本文關(guān)鍵詞：六黃清肺湯治療風(fēng)溫肺熱病（熱毒蘊(yùn)肺，氣陰兩傷）的臨床觀察　出處：《長春中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:本課題研究內(nèi)容屬中醫(yī)內(nèi)科學(xué)呼吸系統(tǒng)領(lǐng)域,研究性質(zhì)為臨床療效觀察,目的是從臟腑相關(guān)、臟腑相干出發(fā),探討風(fēng)溫肺熱病熱毒為患,耗傷氣陰,通過應(yīng)用六黃清肺湯治療風(fēng)溫肺熱病(熱毒蘊(yùn)肺,氣陰兩傷)的臨床療效探索觀察,驗(yàn)證風(fēng)溫肺熱病(熱毒蘊(yùn)肺,氣陰兩傷)的中醫(yī)中藥系統(tǒng)治療,探討風(fēng)溫肺熱病在發(fā)病機(jī)制及治療方面的新途徑。方法:從2014年12月-2014年12月長春中醫(yī)藥大學(xué)附屬醫(yī)院肺病科門診及住院患者,取符合風(fēng)溫肺熱病(熱毒蘊(yùn)肺,氣陰兩傷證)的患者共72例,隨機(jī)分成2組。其中治療組36例,予鹽酸左氧氟沙星注射液靜點(diǎn)及口服六黃清肺湯中藥治療,對照組36例,予鹽酸左氧氟沙星注射液靜點(diǎn)治療。觀察治療組和對照組患者治療前后退熱時(shí)間,治愈時(shí)間,臨床療效對比。結(jié)果:治療組共36例,其中治愈21例,顯效10例,有效3例,無效2例,總有效率為94.44%;對照組共30例,其中治愈16例,顯效5例,有效5例,無效4例,總有效率為86.67%,對照組脫落6例,治療組總有效率高于對照組。經(jīng)統(tǒng)計(jì)學(xué)檢驗(yàn)處理分析后,兩組資料對比治療組療效優(yōu)于對照組(P0.05)。結(jié)論:風(fēng)溫肺熱病西醫(yī)參考對照社區(qū)獲得性肺炎(CAP),社區(qū)獲得性肺炎是臨床常見病,且發(fā)病率高,結(jié)合目前我國抗菌藥物應(yīng)用現(xiàn)狀,多數(shù)患者存在耐藥菌的可能,抗菌藥物應(yīng)用級(jí)別越來越高,最終會(huì)導(dǎo)致高級(jí)耐藥致病菌的產(chǎn)生,導(dǎo)師王檀教授總結(jié)多年臨床經(jīng)驗(yàn)得出風(fēng)溫肺熱病是以熱毒貫穿始終的,部分患者的發(fā)病機(jī)制,存在熱毒蘊(yùn)肺,氣陰兩傷,本臨床觀察有利于進(jìn)一步完善風(fēng)溫肺熱病的中醫(yī)理論體系,以更好的指導(dǎo)臨床實(shí)踐,提高對該病的診斷及治療,使患者最短時(shí)間恢復(fù)健康,回歸社會(huì),而且中藥治療安全可靠。
[Abstract]:Objective: the research content belongs to the Chinese medicine respiratory system, the nature of the clinical curative effect observation, the purpose is from the relevant organs, organs based on coherent, explore the wind warm lung heat toxin is suffering from fever, haoshangqiyin, through the application of six yellow Qingfei Decoction in the treatment of fever (wind warm lung heat in the lung, Qi and Yin two injuries the observation of clinical curative effect), validation of wind warm lung heat disease (heat toxin in the lung, Qi and Yin two injuries) Chinese medicine treatment system, explore the new way of wind warm lung heat disease in pathogenesis and treatment. Methods: patients from December 2014 -2014 pulmonary disease department of the Affiliated Hospital of Changchun University of Traditional Chinese Medicine in December of outpatient and inpatient, with air temperature lung fever (heat in the lung, Qi and Yin two injury syndrome) a total of 72 patients were randomly divided into 2 groups. The treatment group of 36 cases, intravenous and oral administration to Levofloxacine Hydrochloride Injection six yellow Qingfei Decoction of Chinese medicine treatment, the control group of 36 cases, treated with levofloxacin hydrochloride Pefloxacin injection intravenous therapy. Observation of treatment group and control group before and after treatment in patients with fever time, healing time, the clinical efficacy was compared. Results: the treatment group 36 cases, 21 cases were cured, 10 cases markedly effective, 3 cases effective, 2 cases ineffective, the total effective rate was 94.44%; the control group of 30 cases, including 16 cases were cured, 5 cases markedly effective, 5 cases effective, 4 cases ineffective, the total effective rate was 86.67%, the control group. In 6 cases, the total efficiency of the treatment group than the control group. After treatment by statistics analysis, two groups compared the curative effect in treatment group than (P0.05). Conclusion: the wind warm lung heat western medicine reference of community-acquired pneumonia (CAP), community-acquired pneumonia is a common clinical disease, and the incidence rate is high, combines with the current usage of antibacterial drugs, most patients with drug-resistant bacteria, antibiotics application level more and more high, will eventually lead to high drug resistant pathogens, guide Division Professor Wang Tan that wind warm lung fever is to heat throughout the summary of years of clinical experience, the pathogenesis of some patients, there is heat in the lung, Qi and Yin two injuries, this clinical observation is conducive to further improve the theoretical system of traditional Chinese medicine wind warm lung heat disease, in order to better guide clinical practice, improve diagnosis and treatment of the disease, so that patients in the shortest time to restore health, return to society, and traditional Chinese medicine treatment is safe and reliable.

【學(xué)位授予單位】：長春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R256.1

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