目的：探讨中西医结合治疗老年慢性肺源性心脏病急性加重期临床效果。方法选取慢性肺源性心脏病急性加重期患者共180例，随机分为对照组（90例）和联合组（90例），对照组给予单纯西医治疗，联合组在对照组基础上与自拟方联用治疗，并对两组患者临床疗效进行比较。结果联合组患者近期疗效显著优于对照组，差异有统计学意义（P＜0．05）；两组治疗后各项中医证候积分、心肺功能及血液流变学指标均显著优于治疗前，差异有统计学意义（P＜0．05），且观察组各项指标均显著优于对照组，差异有统计学意义（P＜0．05）。结论中西医结合治疗老年慢性肺源性心脏病急性加重期临床疗效优于单纯西医治疗，具有临床应用价值。%Objective To investigate the clinical effects of TCM combined with western medicine in the treatment of patients with acute exacerbation of chronic pulmonary heart disease .Methods Totally 180 patients with acute exacerbation of chronic pul‐monary heart disease were chosen from June 2012 to December 2015 in our hospital and randomly divided into control group (90 ca‐ses) and combined group (90 cases) ,control group was treated with conventional systematic intervention of western medicine symp‐tomatic support treatment ,and combination group was treated with self‐made prescription assisted treatment on the basis of conven‐tional systemic intervention .The clinical effects ,the TCM symptom scores ,the levels of heart and lung function and blood rheology index of both groups were compared .Results The recent curative effect of combination group were significantly better than control group(P<0 .05) .The levels of TCM symptom scores ,heart and lung function and blood rheology index of both groups after treat‐ment were significantly better than before treatment (P<0 .05) ,the indicators of the observation group were significantly better than the control group ,the difference was statistically significant (P<0 .05) .Conclusion TCM combined with western medicine in the treatment of patients with acute exacerbation of chronic pulmonary heart disease is superior to simple western medicine treat‐ment ,and has clinical application value .
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