黄龙汤治疗老年重症肺炎并发中毒性肠麻痹的临床观察

发布时间：2018-04-14 11:21

  本文选题：黄龙汤 + 肺炎　； 参考：《河北中医》2017年01期

【摘要】：目的观察黄龙汤治疗老年重症肺炎并发中毒性肠麻痹的疗效。方法将40例老年重症肺炎并发中毒性肠麻痹患者随机分为2组,治疗组20例在常规治疗基础上加用黄龙汤,对照组20例予常规治疗。观察治疗前及治疗72 h后肺炎严重度指数(PSI)评分、急性生理与慢性健康评分(APACHEⅡ)、肠鸣音、白细胞计数(WBC)、超敏C反应蛋白(hs-CRP)、红细胞沉降率(ESR),并判定疗效。结果治疗组有效率90%,对照组70%,2组比较差异有统计学意义(P0.05)。2组治疗后PSI、APACHEⅡ评分均明显降低(P0.05);治疗组治疗后PSI、APACHEⅡ评分低于对照组,但二者比较差异无统计学意义(P0.05)。2组治疗后hs-CRP及ESR较治疗前均降低(P0.05);治疗组治疗后hs-CRP及ESR均低于对照组(P0.05)。治疗组治疗后WBC较治疗前降低(P0.05),对照组治疗前后WBC比较差异无统计学意义(P0.05)。结论黄龙汤是治疗老年重症肺炎并发中毒性肠麻痹的一种有效方法,可有效改善炎症。
[Abstract]:Objective to observe the efficacy of Huanglong decoction in treating senile severe pneumonia complicated with toxic intestinal paralysis.Methods 40 elderly patients with severe pneumonia complicated with toxic intestinal paralysis were randomly divided into two groups: the treatment group (n = 20) was treated with Huanglong decoction on the basis of routine treatment, and the control group (n = 20) was treated with routine therapy.The severity index (PSI) score, acute physiological and chronic health score (APACHE 鈪，

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