降气化痰汤治疗社区获得性肺炎（痰湿蕴肺证）疗效观察

发布时间：2018-02-16 00:44

本文关键词： 社区获得性肺炎降气化痰汤痰湿蕴肺证疗效观察　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察降气化痰汤联合西医治疗社区获得性肺炎(咳嗽痰湿蕴肺证)与单纯西医治疗相比较,对症状体征、白细胞计数、C反应蛋白、降钙素原、胸片的影响,并全面对两种治疗效果进行对比分析,从而探讨降气化痰汤在治疗该病的临床价值及意义。方法：选取符合纳入标准的60例社区获得性肺炎(痰湿蕴肺证)患者,采取随机、对照、平行的临床研究方法,随机分成对照组和治疗组,每组各30例,治疗组在西药治疗基础上联合降气化痰汤治疗,对照组单纯以西医治疗,疗程为7天。观察两组患者治疗前后在症状、体征、白细胞计数、C反应蛋白、降钙素原、胸片等的变化。运用SPASS17.0统计分析软件对两组治疗前后的各项数据进行统计分析,从而全面地对两种治疗方案的疗效进行分析对比。以客观评价降气化痰汤治疗社区获得性肺炎(咳嗽痰湿蕴肺证)的临床疗效。结果：1.比较两组的总疗效,提示治疗组疗效优于对照组(P0.05)。2.两组在单项症状及体征的比较,P均大于0.05,结果显示治疗前的两组患者在症状与体征方面无统计学差异,两组患者能进行比较；治疗前后两组自身比较,P均小于0.05,具有统计学差异,表明两组治疗后咳嗽、咳痰、喘息气促、湿罗音方面较治疗前均有明显改善；组间疗效比较,喘息气促、湿罗音两组患者进行组间比较,P0.05,无统计学差异,提示在改善喘息气促、湿罗音方面疗效相当;咳嗽、咳痰比较,P0.05,有统计学差异,提示治疗组与对照组相比,治疗组能更明显改善咳嗽、咳痰症状。3.两组在体温恢复时间上的比较,P0.05,有统计学差异,提示治疗组能更快恢复患者体温。4.两组经治疗后WBC、CRP及PCT降低较明显,与治疗前比较,经t检验,P0.05,差异具有显著性；治疗后两组WBC、CRP及PCT的比较经t检验,P0.05,差异有显著性意义。提示治疗组更明显改善WBC、CRP及PCT。5.两组经治疗后胸片结果显示肺部渗出影与治疗前相比均有所消散,P0.05差异有显著性；治疗后胸片进行组间比较,P0.05,差异有显著性意义。提示治疗组更好的促进肺部炎症渗出的吸收。结论：通过对各项数据结果的统计学分析,表明治疗组的治疗措施对于社区获得性肺炎(痰湿蕴肺证)患者可提高疗效,缩短发热时间,改善咳嗽咳痰症状,有效控制感染、促进肺部炎症吸收,有效清除病菌,临床效果较单纯现代医学治疗方案更优。
[Abstract]:Objective: to observe the effect of jiangqi Huatan decoction combined with western medicine on symptoms and signs, leukocyte count, C-reactive protein, procalcitonin and chest radiographs in the treatment of community-acquired pneumonia (cough, phlegm-dampness and lung syndrome). The clinical value and significance of Jiangqi Huatan decoction in treating the disease were discussed. Methods: 60 patients with community-acquired pneumonia (syndrome of phlegm-dampness and lung accumulation) were selected and randomly selected. Control group, parallel clinical research methods, were randomly divided into control group and treatment group with 30 cases in each group. The treatment group was treated with Jiangqi Huatan decoction on the basis of western medicine, while the control group was treated with western medicine alone. The course of treatment was 7 days. The changes of symptoms, signs, leukocyte count and C-reactive protein, procalcitonin, chest radiographs were observed before and after treatment. The data before and after treatment were statistically analyzed by SPASS17.0 software. Therefore, the curative effects of the two treatment schemes were analyzed and compared comprehensively. The clinical efficacy of Jiangqi Huatan decoction in the treatment of community-acquired pneumonia (cough phlegm-dampness and lung syndrome) was objectively evaluated. Results: 1.The total curative effect of the two groups was compared. The results indicated that the curative effect of the treatment group was better than that of the control group (P < 0.05). The results showed that there was no statistical difference in the symptoms and signs between the two groups before treatment, and the two groups could be compared. The comparison between the two groups before and after treatment was less than 0.05, which showed that after treatment, cough, expectoration, wheezing and moist rales were significantly improved in the two groups, the curative effect was better than that before treatment, and the wheezing breath was shortness of breath between the two groups. There was no statistical difference between the two groups, indicating that there was no statistical difference between the two groups, indicating that there was a significant difference between the treatment group and the control group in terms of improving wheezing and moist rale, cough, expectoration and phlegm (P 0.05), indicating that the treatment group had the same effect as the control group. In the treatment group, the cough and expectoration symptoms were significantly improved (P 0.05), indicating that the treatment group was able to recover the body temperature faster. 4. After treatment, WBC C C C P and PCT decreased significantly in the two groups, compared with those before treatment, and there was no significant difference between the two groups in the recovery time of body temperature (P 0.05), which indicated that the patients in the treatment group could recover their body temperature more quickly than before treatment. The difference was significant by t test (P 0.05). There was a significant difference between the two groups after treatment by t test (P 0.05). It suggested that the treatment group improved WBCU CRP and PCT.5.The chest radiographs of the two groups showed that the pulmonary effusion was dissipated compared with that before treatment (P0.05). After treatment, the chest radiographs were compared with each other (P 0.05), the difference was significant. The results suggested that the treatment group could promote the absorption of pulmonary inflammatory exudation better. Conclusion: through the statistical analysis of the results of various data, The results showed that the treatment measures in the treatment group could improve the curative effect, shorten the time of fever, improve the cough and expectoration symptom, effectively control the infection, promote the absorption of pulmonary inflammation, and effectively clear the bacteria in the patients with community-acquired pneumonia. The clinical effect is better than that of modern medical therapy alone.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

【相似文献】