本文選題：痰熱清　切入點：老年肺炎　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:觀察痰熱清注射液治療老年肺炎合并2型糖尿病的臨床療效。對象與方法:選擇2013年1月-2015年5月于山東大學(xué)附屬千佛山醫(yī)院住院治療的痰熱壅肺證老年肺炎合并2型糖尿病患者70例,將兩組病人隨機(jī)分為觀察組與對照組,每組35例,對照組應(yīng)用抗生素、祛痰、平喘等常規(guī)藥物進(jìn)行治療,觀察組在其基礎(chǔ)上加用痰熱清注射液20ml,1天1次,應(yīng)用10天。兩組患者降糖藥物保持不變,觀察兩組患者在治療前后發(fā)熱、咳嗽咳痰、憋喘、肺部體征、胸部X線和炎癥指標(biāo)、臨床證候積分變化及空腹血糖水平,并注意監(jiān)測兩組患者在治療過程中不良反應(yīng)的發(fā)生情況。結(jié)果:觀察組治療后的總有效率為97.1%,對照組總有效率為82.9%,兩組患者臨床療效經(jīng)統(tǒng)計學(xué)分析有顯著差異;兩組患者的臨床證候總積分、臨床癥狀恢復(fù)時間、血白細(xì)胞計數(shù)等經(jīng)統(tǒng)計學(xué)分析,均提示觀察組優(yōu)于常規(guī)治療組;對照組治療前后患者的空腹血糖水平經(jīng)統(tǒng)計學(xué)分析P0.05,而觀察組P0.05,提示觀察組患者血糖水平控制更佳;比較兩組患者不良反應(yīng)情況,兩組患者均無明顯不良反應(yīng)發(fā)生。結(jié)論:痰熱清注射液治療痰熱壅肺證老年肺炎合并2型糖尿病患者,不僅能夠能夠有效控制患者的肺部炎癥,提高治療有效率,而且能夠有效控制患者的血糖水平,不良反應(yīng)少,為老年肺炎合并2型糖尿病患者提供了更佳的治療方案。
[Abstract]:Objective: to observe the clinical effect of Tanreqing injection on senile pneumonia with type 2 diabetes.Participants and methods: from January 2013 to May 2015, 70 cases of senile pneumonia complicated with type 2 diabetes mellitus were selected from Qianfoshan Hospital affiliated to Shandong University. The two groups were randomly divided into two groups: observation group and control group, 35 cases in each group.The control group was treated with antibiotics, expectorant and antiasthmatic drugs, and the observation group was treated with 20 ml of Tanreqing injection once a day for 10 days.The hypoglycemic drugs remained unchanged in both groups. The changes of fever, cough and expectoration, asthma, lung signs, chest X-ray and inflammation, clinical syndrome score and fasting blood glucose level were observed before and after treatment.Attention was paid to monitoring the occurrence of adverse reactions in the course of treatment.Results: the total effective rate after treatment was 97.1 in the observation group and 82.9 in the control group.The blood white blood count and so on indicated that the observation group was superior to the conventional treatment group, the control group had better control of the blood glucose level before and after the treatment (P0.05), while the observation group (P0.05).There were no significant adverse reactions in both groups.Conclusion: Tanreqing injection can not only effectively control the pulmonary inflammation and improve the effective rate of treatment, but also can effectively control the blood glucose level of the elderly patients with type 2 diabetes mellitus.Fewer adverse reactions provide a better treatment for elderly patients with pneumonia and type 2 diabetes.
【學(xué)位授予單位】：山東中醫(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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