本文關(guān)鍵詞： 社區(qū)獲得性肺炎 降氣化痰湯 痰濕蘊(yùn)肺證 療效觀察　出處：《廣州中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：觀察降氣化痰湯聯(lián)合西醫(yī)治療社區(qū)獲得性肺炎(咳嗽痰濕蘊(yùn)肺證)與單純西醫(yī)治療相比較,對癥狀體征、白細(xì)胞計(jì)數(shù)、C反應(yīng)蛋白、降鈣素原、胸片的影響,并全面對兩種治療效果進(jìn)行對比分析,從而探討降氣化痰湯在治療該病的臨床價(jià)值及意義。方法：選取符合納入標(biāo)準(zhǔn)的60例社區(qū)獲得性肺炎(痰濕蘊(yùn)肺證)患者,采取隨機(jī)、對照、平行的臨床研究方法,隨機(jī)分成對照組和治療組,每組各30例,治療組在西藥治療基礎(chǔ)上聯(lián)合降氣化痰湯治療,對照組單純以西醫(yī)治療,療程為7天。觀察兩組患者治療前后在癥狀、體征、白細(xì)胞計(jì)數(shù)、C反應(yīng)蛋白、降鈣素原、胸片等的變化。運(yùn)用SPASS17.0統(tǒng)計(jì)分析軟件對兩組治療前后的各項(xiàng)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,從而全面地對兩種治療方案的療效進(jìn)行分析對比。以客觀評價(jià)降氣化痰湯治療社區(qū)獲得性肺炎(咳嗽痰濕蘊(yùn)肺證)的臨床療效。結(jié)果：1.比較兩組的總療效,提示治療組療效優(yōu)于對照組(P0.05)。2.兩組在單項(xiàng)癥狀及體征的比較,P均大于0.05,結(jié)果顯示治療前的兩組患者在癥狀與體征方面無統(tǒng)計(jì)學(xué)差異,兩組患者能進(jìn)行比較；治療前后兩組自身比較,P均小于0.05,具有統(tǒng)計(jì)學(xué)差異,表明兩組治療后咳嗽、咳痰、喘息氣促、濕羅音方面較治療前均有明顯改善；組間療效比較,喘息氣促、濕羅音兩組患者進(jìn)行組間比較,P0.05,無統(tǒng)計(jì)學(xué)差異,提示在改善喘息氣促、濕羅音方面療效相當(dāng);咳嗽、咳痰比較,P0.05,有統(tǒng)計(jì)學(xué)差異,提示治療組與對照組相比,治療組能更明顯改善咳嗽、咳痰癥狀。3.兩組在體溫恢復(fù)時(shí)間上的比較,P0.05,有統(tǒng)計(jì)學(xué)差異,提示治療組能更快恢復(fù)患者體溫。4.兩組經(jīng)治療后WBC、CRP及PCT降低較明顯,與治療前比較,經(jīng)t檢驗(yàn),P0.05,差異具有顯著性；治療后兩組WBC、CRP及PCT的比較經(jīng)t檢驗(yàn),P0.05,差異有顯著性意義。提示治療組更明顯改善WBC、CRP及PCT。5.兩組經(jīng)治療后胸片結(jié)果顯示肺部滲出影與治療前相比均有所消散,P0.05差異有顯著性；治療后胸片進(jìn)行組間比較,P0.05,差異有顯著性意義。提示治療組更好的促進(jìn)肺部炎癥滲出的吸收。結(jié)論：通過對各項(xiàng)數(shù)據(jù)結(jié)果的統(tǒng)計(jì)學(xué)分析,表明治療組的治療措施對于社區(qū)獲得性肺炎(痰濕蘊(yùn)肺證)患者可提高療效,縮短發(fā)熱時(shí)間,改善咳嗽咳痰癥狀,有效控制感染、促進(jìn)肺部炎癥吸收,有效清除病菌,臨床效果較單純現(xiàn)代醫(yī)學(xué)治療方案更優(yōu)。
[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.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259

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本文編號：1514264