重庆医学2017，Vol.46Issue(8)：1045-1047,3.DOI:10.3969/j.issn.1671-8348.2017.08.012
基于培土生金理论治疗AECOPD伴Ⅱ型呼吸衰竭患者临床观察
Clinical observation of the treatment based on Peitushengjin theory in patients with AECOPD with Ⅱ respiratory failure
摘要
Abstract
Objective to observe the effect of lung and spleen mixture on lung spleen deficiency AECOPD with Ⅱ respiratory failure of TCM symptoms integral,nutrition,blood gas and related indicators.Methods in accordance with AECOPD with Ⅱ type of respiratory failure need to use the noninvasive or have a respirator assisted ventilation,and conform to the type of TCM for patients with spleen-deficiency type,40 cases were divided into two groups,control group to the conventional western medicine therapy and Chinese medicine group on the basis of western medicine treatment for reasons of Yifeijianpi mixture,oral or tube feeding,a week for a period of treatment,observation of patients before and after treatment of TCM symptoms and physical signs integral,APACHE Ⅱ score,serum albumin,pre-albumin,neutrophil percentage,CRP and blood gas analysis and related indicators was conducted.Results The results show that the TCM group can improve the patients' TCM symptoms and physical signs integral,there was significant difference between the two groups after treatment (P＜ 0.05);compare the serum albumin,pre-albumin,transferrin,neutrophil percentage,CRP and arterial blood gas between two groups of patients after treatment,Chinese medicine group is superior to the control group,with statistical significance (P＜ 0.05);And compared with control group,the APACHE Ⅱ improvement situation of Chinese medicine group were superior to control group after the treatment after a week,with statistical significance (P＜ 0.05).Conclusion on the basis of using conventional western medicine treatment,treatment based on the theory of ridging raw gold formulae of Yifeijianpi mixture has good effect in the treatment of AECOPD combined type Ⅱ respiratory failure,and can improve the nutritional status of patients and the indicators of arterial blood gas analysis.关键词
益肺健脾合剂/慢性阻塞性肺疾病急性加重期/Ⅱ型呼吸衰竭Key words
Yifeijianpi mixture/AECOPD/type Ⅱ respiratory failure分类
医药卫生引用本文复制引用
李晓斌,刘平,杨欢,都霞,杨思进..基于培土生金理论治疗AECOPD伴Ⅱ型呼吸衰竭患者临床观察[J].重庆医学,2017,46(8):1045-1047,3.基金项目
四川科技厅基金资助项目(川科发计[2014]10号). （川科发计[2014]10号）
