麻杏石甘汤合苇茎汤治疗老年痰热郁肺型吸入性肺炎临床观察

发布时间：2017-12-27 12:21

本文关键词：麻杏石甘汤合苇茎汤治疗老年痰热郁肺型吸入性肺炎临床观察　出处：《中国实验方剂学杂志》2017年20期 　论文类型：期刊论文

【摘要】：目的:探讨麻杏石甘汤合苇茎汤治疗老年痰热郁肺型吸入性肺炎患者的临床疗效。方法:将120例老年吸入性肺炎患者随机分为研究组、对照组,各60例。两组均予以头孢哌酮钠舒巴坦钠,3 g/次,静脉滴注,2次/d,对照组加用肺力咳合剂,口服15 m L/次,3次/d,研究组加用麻杏石甘汤合苇茎汤内服,1剂/d,疗程为14 d。比较两组治疗前后临床疗效、中医证候积分,外周血炎症指标白细胞,C反应蛋白,降钙素原水平,主要症状、体征复常时间和平均住院时间等。结果:研究组总有效率为95.0%,对照组总有效率为81.7%,研究组优于对照组(P0.05)。研究组治疗后临床疗效、中医证候积分优于对照组(P0.05)。研究组体温恢复正常时间,咳嗽、气促消失时间,双肺Up音消失时间,平均住院天数均优于对照组(P0.05,P0.01)。治疗后研究组白细胞,C反应蛋白,降钙素原,肿瘤坏死因子-α,白细胞介素-6水平低于对照组(P0.05,P0.01)。结论:麻杏石甘汤合苇茎汤治疗老年吸入性肺炎疗效肯定,能减轻患者临床症状、体征,缩短病程。
[Abstract]:Objective: To investigate the effect of Maxingshigan Decoction Hewei stem Decoction in treatment of elderly patients with phlegm heat obstructing lung type inhalation pneumonia patients. Methods: 120 cases of elderly patients with inhalation pneumonia were randomly divided into study group and control group, with 60 cases in each group. Two groups were treated with cefoperazone sodium and sulbactam sodium, 3 g/, intravenous drip, 2 times /d, the control group was treated with Feilike mixture, oral administration of 15 m L/, 3 /d, the research group with mxsgd Hewei stem decoction, 1 doses of /d treatment for 14 d. The clinical efficacy, TCM syndrome score, peripheral inflammatory index, leucocyte, C reactive protein, procalcitonin level, the main symptoms, signs recovery time and average hospitalization time between the two groups before and after treatment were compared. Results: the total effective rate of the study group was 95%, the total effective rate of the control group was 81.7%, and the study group was better than the control group (P0.05). The clinical curative effect and TCM syndrome score of the study group were better than those of the control group (P0.05). The study group body temperature returned to normal time, the disappearance time of cough and shortness of breath, lung Up disappeared time, the average hospitalization days were better than the control group (P0.05, P0.01). After treatment, the levels of leukocyte, C reactive protein, calcitonin, tumor necrosis factor - alpha and interleukin -6 were lower than that of the control group (P0.05, P0.01). Conclusion: mxsgd Hewei stem Decoction in the treatment of elderly patients with aspiration pneumonia must have curative effect, can alleviate the clinical symptoms and signs of patients, shorten the course of disease.
【作者单位】：天津中医药大学第一附属医院;
【基金】：国家自然科学基金项目(81674056)
【分类号】：R259
【正文快照】： 吸入性肺炎(aspiration pneumonia,AP)是一种特殊类型的肺部炎症,吸入包括口咽分泌物、食物、胃内容物或其他液体、固体物质所致的化学性或细菌性炎症[1]。是临床的常见病、多发病。研究表明,63.7%的内科医师曾治疗过吸入性肺炎[2]。AP可发生于任何年龄,但以老年人发病率最高

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