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目的：观察清热化痰活血法联合西药治疗的慢性阻塞性肺病急性加重期临床疗效。方法将52例痰热蕴肺夹瘀型慢性阻塞性肺病急性加重期患者随机分为两组。对照组26例予西医常规治疗，观察组26例在对照组治疗基础上加用苇茎汤。结果观察组显效率及总有效率均明显高于对照组；观察组白细胞总数降低优于对照组，观察组中性粒细胞和单核细胞治疗后比治疗前显著降低；治疗后观察组氧分压、二氧化碳分压、血氧饱和度组间改善均优于对照组，治疗后两组患者的FEV1%、MMEF水平均高于治疗前，而治疗后观察组FEV1%水平明显高于对照组，观察组治疗后血黏度、纤维蛋白原、红细胞压积较治疗前明显下降，对照组变化不明显。结论在西药治疗的基础上加用中药提高了慢性阻塞性肺病急性加重期(痰热蕴肺夹瘀型)的临床疗效。“,”Objective To explore the clinical curative effects of phlegm activating blood combined with western in the treatment of chronic obstructive pulmonary disease with acute exacerbation.Methods 52 patients with chronic obstructive pulmonary disease with acute exacerbation belong to Yun-lung phlegm stasis type were randomly divided into two groups,26 cases were conventional treatment group (conventional group),26 cases were plusd Weijing soup (observation group),both were implemented conventional treatment.Results Observation group was efficient and the total effective rate was significantly higher than those in the conventional group,WBC numbers of observation group were lower than the control group after treatment,the difference was significant.The neutrophils and monocytes of observation group after treatment were sharply decreased than before.The partial pressure of oxygen,carbon dioxide partial pressure and oxygen saturation of observation group were all improved than the control group after treatment,the difference was statistically significant.After treatment,the FEV1%and MMEF of patients in two groups were higher than those before treatment,but the FEV1%level in observation group after treatment were significantly higher than the control group.After treatment the blood viscosity,fibrinogen and hematocrit in observation group were decreased compared with before,while the control group did not change evidently.Conclusion On the basis of conventional western medicine treatment,traditional chinese medicine are added to cure chronic obstructive pulmonary disease with acute exacerbation (Yun-lung phlegm stasis type)can conspicuously Increase clinical efficacy.