文档介绍：成都中医药大学硕士学位论文肺鼻同治治疗慢性阻塞性肺病合并变应性鼻炎的临床观察姓名:胡智申请学位级别:硕士专业:中西医结合(呼吸方向) 指导教师:杨仁旭 2009-04 成都中医药大学硕士学位论文 3 中文摘要目的:观察中药治疗慢性阻塞性肺病合并变应性鼻炎患者临床疗效及其对BODE多因素分级系统积分的影响。方法:将门诊及病房44例COPD(分级Ⅰ-Ⅱ级)合并变应性鼻炎属风寒犯肺证患者随机分为治疗组和对照组。治疗组予以苍耳子散合玉屏风散加减。对照组采用口服美敏伪麻溶液治疗。疗程均为2周。观察治疗前后2组主要症状以及BODE多因素分级系统积分的变化情况,做出疗效评价。结果: :治疗后两组患者咳嗽、气紧、胸闷及鼻塞、流清涕、喷嚏等症状较治疗前有所改善,与对照组相比,治疗组积分改善较对照组明显,两者有显著性差异(p<)。 :治疗后,两组患者BODE多因素分级系统积分在治疗后有显著性差异(p<)。 。结论:中医“肺鼻同治”,以苍耳子散合玉屏风散加减,能明显改善慢性阻塞性肺病合并变应性鼻炎患者的症状及其BODE多因素分级系统积分。关键词:COPD;变应性鼻炎;肺鼻同治成都中医药大学硕士学位论文 4 ABSTRACT Objectives: The aim of the study was to observe the effect of the chinese traditional treatment of chronic obstructive pulmonary bined al1ergic rhinitis and its clinical efficacy in patients with pulmonary function and Body Mass Index。 Methods:In which therapy effect, respiratoryfunction scale pre- and post- therapy in 44 cases(gradeⅠ-Ⅱlevel) in out- and in pationt of our department were randomly divided into treatment and control groups。The treatment group treatedwith Cang’er’zi decoction andYupingfeng Powders。The control group treated with Dextromethorphan Hydrobromide,Chlorpheniramine Maleate and Pseudoe phedrine hydiochloride Solution。 Course of treatment was two weeks。 Evaluate the curative effect according to the changes of the cardinal symptoms and the pulmomary function before and after treatement。 Results: 1. symptom score :After treatment, the two groups patients’ symptoms tight,chest tightness ,coughand stuffy nose, runny nose,to sneeze are better than pared with the control group, the treatment group symptom scores improved significantly,there were significant differences((p<)。成都中医药大学硕士学位论文 5 integral multi-factor rating system: Two groups of patients withBODE integral multi-factor rating system after treatment have improved, there is significant difference (p <) 3. Treatment group and control group were no obvious adverse reactions。 Conclusion: Tradi