目的探讨痰热清注射液配合常规疗法治疗慢性阻塞性肺疾病(COPD)急性发作的疗效及其作用机制。方法将COPD急性发作期患者随机分为两组,均予西医常规治疗,联用组加用痰热清注射液,观察两组临床疗效并检测患者血清IL-13、LTB-4的含量和肺功能变化。结果联用组显效率明显高于常规组,对血清IL-13、LTB-4及肺功能的改善情况亦优于常规组。结论在常规疗法的基础上联用痰热清注射液治疗COPD急性发作能明显提高临床疗效,这可能与痰热清注射液能明显降低患者IL-13和LTB-4的分泌,减轻由其活化所致的炎症反应,改善肺功能有关。
Objective:To investigate the effect and the mechanism of the Tanreqing Injection plus routine therapy on acute episode period of COPD.Methods:Acute episode patients with COPD were randomly divided into two groups with routine therapies.The combination group was added the Tanreqing Injection.The IL-13,the LTB-4 and the lung function were detected.The clinical effect was observed.Results:Obvious effects in the combination group were higher than those in the routine group.Meanwhile,in the combination group,the IL-13,the LTB-4 and the lung function improvement were better than those in the routine group.Conclusion:The effect of COPD patients with acute episode can be increased by the routine therapy plus Tanreqing Injection.It may be related to reduction of IL-13 and LTB-4 by Tanreqing Injection which decreases the inflammation reaction and improves the lung function.