Clinical Observation on 24 Cases of Chronic Obstructive Pulmonary Disease of Stationary Phase Combined with Stable Angina Pectoris with Qi Deficiency-blood Stasis-phlegm Blockade Syndrome: Simultaneous Intervention for Heart and Lung
LIU Yujin, JIA Zhenhua, WANG Junhua, et al. Clinical Observation on 24 Cases of Chronic Obstructive Pulmonary Disease of Stationary Phase Combined with Stable Angina Pectoris with Qi Deficiency-blood Stasis-phlegm Blockade Syndrome: Simultaneous Intervention for Heart and Lung[J]. Journal of Traditional Chinese Medicine2017, 58(17): 1482-1486.
LIU Yujin, JIA Zhenhua, WANG Junhua, et al. Clinical Observation on 24 Cases of Chronic Obstructive Pulmonary Disease of Stationary Phase Combined with Stable Angina Pectoris with Qi Deficiency-blood Stasis-phlegm Blockade Syndrome: Simultaneous Intervention for Heart and Lung[J]. Journal of Traditional Chinese Medicine2017, 58(17): 1482-1486.DOI: 10.13288/j.11-2166/r.2017.17.012.
Objective To examine the clinical effect of simultaneous intervention for heart and lung on chronic obstructive pulmonary disease( COPD) of stationary phase combined with stable angina pectoris with Qi deficiencyblood stasis-phlegm blockade syndrome. Methods Ninety-six COPD stationary phase combined with stable angina pectoris patients with Qi deficiency-blood stasis-phlegm blockade syndrome were randomized into control group
Juhong [Exocarpium Citri Rubrum]tablet group
the Tongxinluo( 通心络) group and the Ju&Tong group
24 cases in each group. The control group was given western medicine routine therapy. In addition to the treatment of the control group
Juhong tablet 3. 6 g was given to the Juhong tablet group orally
twice each day; Tongxinluo capsule 1. 04 g was given to the Tongxinluo group orally
three times each day; Juhong tablet and Tongxinluo capsule were given to the Ju&Tong group. Each group was treated for 8 weeks. The following intems were compared before and after treatment including the scores of cough
cough up phlegm
dyspnea and St. George’ s Respiratory Questionnaire( SGRQ)
anginal attacks
durante dolors
nitroglycerin consumption
pulmonary function [including forced expiratory volume in one second( FEV1) and forced vital capacity( FVC) ]
as well as the levels of serum C reactive protein( CRP)
interleukin 1β( IL-1β) and interleukin 10( IL-10). Results After treatment
the scores of cough
cough up phlegm
dyspnea and SGRQ decreased in the Juhong tablet group
the Tongxinluo group and the Ju&Tong group. FEV1 and FVC increased. Anginal attacks
durante dolors
nitroglycerin consumption
as well as the levels of serum CRP
IL-1βand IL-10 decreased. Moreover
the effect of certain indexes in the Ju&Tong group was superior to those in the Juhong tablet group and the Tongxinluo group( P < 0. 05 or P < 0. 01). Conclusion Simultaneous intervention for heart and lung might improve clinical symptoms and pulmonary function of COPD stationary phase combined with stable angina pectoris with Qi deficiency-blood stasis-phlegm blockade syndrome patients. Inhibiting chronic persistent inflammation might be one of the important mechanisms.