小青龙汤联合无创呼吸机治疗对慢性阻塞性肺疾病急性加重期老年患者血气指标及肺功能的影响

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Abstract Objective Effect of Xiaoqinglong Decoction combined with noninvasive ventilator on blood gas index and pulmonary function in elderly patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 90 elderly patients with AECOPD who admitted to the Fourth People′s Hospital of Dalian from January 2019 to February 2020 were selected as the research object,they were divided into the traditional Chinese medicine(TCM)group and the western medicine group according to random numbers table method,with 45 cases in each group.The western medical group was treated with routine therapy combined with noninvasive ventilator,the TCM group was treated with Xiaoqinglong Decoction combined with noninvasive ventilator.The curative effect,blood gas indexes(partial pressure of carbon dioxide [PaCO2],oxygen partial pressure [PaO2])and lung function(forced vital capacity [FVC],forced expiratory volume in the first second [FVC1],and the percentage of forced expiratory volume in the first second to forced vital capacity [FEV1/FVC])were compared between the two groups.Results The total effective rate in TCM group was higher than that in western medicine group,and the difference was statistically significant(P＜0.05).Before treatment,there were no statistically significant differences in blood gas index and lung function index between the two groups(P＞0.05).After treatment,FVC,FEV1,FEV1/FVC and PaO2 in TCM group were higher than those in western medicine group,and PaCO2 was lower than that in western medicine group,and the differences were statistically significant(P＜0.05).Conclusion Xiaoqinglong Decoction combined with noninvasive ventilator is effective in the elderly patients with AECOPD,which can significantly improve the blood gas analysis index and promote the recovery of lung function.

Key words： Xiaoqinglong Decoction Noninvasive ventilator Acute exacerbation of chronic obstructive pulmonary disease Blood gas index Lung function

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DU Ting-ting. Effect of Xiaoqinglong Decoction combined with noninvasive ventilator on blood gas index and lung function in elderly patients with acute exacerbation of chronic obstructive pulmonary disease[J]. 中国当代医药, 2021, 28(13): 198-200-204.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I13/198

[1]	张延峰，张金龙.支气管镜联合无创通气对AECOPD 合并呼吸衰竭患者血气分析的影响[J].贵州医药，2019，43（7）：1142-1143.
[2]	周凡，张丽，范忠杰.孟鲁司特钠联合信必可都保对AECOPD 患者炎症因子的影响[J].热带医学杂志，2018，18（3）：388-391.
[3]	聂言臣，张特，王宗立.无创呼吸机联合沙美特罗替卡松粉剂吸入治疗慢性阻塞性肺疾病急性加重并发呼吸衰竭的疗效及对患者预后生存质量的影响[J].中国药物与临床，2019，19（8）：15-17.
[4]	慢性阻塞性肺疾病急性加重（AECOPD）诊治专家组.慢性阻塞性肺疾病急性加重（AECOPD）诊治中国专家共识（2017年更新版）[J].国际呼吸杂志，2017，37（14）：1041-1057.
[5]	中华中医药学会内科分会肺系病专业委员会.慢性阻塞性肺疾病中医证候诊断标准（2011 版）[J].中医杂志，2012，53（2）：177-178.
[6]	国家中医药管理局.中医病证诊断疗效标准[M].南京：南京大学出版社，1994.
[7]	陈喆，刘秋旻，颜卫峰.无创机械通气与拔管后经鼻高流量氧疗对治疗慢性阻塞性肺疾病急性加重血气指标的影响[J].内科急危重症杂志，2019，25（1）：38-40.
[8]	葛蓓蕾.重症肺部感染患者无创正压通气治疗的临床疗效探讨[J].临床研究，2021，29（4）：39-40.
[9]	陈绪杰.小青龙汤对COPD 发作期患者血气分析指标及肺功能的影响[J].中医学报，2019，34（2）：400-403.
[10]	费凡，万玉峰，梁勇，等.外周血T 淋巴细胞亚群与慢性阻塞性肺疾病急性加重期的相关性研究[J].临床内科杂志，2019，36（6）：412-414.
[11]	王超，许建英，武志峰，等.慢性阻塞性肺疾病急性加重期患者CT 肺血管参数与病情严重程度的相关性研究[J].国际呼吸杂志，2019，39（7）：515-520.
[12]	郝文东，薛亚妮，张彩莲，等.注射用炎琥宁治疗慢性阻塞性肺疾病急性加重期合并社区获得性肺炎的疗效分析[J].中成药，2019，41（1）：246-248.
[13]	杜维桓，纪红，杜左萍，等.无创通气治疗慢性阻塞性肺病急性加重疗效的影响因素[J].临床肺科杂志，2019，24（2）：114-118.
[14]	程洋，戴丽，夏国光，等.慢性阻塞性肺疾病急性加重期患者APACHEⅡ评分与病情严重程度及预后关系的研究[J].国际呼吸杂志，2018，38（5）：336-340.
[15]	章陈晨，宋双双，刘凌琳，等.老慢性阻塞性肺疾病急性加重期合并急性心肌梗死患者的右心功能变化与预后评价[J].中国医药导报，2018，15（20）：102-105.