痰瘀并治法治疗结缔组织病相关间质性肺疾病疗效观察
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Clinical Observation on Removing both Phlegm and Blood Stasis Therapy in Treating Connective Tissue Disease Related Interstitial Lung Disease
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    摘要:

    目的:观察用痰瘀并治法中药治疗结缔组织病相关间质性肺疾病(CTD-ILD)的临床疗效。方法:选取2014年1月至2017年1月陆军总医院风湿免疫科或北京大学第三医院中医科门诊及住院CTD-ILD患者52例,随机分为观察组和对照组,每组26例。对照组根据病情给予常规糖皮质激素和免疫抑制剂治疗;观察组在上述治疗基础上加用痰瘀并治中药治疗。疗程均为3个月,评价2组患者的有效率、6 min步行试验以及动脉血氧分压(PaO2)、用力肺活量(FVC)、肺总量(TLC)、肺一氧化碳弥散量(DLCO)等肺功能指标的变化情况。结果:治疗3个月后,观察组和对照组有效率分别为88.46%、64.0%,2组比较差异有统计学意义(P<0.05);治疗3个月后,2组患者6 min步行试验、PaO2、FVC、TLC、DLCO等肺功能指标均有明显改善(P均<0.05),观察组上述指标的改善均明显优于对照组(P均<0.05),治疗过程中,对照组出现不良反应者明显多于观察组(P<0.05)。结论:中药痰瘀并治法治疗CTD-ILD有较好的临床疗效,能明显改善患者的肺功能,且能减轻糖皮质激素和免疫抑制剂的不良反应,安全性较高,临床可进一步推广应用。

    Abstract:

    To observe the clinical effects of removing both phlegm and blood stasis therapy in treating connective tissue disease related interstitial lung disease (CTD-ILD); Methods:A total of 52 patients with CTD-ILD were randomly divided into treatment group and control group,with 26 cases in each group.The control group received glucocorticoid and immunosuppressive therapy,and the treatment group was added treatment with drugs of removing both phlegm and blood stasis on the basis of the above treatment for 3 months.The effective rate,he 6-minute walk distance,the arterial partial pressure of oxygen (PaO2),forced vital capacity (FVC),total lung capacity (TLC),and diffusion capacity for carbon monoxide of lung (DLCO) of two groups were evaluated.Results:After treatment,the effective rates in treatment group and control group were 88.46% and 64.0% respectively,and the difference between the two groups was statistically significant (P<0.05); After the treatment,the 6-minute walk distance,PaO2,FVC,TLC and DLCO were significantly improved than that before treatment (P<0.05),while the improvement of these indicators in the treatment group was significantly better than those of control group (P<0.05).The number of patients with adverse reactions in the control group was significantly larger than that in the treatment group (P<0.05).Conclusion:Removing both phlegm and blood stasis therapy has better clinical efficacy in treatment of CTD-ILD,which can significantly improve thepulmonary function of patients,as well as reduce the glucocorticoid and immunosuppressive drug toxicity,so it can be further applied and promoted in clinical practice.

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白云静,安广文,姜德训,申洪波.痰瘀并治法治疗结缔组织病相关间质性肺疾病疗效观察[J].世界中医药,2017,(10).

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  • 收稿日期:2017-05-02
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  • 在线发布日期: 2017-11-08
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