| 胡晶晶,汪潞,管彩虹.基于“肺与大肠相表里”理论运用急腹症Ⅲ号对慢性阻塞性肺疾病急性加重期（痰热壅肺证）的临床研究[J].浙江中西医结合杂志,2025,35(6): |
| 基于“肺与大肠相表里”理论运用急腹症Ⅲ号对慢性阻塞性肺疾病急性加重期（痰热壅肺证）的临床研究 |
| Effects of Acute Abdomen Ⅲ in the Treatment of AECOPD |
| 投稿时间：2025-01-16 修订日期：2025-04-12 |
| DOI： |
| 中文关键词: 慢阻肺急性加重期 急腹症Ⅲ号 肺与大肠相表里 |
| 英文关键词:Objective: This study was designed to investigate the clinical efficacy of Acute |
| 基金项目:2023年浙江省中医药科技计划项目2023ZL526 |
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| 中文摘要: |
| 【】目的 观察急腹症Ⅲ号对AECOPD(痰热壅肺证)患者的临床疗效。方法 选取2023.01.01~2024.11.01于杭州市中医院两院区(武林、丁桥)呼吸与危重症医学科住院治疗的130例痰热壅肺证AECOPD患者为研究对象,随机分为两组,每组65人。对照组为西医基础治疗组,治疗组予急腹症Ⅲ号联合西医基础治疗。比较两组中医证候积分,肺功能,血清炎症指标,生活质量相关量表,记录不良事件。结果 治疗前两组的中医症候积分比较无统计学意义(P>0.05)；治疗后两组积分均下降,治疗组积分低于对照组(P<0.05)；临床疗效方面,治疗组总有效率为90.77%,高于对照组(P<0.05)；治疗前两组肺功能(FEV1、PEF)差异无明显统计学意义(P＞0.05),治疗后两组均有改善,且治疗组肺功能指标均高于对照组(P＜0.05)；实验室指标(CRP、PCT及IL-6)对比,治疗前两组指标差异无统计学意义(P>0.05),治疗后治疗组低于对照组(P<0.05)；生活质量相关量表评分(CAT评分与mMRC评分)方面,治疗前两组差异无统计学意义(P＞0.05),治疗后治疗组低于对照组(P<0.05)；在治疗期间,两组的患者均无不良反应。结论 急腹症Ⅲ号对慢阻肺急性加重期(痰热壅肺证)有效,值得临床推广。 |
| 英文摘要: |
| 【】 Objective: This study was designed to investigate the clinical efficacy of Acute Abdomen Ⅲ in the treatment of AECOPD . Methods: A total of 130 patients with AECOPD were selected. These patients are diagnosed with phlegm heat obstructing the lungs syndrome.They were randomly divided into two group. The control group was treated with cough suppressant,anti-infection andphlegm resolvingmedicine. The treatment group was treated with Acute Abdomen Ⅲ based on the other group. Two groups received 7-day treatment. Compare changes before and after treatment,the scores of TCM symptoms, pulmonary function, inflammatory indexes(CRP, PCT, IL-6), quality of life related scales of the two groups were compared. Results: After treatment, the total effective rate of patients in the observation group was 90.77%, which was higher than the control group(P<0.05). The TCM symptoms, inflammatory indicators and the quality of life related scales were lower than before. The treatment group’s FEV1 and PEF levels were higher than another group(P<0.05), patients of two groups had no objective opposite reaction. |
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