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目的:观察中西结合治疗慢性阻塞性肺疾病呼吸衰竭的临床疗效。方法:将84例患者随机分为2组。对照组43例采取常规西医治疗,研究组41例在对照组的基础上加用清肺泄热、活血化痰中药药浴治疗,比较2组治疗总有效率及前后肺功能指标及圣·乔治呼吸问卷(SGRQ)评分。结果:总有效率研究组为86.1%,对照组为70.7%,2组比较,差异有统计学意义(P<0.05)。治疗后2组FEV1%预计值、FVC(对照组除外)、FEV1/FVC及SGRQ评分均治疗前显著改善(P<0.05);研究组各项指标改善较对照组更显著(P<0.05)。结论:中西医结合治疗慢性阻塞性肺疾病呼吸衰竭,可显著改善患者临床症状,提高其生活质量。
Objective: To observe the clinical efficacy of combining traditional Chinese and western medicine in treating respiratory failure of chronic obstructive pulmonary disease. Methods: 84 patients were randomly divided into two groups. The control group, 43 cases of conventional Western medicine treatment group, 41 cases in the control group based on the use of Qingfei heat, activating blood circulation and phlegm medicine bath treatment, the total effective rate of two groups were compared and before and after lung function indicators and St. George Respiratory Questionnaire (SGRQ) score. Results: The total effective rate was 86.1% in the study group and 70.7% in the control group. There was significant difference between the two groups (P <0.05). The FEV1% predictive value, FVC (except the control group), FEV1 / FVC and SGRQ score of the two groups were significantly improved after treatment (P <0.05). The improvement of all the indexes in the study group was more significant than that in the control group (P <0.05). Conclusion: Integrative treatment of chronic obstructive pulmonary disease respiratory failure can significantly improve the clinical symptoms and improve their quality of life.