益气补肺方干预重度肺功能不全患者肺切除的临床观察

作者	单位
杨勇	浙江中医药大学附属医院杭州市中医院杭州310007
王永均	浙江中医药大学附属医院杭州市中医院杭州310007
董礼文	浙江中医药大学附属医院杭州市中医院杭州310007
王军	浙江中医药大学附属医院杭州市中医院杭州310007
程根苗	浙江中医药大学附属医院杭州市中医院杭州310007
傅晓青	浙江中医药大学附属医院杭州市中医院杭州310007

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中文摘要:

目的观察中药益气补肺方对重度肺功能不全患者肺切除术后临床症状、肺功能及术后康复的促进作用。方法观察30例中药干预重度肺功能不全患者(试验组)肺切除术前后临床表现、肺功能、血气分析变化;并与30例肺功能正常病例(对照组)同期对照分析。结果试验组术后咳嗽、气急、吸氧、下地活动等临床表现及血气分析结果较术前改善,而肺功能较术前无明显改变;两组患者术后并发症及病死率差异无显著性(P>0·05)。结论中药益气补肺方可减轻肺切除术后的急性肺损伤,改善重度肺功能不全患者手术耐受性,对促进术后康复作用明显。

英文摘要:

Objective To observe the effect of Yiqi Bufei Recipe(YBR) on clinical symptoms,pulmonary function and recovery in patients with severe pulmonary function incompetence(PFI) after lung resection(LR).Methods The clinical symptoms were observed,the pulmonary function examined and blood-gas analysis conducted in 30 patients with PFI after LR(the treatment group) and in 30 cases with normal pulmonary function after LR(the control group).Results In the treatment group,clinical manifestations including cough,dyspnea,frequency of oxygen inhalation,and mobility,as well as the results of blood-gas analysis were improved after operation,while pulmonary function changed insignificantly.There was no significant difference in occurrence of postoperative complications and in-hospital mortality between the two groups(P>0.05).ConclusionYBR can relieve acute lung injury caused by LR and improve the tolerance of patients with PFI for operation,which is benificial for postoperative recovery.

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