JIN Qi, BAO Yufang, LI Xiaoying, et al. Observation on Efficacy of Bufeizhuyu Decoction in Treatment of Chronic Obstructive Pulmonary Disease in Stable Stage. [J]. 20(2):161-165(2020)
JIN Qi, BAO Yufang, LI Xiaoying, et al. Observation on Efficacy of Bufeizhuyu Decoction in Treatment of Chronic Obstructive Pulmonary Disease in Stable Stage. [J]. 20(2):161-165(2020) DOI: 10.14009/j.issn.1672-2124.2020.02.008.
Observation on Efficacy of Bufeizhuyu Decoction in Treatment of Chronic Obstructive Pulmonary Disease in Stable Stage
OBJECTIVE: To probe into the clinical efficacy of Bufeizhuyu decoction in treatment of chronic obstructive pulmonary disease( COPD) in stable stage. METHODS: 80 patients with COPD in stable stage admitted into Pudong Hospital of Traditional Chinese Medicine from Jan. 2017 to Oct. 2018 were selected and divided into observation group and control group via random number table
with 40 cases in each group. Both groups were given conventional therapy of western medicine
in addition
the observation group was treated with Bufeizhuyu decoction
both groups were treated for 2 months. The clinical efficacy
symptom scores
indices of pulmonary function [the percentage of forced expiratory volume in 1 s( FEV
1
) accounted for expected value( FEV
1
%)
FEV
1
/forced vital capacity( FVC)
the percentage of peak expiratory flow accounted for expected value( PEF%) ] and blood gas analysis [arterial partial pressure of oxygen( PaO
and incidences of adverse drug reactions of two groups before and after treatment were observed. RESULTS: The total effective rate of observation group was 92. 50%( 37/40)
which was significantly higher than that of the control group( 75. 00%
30/40)
with statistically significant difference( P
<
0. 05). After treatment
the symptom scores( cough
expectoration
gasp
dyspnea
cyanosis and wheezing) of both groups were significantly lower than those of before treatment
and those of the observation group were significantly lower than the control group
with statistically significant differences( P
<
0. 05); the FEV
1
%
FEV
1
/FVC and PEF% of both groups were significantly higher than those of before treatment
and those of the observation group were significantly higher than the control group
with statistically significant differences( P
<
0. 05); the PaO2 and SaO2 levels of both groups were significantly higher than those of before treatment
while the PaCO2 level was significantly lower
the PaO2
PaCO2 and SaO2 levels of observation group were significantly better than those of the control group
with statistically significant differences( P
<
0. 05); the serum TNF-α and IL-8 levels of both groups were significantly lower than those of before treatment
and those of the observation group were significantly lower than the control group
with statistically significant differences( P
<
0. 05). Adverse drug reactions were few and mild in both groups. CONCLUSIONS: The efficacy of Bufeizhuyu decoction combined with conventional therapy in treatment of COPD in stable stage is remarkable
which can effectively promote the remission of clinical symptoms and physical signs
improve pulmonary function and arterial blood gases
inhibit inflammatory reactions.
关键词
补肺逐瘀汤慢性阻塞性肺疾病稳定期肺功能血气分析炎症反应
Keywords
Bufeizhuyu decoctionCOPD in stable stagePulmonary functionBlood gas analysisInflammatory reaction