理气活血法治疗自发性气胸临床观察

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1、提要目的：观察应用理气活血法治疗自发性气胸（气滞血瘀型）的临床疗效并探讨其作用机制，判定理气活血药物治疗本病证的有效性、安全性。方法：将符合本研究纳入标准的60例患者按照随机、对照的原则分为试验组32例，对照组28例。试验组在西医治疗基础上加用理气活血中药方剂，即血府逐瘀汤加青皮、佛手，水煎300ml，早晚两次餐后半小时温服，每日1剂；对照组采取单纯西医治疗方法。观察两组患者综合疗效、留置引流管时间、住院时间及复发率，并对各项结果进行统计学分析。结果：在综合疗效、留置引流管时间、住院时间及复发率方面，试验组均优于对照组，并具有统计学意义。结论：理气活血药应用于自发性气胸（气滞血瘀型），可以加

2、快胸膜腔内气体吸收，促进胸膜破裂口愈合，与西医常规治疗方法联合应用，可以提高疗效，缩短住院时间，降低复发率。其机理可能与理气活血药物能够改善微循环及供氧，抗炎，缓解气道阻塞，防止气体陷闭，促进受损部位增生、修复，保护血管内皮细胞，调节免疫力等作用有关。关键词自发性气胸；气滞血瘀；理气活血；临床观察ClinicalObservationofSpontaneousPneumothoraxintreatmentwithRegulatingQiandActivatingBloodCirculationSpeciality:ChineseMedicineClinicalRespiratoryMedic

3、ineProfessionalAuthor:LiuJieTutor:ProfessorZhangWeiluAbstractObjective:Observedtheclinicalefficacyofspontaneouspneumothorax(qistagnationandbloodstasis)intreatmentwithregulatingqiandactivatingbloodcirculationandinvestigateditsmechanismofaction.Determinethedrug'sefficacyandsafetyofregulatingqiandacti

4、vatingbloodcirculationinthetreatmentofspontaneouspneumothorax.Methods:Inaccordancewiththerandomizedandcontrolledprinciples,60patientsmettheinclusioncriteriaweredividedintoexperimentalgroupof32cases,28casesinthecontrolgroup.Theexperimentalgroupinwesternmedicinetreatmentaddchinesemedicineofregulating

5、qiandactivatingbloodcirculation,thatisXueFuZhuYuTangaddedGreenTangerinePeelandFingerCitron,decoction300ml,drankmoderatepostprandiallhalf-hourmorningandevening,dailyone;thecontrolgrouptakethemethodsofwesternmedicineonly.Observedsyntheticeffectinpatients,removingthedrainagetubetime,daysofhospitalizat

6、ionandrecurrencerate,theresultswerestatisticallyanalyzed.Result:IntermsofSyntheticeffect,removingthedrainagetubetime,daysofhospitalizationandrecurrencerate,theexperimentalgroupisbetterthanthecontrolgroup,itisstatisticallysignificant.Conclusion:Thedrugsofregulatingqiandactivatingbloodcirculationused

7、inspontaneouspneumothorax(qistagnationandbloodstasis)canacceleratetheabsorptionofgasinthepleuralcavity,promotethehealingofthepleura.Combinationwithconventionalwesternmedicinetreatment,canimprovetheefficacy,