CAJ | 학술논문

目的：观察中西医结合治疗肺心病急性加重期45例的临床疗效。方法：90例符合纳入标准的患者随机分为观察组和对照组各45例，两组患者均给予西医的综合对症治疗和常规护理，观察组在此基础上内服中药汤剂治疗，14d后对比两组患者的临床疗效和FIB、HCT、MAP和CO的变化。结果：观察组总有效率达93.3%，高于对照组的84.4%，但差异并无统计学意义（P>0.05）；两组患者治疗后FIB、HCT和MAP均有所下降，而CO则明显上升，与治疗前相比差异均具有统计学意义（P<0.05）；治疗后两组各指标组间比较，观察组的FIB、HCT和MAP均低于对照组，而CO则高于对照组，差异均具有统计学意义（P<0.05）。结论：中西医结合治疗肺心病急性加重期疗效确切，优于单纯西药治疗。
목적：관찰중서의결합치료폐심병급성가중기45례적림상료효。방법：90례부합납입표준적환자수궤분위관찰조화대조조각45례，량조환자균급여서의적종합대증치료화상규호리，관찰조재차기출상내복중약탕제치료，14d후대비량조환자적림상료효화FIB、HCT、MAP화CO적변화。결과：관찰조총유효솔체93.3%，고우대조조적84.4%，단차이병무통계학의의（P>0.05）；량조환자치료후FIB、HCT화MAP균유소하강，이CO칙명현상승，여치료전상비차이균구유통계학의의（P<0.05）；치료후량조각지표조간비교，관찰조적FIB、HCT화MAP균저우대조조，이CO칙고우대조조，차이균구유통계학의의（P<0.05）。결론：중서의결합치료폐심병급성가중기료효학절，우우단순서약치료。
Objective:To observe clinical effects of the integrative medicine on 45 cases of acute exacerbation of pulmonary heart disease. Methods:90 patients were randomly divided into the observation group and the control group, 45 cases for each. Two groups were given western medicine treatment and routine care;while the control group was added TCM medicine. With 14 days of treatment, clinical effects and the changes of FIB, HCT, MAP and CO were compared. Results: The efficiency in the observation group (93.3%) was better than (84.4%) in the control group without statistical significance (P>0.05). The level of FIB, HCT, MAP was slower than that before treatment, while the level of CO was higher than before obviously (P<0.05);with treatment, the level of FIB, HCT and MAP was lower than the control, while the level of CO was higher than the control with statistical significance (P<0.05). Conclusion:The efficacy of the integrative medicine therapy on pulmonary heart disease was confirmed, and better than western medicine treatment.