二陳湯合六君子湯化裁聯(lián)合常規(guī)西醫(yī)治療慢性阻塞性肺疾病急性加重期療效觀察
本文引用:,.二陳湯合六君子湯化裁聯(lián)合常規(guī)西醫(yī)治療慢性阻塞性肺疾病急性加重期療效觀察[].·湖南中醫(yī)藥大學(xué)學(xué)報,2025,45(5):904-909.
[關(guān)鍵詞]二陳湯;六君子湯;慢性阻塞性肺疾病急性加重期;痰濁阻肺證;療效;趨化因子 [中圖分類號]R256.1 [文獻(xiàn)標(biāo)志碼]B [文章編號]doi:10.3969/j.issn.1674-070X.2025.05.017
[Abstract]Objective Toexplore theeficacyof modifiedErchenDecoctionandLiujunziDecoctioncombined with conventional western medicine therapyintreatingacuteexacerbationof chronicobstructive pulmonarydisease (AECOPD)(phlegm dampnessaccmulating inthe lungpatern). Methods Atotalof136AECOPDpatients with phlegmdampnessaccumulatinginthe lungpaternadmitedtotheEighthPeoplesHospitalofHefeifromJanuary2022toJanuary2O24wereselectedandrandomly dividedintoobservationgroupandcontrolgroup.Thecontrolgroupreceivedconventionalwesternmedicinetherapy,whilethe observationgroupreceivedoraladministrationofmodifiedErchenDecoctionandLiujunziDecoctioninadition tothetreatment provided tothecontrolgoup ClicaleficacyTCMpatensoresbloodasparameters,lungfunctioindicatorsCOPAe Test (CAT scores,6-minutewalkingdistance (6MWD),serumlevelsof CX chemokineligand1(CXCL10)andCX3chemokineligand 1(CX3CL1) beforeandaftertreatment werecomparedbetweenthetwo groups,andthesafetyof medication wasanalyzeda well Results The total effctive rate of the observation group was higher than that of the control group ( P- <0.01).Compared with before treatment,TCMpattrnscores,CATscoresarterialpartialpresureofcarbondioxide(aCO),andserum levelsof CXCLnd CX3CL1 decreased in both groups after treatment ( P- forced expiratory volume in one second to forced vital capacity (FEV/FVC) ratio, FEV1 to the predicted value (FEVi%pred),and 6MWDaftertreatment(POO1),andtheaboveindicatorsintheobservation groupwerehigherthanthoseinthecontrol group(001). Duringtreatment,noobviousadverseeventsocured ineither group.ConclusionForAECOPDpatientswith phlegmdampness accumulatinginthelungpatern,thetreatment withmodifiedErchenDecoctionandLiujunzi Decoctioncanrelieveclinical symptoms,improvepulmonaryventilation function,enhancethequalityof life,andreduce theserum levelsofCXCL10and CX3CL1, exhibiting significant efficacy and high safety.
[Keywords]Erchen Decoction;Liujunzi Decoction;acuteexacerbation of chronic obstructive pulmonarydisease;phlegm dampness accumulating in the lung pattern; therapeutic effct; chemokine
慢性阻塞性肺疾?。╟hronicobstructivepulmonarydisease,COPD)是常見呼吸系統(tǒng)疾病,研究數(shù)據(jù)顯示,我國COPD患病人數(shù)接近1億。(剩余8568字)
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