本文選題：放射性肺炎 + 肺部感染�。� 參考：《中華醫(yī)院感染學(xué)雜志》2014年09期

【摘要】：目的分析中西藥結(jié)合聯(lián)合對(duì)癥護(hù)理治療放射性肺炎合并肺部感染的療效。方法采用隨機(jī)數(shù)字表法將2010年3月-2013年2月80例放射性肺炎合并肺部感染患者分為兩組,對(duì)照組38例,予以常規(guī)抗感染、激素、補(bǔ)液支持治療,同時(shí)予以呼吸科常規(guī)護(hù)理;試驗(yàn)組42例,在常規(guī)西醫(yī)治療和常規(guī)護(hù)理的基礎(chǔ)上,加以清肺化痰祛瘀法治療和放射性肺炎對(duì)癥護(hù)理,對(duì)比3周后兩組患者的身體功能狀態(tài)(KPS)評(píng)分和肺部CT肺實(shí)變病灶大小,同時(shí)對(duì)其臨床癥狀進(jìn)行評(píng)價(jià)。結(jié)果兩組治療后的KPS評(píng)分明顯高于治療前,肺部CT肺實(shí)變病灶明顯小于治療前(P0.05);治療后試驗(yàn)組的KPS評(píng)分明顯高于對(duì)照組,肺部CT肺實(shí)變病灶明顯小于對(duì)照組,試驗(yàn)組治療后緩解38例占90.48%,未緩解4例占9.52%,對(duì)照組治療后緩解24例占63.16%,未緩解14例占36.84%,試驗(yàn)組臨床療效明顯優(yōu)于對(duì)照組(P0.05)。結(jié)論中西藥結(jié)合聯(lián)合對(duì)癥護(hù)理治療對(duì)放射性肺炎合并肺部感染有明顯的療效,值得臨床進(jìn)一步探討與推廣。
[Abstract]:Objective to analyze the curative effect of TCM combined with western medicine combined with symptomatic nursing in the treatment of radiation pneumonia complicated with pulmonary infection. Methods from March 2010 to February 2013, 80 patients with radiation pneumonia complicated with pulmonary infection were randomly divided into two groups: control group (n = 38), routine anti-infection therapy, hormone and fluid resuscitation support therapy, and routine nursing care in respiratory department. On the basis of routine western medicine treatment and routine nursing, 42 patients in the experimental group were treated with clearing the lung and removing phlegm and removing blood stasis and with the symptomatic nursing of radiation pneumonia. The KPS score of the two groups and the size of the pulmonary CT pulmonary consolidation lesion were compared after 3 weeks. At the same time, the clinical symptoms were evaluated. Results the KPS score of the two groups after treatment was significantly higher than that before treatment, the pulmonary CT pulmonary consolidation lesion was significantly smaller than that before treatment (P0.05), the KPS score of the experimental group after treatment was significantly higher than that of the control group, and the pulmonary CT pulmonary consolidation lesion was significantly smaller than that of the control group. There were 38 cases of remission after treatment in the trial group (90.48%), 4 cases of non-remission (9.52%), 24 cases of relief (63.16 cases) and 14 cases (36.84%) of the control group after treatment. The clinical effect of the trial group was significantly better than that of the control group (P0.05). Conclusion the combination of traditional Chinese medicine and western medicine combined with symptomatic nursing therapy has obvious curative effect on radiation pneumonia complicated with pulmonary infection, which is worthy of further clinical discussion and popularization.
【作者單位】： 杭州市腫瘤醫(yī)院中西醫(yī)科;
【基金】：V錛易勻豢蒲Щ鹱手钅，

本文編號(hào)：2099564