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目的:观察小青龙汤联合西药治疗慢性阻塞性肺疾病急性发作期(AECOPD)的疗效。方法:将80例AECOPD患者随机分为2组各40例,对照组按照AECOPD治疗指南给予西药治疗;治疗组在对照组基础上加用小青龙汤口服,比较2组治疗前、治疗48h后动脉血气分析指标、呼吸困难评分及治疗1周后患者圣.乔治医院呼吸问卷(SGRQ)评分。结果:治疗后治疗组动脉血气指标、呼吸困难评分及SGRQ评分均较对照组明显改善(P<0.05)。结论:小青龙汤联合西药治疗AECOPD疗效优于单纯西药治疗,值得临床推广应用。
Objective: To observe the Xiao Qinglong Decoction combined with western medicine in the treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods: Eighty patients with AECOPD were randomly divided into two groups (n = 40). The control group was given western medicine according to AECOPD treatment guidelines. The treatment group was given Xiaoqinglong decoction orally on the basis of the control group. The arterial Blood gas analysis index, dyspnea score and patient’s St. George’s Respiratory Questionnaire (SGRQ) score after 1 week of treatment. Results: After treatment, arterial blood gas index, dyspnea score and SGRQ score of the treatment group were significantly improved compared with the control group (P <0.05). Conclusion: Xiao Qing Long Decoction combined with western medicine in the treatment of AECOPD is superior to western medicine alone, which is worthy of clinical application.