首页|期刊导航|中医药学报|桑白皮汤加味对COPD急性加重期(痰热壅肺证)患者疗效及肺功能影响

桑白皮汤加味对COPD急性加重期(痰热壅肺证)患者疗效及肺功能影响OA

Effects of Modified Sangbaipi Decoction on Therapeutic Efficacy and Pulmonary Function in Patients with Acute Exacerbation of COPD(Phlegm-Heat Obstructing Lung Syndrome)

中文摘要英文摘要

目的:探讨桑白皮汤加味对慢性阻塞性肺疾病(COPD)急性加重期患者的疗效及对肺功能的影响.方法:选取2022 年10 月—2024 年10 月北京中医医院顺义医院收治的120 例 COPD 急性加重期患者,随机数字表法分为对照组(常规西医治疗)和观察组(常规西医+桑白皮汤加味治疗),各60 例.观察并比较两组患者的中医证候积分、临床疗效、肺功能指标、炎性因子及不良反应发生情况.结果:治疗后观察组总有效率高于对照组(P<0.05);观察组患者中医证候积分低于对照组(P<0.05).治疗后,两组 FEV1、FVC 及 FEV1/FVC 水平均较治疗前提高(P<0.05),白介素-6(IL-6)、C 反应蛋白及降钙素原水平均降低(P<0.05),且观察组低于对照组(P<0.05).两组患者不良反应发生率无明显差异(P>0.05).结论:桑白皮汤加味对 COPD 急性加重期(痰热壅肺证)患者具有显著疗效,能有效改善患者症状及肺功能,降低炎症因子水平,且安全性较高.

Objective:To investigate the efficacy of modified Sangbaipi Decoction on patients with acute exacerbation of chronic obstructive pulmonary disease(COPD)and its effect on pulmonary function.Methods:A total of 120 patients with acute exacerbation of COPD admitted to Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital,from June 2023 to June 2025 were selected and randomly divided into a control group(conventional Western medicine treatment)and an observation group(conventional Western medicine+modified Sangbaipi Decoction treatment)with 60 cases each.Observed and compared the TCM Syndrome Score,clinical efficacy,pulmonary function indices,inflammatory factors and the incidence of adverse reactions in both groups.Results:The total effectiveness rate of the observation group after treatment were higher than that of the control group(P<0.05);The TCM syndrome score subjects group was lower than that of the control group(P<0.05).After treatment,the levels of FEV1,FVC and FEV1/FVC in both groups were increased and the levels of IL-6,CRP and PCT were decreased(P<0.05),and the observation group was lower than that of the control group(P<0.05).There was no apparent difference in the incidence of adverse reactions between both groups(P>0.05).Conclusion:Modified Sangbaipi Decoction has significant efficacy in patients with acute exacerbation of COPD(Phlegm-heat obstructing lung syndrome),can effectively improve the clinical symptoms and pulmonary function indices,reduce the level of inflammatory factors,and it has a high degree of safety.

仲海悦;张宁;冯京帅;辛大永

北京中医医院顺义医院呼吸科,北京 101300北京中医医院顺义医院呼吸科,北京 101300北京中医医院顺义医院呼吸科,北京 101300北京中医医院顺义医院呼吸科,北京 101300

医药卫生

桑白皮汤慢性阻塞性肺疾病急性加重期痰热壅肺证肺功能

Sangbaipi DecoctionChronic obstructive pulmonary diseaseAcute exacerbationPhlegm-heat obstructing lung syndromePulmonary function

《中医药学报》 2026 (5)

73-76,4

北京市属医院科研培育计划项目(PZ2025021)

10.19664/j.cnki.1002-2392.260100

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