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1、提要目的：觀察應(yīng)用理氣活血法治療自發(fā)性氣胸（氣滯血瘀型）的臨床療效并探討其作用機(jī)制，判定理氣活血藥物治療本病證的有效性、安全性。方法：將符合本研究納入標(biāo)準(zhǔn)的60例患者按照隨機(jī)、對照的原則分為試驗(yàn)組32例，對照組28例。試驗(yàn)組在西醫(yī)治療基礎(chǔ)上加用理氣活血中藥方劑，即血府逐瘀湯加青皮、佛手，水煎300ml，早晚兩次餐后半小時(shí)溫服，每日1劑；對照組采取單純西醫(yī)治療方法。觀察兩組患者綜合療效、留置引流管時(shí)間、住院時(shí)間及復(fù)發(fā)率，并對各項(xiàng)結(jié)果進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果：在綜合療效、留置引流管時(shí)間、住院時(shí)間及復(fù)發(fā)率方面，試驗(yàn)組均優(yōu)于對照組，并具有統(tǒng)計(jì)學(xué)意義。結(jié)論：理氣活血藥應(yīng)用于自發(fā)性氣胸（氣滯血瘀型），可以加
2、快胸膜腔內(nèi)氣體吸收，促進(jìn)胸膜破裂口愈合，與西醫(yī)常規(guī)治療方法聯(lián)合應(yīng)用，可以提高療效，縮短住院時(shí)間，降低復(fù)發(fā)率。其機(jī)理可能與理氣活血藥物能夠改善微循環(huán)及供氧，抗炎，緩解氣道阻塞，防止氣體陷閉，促進(jìn)受損部位增生、修復(fù)，保護(hù)血管內(nèi)皮細(xì)胞，調(diào)節(jié)免疫力等作用有關(guān)。關(guān)鍵詞自發(fā)性氣胸；氣滯血瘀；理氣活血；臨床觀察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,
