| Objective:To observe the clinical efficacy of Mongolian and western medicine in treating acute exacerbation of chronic obstructive pulmonary disease(COPD)Methods:We adopt the queue to collect 2019 January 2020-01 range,in Inner Mongolia national university affiliated hospital respiratory diagnosed with chronic obstructive pulmonary disease,100cases of hospitalized patients with acute aggravating period of outpatient service and,cases of patients can be divided into the treatment group and control group in which the control group 50 cases,give western routine therapy(oxygen bronchodilator antibiotics glucocorticoid expectorant,etc.)in given western medicine treatment group(50 cases,on the basis of conventional treatment,according to the Mongolian medicine three dialectical type(h type according to the partial sheng sheila remedying Bada slant dry type),observe two groups of laboratory examination,blood gas analysis(PCO2 PO2 PH)routine blood c-reactive protein(leucocyte neutrophil absolute value)(of a)before and after the treatment Mongolian medicine symptoms questionnaire score(main symptoms and signs)CAT grade mMRC lung function(30 days)as the curative effect evaluation indexes and observation time:(day 1)admission to the hospital(3 days)after hospital discharge(7 days)14(telephone),30 days according to fill out the evaluation score evaluation Finally,the data were statistically processed to evaluate the efficacy of AECOPD in the two groupsResults:1.In general,the ratio of male to female in acute exacerbation of chronic obstructive pulmonary disease is 1:1.In terms of age,64-74 years old patients are the majority,and the average age of the two groups has no statistical difference(P>0.05).The incidence season analysis showed that winter accounted for 30%and spring for 29%.The ratio of smokers to non-smokers was 3.3:1,and most of them were smokers with secondary diseases.In terms of hospitalization days,there was no statistical difference between the two groups(P>0.05).In terms of types and classifications,Hoi(45%)and Badaganshila(37%)account for more.This also corresponds to the cause of Aoxigen Azha.The pulse condition is fine and floating,the tongue is gray and thin,and the urine is gray and normal.2.Mongolian medic inesyndrome:cough,sputum production,dyspnea.cyanosis of oral lip and other major symptoms and secondary symptoms such as expectorantion difficult,sleep and abdominal distension,pectoralgia.the improvement of symptoms in the treatment group is significantly better than that in the control group(p<0.05),but the improvement of symptoms in lung auscultation and cyanosis of oral lip in the treatment group and the control group are similar,with no significant difference(p>0.05).3.After 1 day of hospitalization,3 days of hospitalization,discharge,14 days of discharge and 30 days of discharge,the comparison of CAT mMRC questionnaire scores of Mongolian medicine symptoms after follow-up was statistically significant(P<0.05),and the comparison between the two groups was statistically significant(P<0.05).However,there was no significant difference in CAT questionnaire scores of Mongolian medicine symptoms on the day of discharge on the third day of hospitalization(P>0.05).4.In terms of laboratory indicators,both groups showed improvement before and after treatment.There was no statistically significant difference in white blood cell count,neutrophil absolute value,c-reactive protein and lung function(FEV1,FEV 1/FVC)between the two groups(P>,0.05),and significant difference in blood gas analysis(PH,PO2,PCO2)(P<0.05).5.In terms of treatment;On the basis of routine western medicine treatment and Mongolian medicine dialectical treatment in the observation group.26 cases were cured,20 cases were effective and 4 cases were ineffective in the observation group,with a total effective rate of 92%.in the control group.14 cases were cured.28 cases were effective,and 8 cases were ineffective.with a total effective rate of 84%.the comparison between the two groups was statistically significant(p<0.05).The total effective rate of the Mongolian medicine syndrome type and curative effect opposite observation group is 92.3%,and that of the control group is 81.3%,which is better than that of the control group in curative effect.Conclusion:1.Mongolian medicine combined with traditional Chinese medicine in the treatment of AECOPD is superior to western medicine alone in improving clinical symptoms without adverse reactions.2.Mongolian and western medicine combined treatment of AECOPD can improve blood gas analysis index,significantly reduce Mongolian symptom score,improve subjective dyspnea,and reduce CAT score,thus improving patients' quality of life and having higher reliability. |
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