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1、中西结合治疗尘肺119例的临床研究脾两虚证、痰瘀互结，心肾两虚证两证，这与祖国医学的内毒脏腑功能失调、毒邪内生、损伤正气的特点相符，因此该辨证分型适合于临床的施法方药；同时以目前采用西医药物治疗为基础配合刘东汉教授尘肺1、2号方中西医结合治疗尘肺可明显减轻患者的临床症状，改善肺通气功能，提高患者的运动耐量，改善患者生活质量。关键词：尘肺病；中西医结合；肺功能；临床研究II万方数据中西结合治疗尘肺119例的临床研究AbstractObjective:ThroughtheCombinationofChinesetraditionsandwesternmedicinetreatthe
2、pneumoconiosiscases.observedtheimprovedofX-ray、pulmonaryfunction、signsandClinicalsymptomsinpatients,exploretheCombinationofChinesetraditionsandwesternmedicinesuperiortoWesternmedicinetreatthepneumoconiosis.ResearchMethods:Select119Casespneumoconiosismalepatientswererandomlydividedintotwogrou
3、ps,58casestreatedand61patientsinthecontrolgroup.Itdividedintophlegmobstructinglung,lungandspleendeficiencyofboth(29cases),phlegm,deficiencyofbothheartandkidney(32cases)II.Used1,2TCMdecoctiontreatcontrolgrouppatients.Observeitseffectontheclinicalsymptoms,signs,X-rayandpulmonaryfunction.Result
4、s:1.9casesofsignificantimprovementinthecontrolgroup,30casesimproved,8casesincreased.Thetotalpatientgroupaftertreatmentwas73.8percenteffective,significantlyhigher(P<0.05).Aftertreatment,thetotalefficiencyofthechestwere:73.8%,60.3%inthecontrolgroup,χ2=8.951,P<0.05;phlegm,heartandkidneydeficien
5、cyofbothtypesχ2=13.991,P<0.05;phlegmlung,lungandspleendeficiencyofbothtypesχ2=9.561,P<0.05.2.Groups1and2treatmentgroupshadimprovedtosomeextent,buttherewasnostatisticalsignificancebetweenthetreatmentgroupandthecontrolgroupandthe1standthe2ndpartypartygroupgroup(P>0.05).3.Lungfunctionandbloodst
6、asistypeofpneumoconiosispatientsFVCincreasedaftertreatment(P<0.05)phlegmtypeoflungfunctioninpatientswithpneumoconiosisFVC,FEV1,PEFaftertreatmentincreased(P<0.05),typeoflungfunctionafterlungqipneumoconiosisFEV1,PEF,FEFtreatmentincreased(P<0.05).4.6-minutewalktestaftertreatmentchanges,the2ndpa
7、rtygrouphadsignificantlyimproved(P<0.01),the2ndpartygroupthan1stpartygroupshadsignificantlyimproved(P<0.05)comparedtothe1stpartygroups.5.Changesaftertreatment,symptomsandsigns,asshowninTable1,the38casessignificantlyimprovedthecontrolgroup,18casesim
