中西医结合治疗痰热壅肺型社区获得性肺炎疗效观察
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R563.1

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Observation of Integrated Chinese and Western Medicine Therapy for Community-Acquired Pneumonia of Phlegm-Heat Obstructing Lung Type
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    摘要:

    目的:观察在常规治疗基础上加用千金苇茎汤合麻杏石甘汤加减联合穴位贴敷治疗痰热壅肺型社区获得性肺炎患者的临床疗效。方法:将60例痰热壅肺型社区获得性肺炎患者随机分为治疗组和对照组各30例,2组均常规使用抗生素,予解痉平喘、化痰等对症支持治疗,治疗组在常规西医治疗的基础上加用千金苇茎汤合麻杏石甘汤加减口服与穴位贴敷治疗。2组疗程均为7天。观察并记录2组治疗前后降钙素原(PCT)、C-反应蛋白(CRP)的变化情况,并评估疗效。结果:治疗后,2组疾病总疗效和证候疗效比较,差异均有统计学意义(P<0.05)。2组PCT、CRP水平均较治疗前下降(P<0.01);治疗组PCT、CRP水平均低于对照组,差异均有统计学意义(P<0.01,P<0.05)。结论:在常规治疗基础上加用千金苇茎汤合麻杏石甘汤加减联合穴位贴敷治疗社区获得性肺炎,较单纯西药可以更好地减轻肺部炎症反应,减少肺部渗出,有效缓解患者的临床症状。

    Abstract:

    Objective:To observe the clinical effect of modified Qianjin Weijing tang and Maxing Shigan tang combined with point application on the basis of routine therapy for community-acquired pneumonia of phlegm-heat obstructing lung type.Methods:Selected 60 patients with community-acquired pneumonia of phlegm-heat obstructing lung type,and divided them into the treatment group and the control group randomly,30 cases in each group.Both groups were given symptomatic supportive treatment of antibiotics,spasmolysis,antiasthmatic as well as resolving phlegm.The treatment group was given modified Qianjin Weijing tang and Maxing Shigan tang combined with point application on the basis of routine therapy.Observed and recorded changes of procalcitoni(PCT)and C-reactive protein(CRP)in both groups before and after treatment.After one week,evaluated the curative effect.Results:After treatment,compared the curative effect and the syndrome effect between the two groups,differences were significant(P<0.05).Levels of PCT and CRP in both groups were declined when compared with those before treatment(P<0.01),and levels of PCT and CRP in the treatment group were lower than those in the control group,differences being significant(P<0.01,P<0.05).Conclusion:In comparison with the routine western medicine therapy,the therapy of modified Qianjin Weijing tang and Maxing Shigan tang combined with point application on the basis of routine therapy for community-acquired pneumonia of phlegm-heat obstructing lung type can better relieve pulmonary inflammatory reactions,reduce exudation of lung and effectively alleviate the clinicalsymptoms.

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何鸿烈,叶焰.中西医结合治疗痰热壅肺型社区获得性肺炎疗效观察[J].新中医,2017,49(12):30-32

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  • 在线发布日期: 2017-12-02
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