|目的：观察四黄水蜜外敷联合中药沐足治疗社区获得性肺炎（CAP） 的临床疗效。方法：选取100 例CAP 患者，按不同的治疗措施分为对照组和试验组，每组50 例。对照组给予常规西药治疗，试验组在对照组基础上加用四黄水蜜外敷联合中药沐足治疗，2 组均治疗7 d。比较2 组临床疗效及临床症状缓解时间，观察证候积分、临床肺部感染评分（CPIS） 及炎症因子水平的变化。结果：试验组总有效率为98.00%，高于对照组的86.00%（P＜0.05）。治疗后，2 组证候积分及CPIS 均较治疗前降低（P＜0.05），试验组证候积分及CPIS 均低于对照组（P＜0.05）。试验组体温恢复、肺部啰音消失、咯痰缓解及咳嗽缓解时间均短于对照组（P＜0.05）。治疗后，2 组白细胞计数（WBC）、超敏C-反应蛋白（hs-CRP） 及降钙素原（PCT） 水平均较治疗前降低（P＜0.05），试验组WBC 及hs-CRP 水平均低于对照组（P＜0.05）。结论：四黄水蜜外敷联合中药沐足治疗CAP 可以提高临床疗效，快速缓解患者的临床症状，降低炎症因子水平。
|关键词: 社区获得性肺炎 四黄水蜜 中药沐足 临床肺部感染评分 炎症因子
|Clinical Study on External Application of Sihuang Shuimi Combined with Foot Bathwith Chinese Herbs for Community-Acquired Pneumonia
|WANG Weiliang,SU Xiaoyin,LIANG Weizhen,YE Jiarong,XIONG Shuyun,HE Deping
|Abstract：Objective：To observe clinical effect of external application of Sihuang Shuimi combined with foot bath with
Chinese herbs for community-acquired pneumonia(CAP). Methods：A total of 100 cases of CAP patients were selected and
divided into the control group and the experiment group according to different treatment measures， 50 cases in each group.
The control group was given routine western medicine， and the experiment group was additionally treated with external
application of Sihuang Shuimi and foot bath with Chinese herbs based on the treatment of the control group. Both groups were
treated for seven days. The clinical effect and the remission time of clinical symptoms were compared between the two
groups. The changes in syndrome scores， Clinical Pulmonary Infection Score(CPIS) and levels of inflammatory factors in the
two groups were observed. Results： The total effective rate was 98.00% in the experiment group， higher than that of
86.00% in the control group(P＜0.05). After treatment， the syndrome scores and CPIS in the two groups were decreased
when compared with those before treatment(P＜0.05)， and the two scores above in the experiment group were lower than
those in the control group(P＜0.05). The time for temperature recovery， the disappearance time of lung rales as well as the
remission time of expectoration and cough in the experiment group were shorter than those in the control group(P＜0.05).
After treatment， the levels of white blood cell(WBC)， high-sensitivity C-reactive protein(hs-CRP) and procalcitonin(PCT) in
the two groups were decreased when compared with those before treatment(P＜0.05)，and the levels of WBC and hs-CRP
in the experiment group were lower than those in the control group(P＜0.05). Conclusion：The therapy of external application
of Sihuang Shuimi combined with foot bath with Chinese herbs can improve the clinical effect on CAP， rapidly relieve the
clinical symptoms of patients， and reduce the levels of inflammatory factors.
|Key words: Keywords： Community- acquired pneumonia Sihuang Shuimi Foot bath with Chinese herbs Clinical Pulmonary
Infection Score Inflammatory factors