目的:探讨中西医结合治疗慢性阻塞性肺气肿的疗效,并分析其对患者肺功能的影响.方法:选取2015年5月至2017年4月十堰市太和医院收治的慢性阻塞性肺气肿患者68例,随机分为观察组和对照组,每组34例.对照组给予盐酸氨溴索联合氨茶碱缓释片治疗,观察组在此基础上增加中药汤剂治疗,均连续治疗1个月.比较2组治疗后临床疗效,治疗前后症状积分及肺功能的改变.结果:治疗后观察组总有效率为91.18%,显著高于对照组的70.59%( P＜0.05).与治疗前比较,治疗后2组咳嗽咳痰、胸闷气促、呼吸困难、心悸乏力评分均明显降低,且观察组显著低于对照组(P＜0.05或P＜0.01).治疗后2组FEV1、FVC、FEV1%pred及MMEF均明显高于治疗前,且观察组明显高于对照组(P＜0.05或P＜0.01).结论:中西医结合治疗慢性阻塞性肺气肿,可以显著改善患者临床症状和体征,改善肺通气换气功能,疗效显著.%Objective:To study the clinical efficacy of combining traditional Chinese and western medicine for obstructive pulmo －nary emphysema and its influence on pulmonary function.Methods:A total of 68 cases of patients with obstructive pulmonary em－physema were selected and randomly divided into observation group and control group ,34 cases in each group.The control group was treated with ambroxol hydrochloride combined with aminophylline sustained release tablets and the control group was added with Chinese medicine decoction on the basis of control group.The 2 groups were treated for 1 month continuously.The clinical effi－cacy of 2 groups after treatment ,the scores of main clinical symptoms and the pulmonary function in the 2 groups before and after treatment were compared.Results:The total effective rate was 91.18%in the observation group,which was significantly higher than 70.59%in the control group (P＜0.05).After treatment,the clinical symptoms scores of cough and sputum ,chest tightness,short－ness of breath,difficulty breathing,palpitations,and fatigue significantly reduced ,and the observation group was significantly lower than those of the control group (P＜0.05 or P＜0.01).The FEV1,FVC,FEV1%pred and MMEF of the 2 groups after treatment were significant higher than before treatment ,and the experiment group was significantly higher than those of the control group (P＜0.05 or P ＜0.01).Conclusion: Combining traditional Chinese and western medicine can significantly improve the clinical symptoms and signs of obstructive pulmonary emphysema patients ,and enhance lung ventilation function.And the effect is signifi－cant.
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