Results: the patients in the control group the peak expiratory flow rate (PEF), forced expiratory volume (FEV1), as well as FEV1 and FVC The ratio (FEV1/FVC) were significantly lower than those of the patients in the observation group, and the difference was statistically significant (P0.05); patients in the control group markedly effective rate was 22.22%, significantly lower than the patients in the observation group were markedly effective (33.33%), the total effective rate was 61.11%, significantly lower than the total effective rate of the observation group (86.11%), no efficiency 38.89%, the observation group was significantly higher than that of the non efficiency (13.89%), and the difference was statistically significant (P0.05); the two groups of patients after treatment, the observation group of patients with spontaneous breathing, cough, abnormal stools, eat less bloating and other symptoms compared with the control group improved significantly, and the difference was statistically significant (P0.05), no statistical significance the difference between the two group improved cough (P0.05); the satisfaction degree of the observation group after treatment was 86.11%, 41.76% of them are very satisfied, the total satisfaction was significantly higher than that of control group (55.56%), and the two groups the difference was statistically significant (P0.05). Conclusion: treatment with combination of traditional Chinese and Western Medicine Compared with conventional treatment, it has better clinical effect on acute exacerbation of chronic obstructive pulmonary disease and type II respiratory failure, so it can be popularized in the treatment of chronic obstructive pulmonary disease.

【作者單位】： 臺州恩澤醫(yī)療中心(集團)路橋醫(yī)院呼吸內(nèi)科;臺州恩澤醫(yī)療中心(集團)路橋醫(yī)院中醫(yī)科;
【分類號】：R563.9
【正文快照】： 慢性阻塞性肺疾病(COPD)是一種以持續(xù)存在的氣流受限為特征的可以預(yù)防和治療的疾病,其氣流受限多呈進行性發(fā)展[1]。積極的預(yù)防與有效的治療可延緩、減輕,甚至阻止病情的發(fā)展。但在其急性加重期病情嚴(yán)重,常�？砂橛孝蛐秃粑ソ�,對患者的健康很不利,且單純用西醫(yī)治療對其療效不

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