本文關(guān)鍵詞：麻杏石甘湯合葦莖湯治療老年痰熱郁肺型吸入性肺炎臨床觀察　出處：《中國實驗方劑學(xué)雜志》2017年20期 　論文類型：期刊論文

  更多相關(guān)文章： 吸入性肺炎 痰熱郁肺證 麻杏石甘湯 葦莖湯 臨床療效

【摘要】：目的:探討麻杏石甘湯合葦莖湯治療老年痰熱郁肺型吸入性肺炎患者的臨床療效。方法:將120例老年吸入性肺炎患者隨機分為研究組、對照組,各60例。兩組均予以頭孢哌酮鈉舒巴坦鈉,3 g/次,靜脈滴注,2次/d,對照組加用肺力咳合劑,口服15 m L/次,3次/d,研究組加用麻杏石甘湯合葦莖湯內(nèi)服,1劑/d,療程為14 d。比較兩組治療前后臨床療效、中醫(yī)證候積分,外周血炎癥指標(biāo)白細(xì)胞,C反應(yīng)蛋白,降鈣素原水平,主要癥狀、體征復(fù)常時間和平均住院時間等。結(jié)果:研究組總有效率為95.0%,對照組總有效率為81.7%,研究組優(yōu)于對照組(P0.05)。研究組治療后臨床療效、中醫(yī)證候積分優(yōu)于對照組(P0.05)。研究組體溫恢復(fù)正常時間,咳嗽、氣促消失時間,雙肺Up音消失時間,平均住院天數(shù)均優(yōu)于對照組(P0.05,P0.01)。治療后研究組白細(xì)胞,C反應(yīng)蛋白,降鈣素原,腫瘤壞死因子-α,白細(xì)胞介素-6水平低于對照組(P0.05,P0.01)。結(jié)論:麻杏石甘湯合葦莖湯治療老年吸入性肺炎療效肯定,能減輕患者臨床癥狀、體征,縮短病程。
[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.
【作者單位】： 天津中醫(yī)藥大學(xué)第一附屬醫(yī)院;
【基金】：國家自然科學(xué)基金項目(81674056)
【分類號】：R259
【正文快照】： 吸入性肺炎(aspiration pneumonia,AP)是一種特殊類型的肺部炎癥,吸入包括口咽分泌物、食物、胃內(nèi)容物或其他液體、固體物質(zhì)所致的化學(xué)性或細(xì)菌性炎癥[1]。是臨床的常見病、多發(fā)病。研究表明,63.7%的內(nèi)科醫(yī)師曾治療過吸入性肺炎[2]。AP可發(fā)生于任何年齡,但以老年人發(fā)病率最高

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