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[目的]观察穴位注射与清金化痰汤联合西药治疗慢性阻塞性肺炎疗效。[方法]使用随机平行对照方法,将78例住院患者按抛硬币法简单随机分为两组。抗感染、改善肺通气、氧疗治疗。对照组39例多索茶碱0.3g+5%250m L葡萄糖,1次/d,静滴。治疗组39例清金化痰汤(橘红5g,甘草6g,桃仁、紫苏子、桔梗、黄茶、麦冬、浙贝母、栀子、知母各10g,瓜蒌仁、桑白皮、茯苓各15g),1剂/d,水煎400ml,早晚口服,200m L/次;穴位注射:双侧足三里,黄芪注射液,得气后回抽无回血后注射,0.5m L/次,1次/d。连续治疗14d为1疗程。观测临床症状、MMRC分级、发热持续时间、CPIS评分、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈22例,显效7例,有效9例,无效1例,总有效率97.44%。对照组痊愈9例,显效11例,有效7例,无效12例,总有效率69.23%。治疗组疗效优于对照组(P<0.01)。MMRC分级治疗组优于对照组(P<0.01)。相关指标两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]穴位注射与清金化痰汤联合西药治疗慢性阻塞性肺炎疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of acupoint injection and Qingjinhuatan decoction combined with Western medicine in treating chronic obstructive pulmonary disease. [Methods] Randomized parallel method was used to divide 78 hospitalized patients into two groups according to the coin-tossing method. Anti-infection, improve lung ventilation, oxygen therapy. Control group, 39 cases of doxofylline 0.3g + 5% 250m L glucose, 1 / d, intravenous infusion. In the treatment group, 39 cases of Qingjin Huatan Decoction (orange red 5g, licorice 6g, peach kernel, perilla, Campanulaceae, yellow tea, Ophiopogon japonicus, Fritillaria cirrhosa, gardenia, Poria each 15g), 1 / d, decoction 400ml, morning and evening oral, 200m L / times; point injection: bilateral Zusanli, astragalus injection, 1 time / d. Continuous treatment 14d for a course of treatment. Clinical symptoms, MMRC grading, duration of fever, CPIS score, and adverse reactions were observed. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 22 cases, markedly effective in 7 cases, effective in 9 cases, ineffective in 1 case, the total effective rate was 97.44%. The control group recovered 9 cases, markedly effective in 11 cases, effective in 7 cases, ineffective in 12 cases, the total effective rate was 69.23%. The treatment group than the control group (P <0.01). MMRC grading treatment group than the control group (P <0.01). Related indicators improved in both groups (P <0.01), and the treatment group improved better than the control group (P <0.01). [Conclusion] Acupoint injection and Qingjinhuatan decoction combined with Western medicine in treatment of chronic obstructive pulmonary disease have satisfactory curative effect and no serious adverse reactions, which deserves promotion.