半夏厚朴汤合三子养亲汤加减联合西药治疗社区获得性肺炎临床研究
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Clinical Study on Modified Banxia Houpu Tang and Sanzi Yangqin Tang Combined with Western Medicine for Community-Acquired Pneumonia
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    摘要:

    目的:观察半夏厚朴汤合三子养亲汤加减联合西药治疗社区获得性肺炎的临床疗效。方法:选取社区获得性肺炎患者86 例,按随机数字表法分为对照组和观察组各43 例。对照组给予西医常规治疗,观察组在对照组基础上给予半夏厚朴汤合三子养亲汤加减治疗,2 组连续治疗10 d。比较2 组症状体征消失时间、白细胞计数和中性粒细胞数、临床肺部感染评分(CPIS)、临床疗效。结果:观察组发热、咳嗽、肺部啰音的消失时间均短于对照组,差异均有统计学意义(P<0.05)。治疗前,2 组白细胞计数、中性粒细胞计数、CPIS 评分比较,差异均无统计学意义(P>0.05)。治疗后,2 组白细胞计数、中性粒细胞计数、CPIS 评分较治疗前降低(P<0.05),且观察组白细胞计数、中性粒细胞计数、CPIS 评分均低于对照组(P<0.05)。观察组总有效率为95.35%,高于对照组76.74%,差异有统计学意义(P<0.05)。结论:半夏厚朴汤合三子养亲汤加减联合西药治疗社区获得性肺炎的疗效显著,能够缩短临床症状的恢复时间,降低患者的炎症反应。

    Abstract:

    Abstract:Objective:To observe the clinical effect of modified Banxia Houpu tang and Sanzi Yangqin tang combined with western medicine for community-acquired pneumonia. Methods:A total of 86 cases of patients with community-acquired pneumonia were selected and divided into the control group and the observation group according to the random number table method,43 cases in each group. The control group was given routine treatment of western medicine,and the observation group was additionally given modified Banxia Houpu tang and Sanzi Yangqin tang based on the treatment of the control group. Both groups were continuously treated for ten days. The disappearance time of symptoms and signs,white blood cell count and neutrophil count, Clinical Pulmonary Infection Score(CPIS), and the clinical effect were compared between the two groups. Results:The disappearance time of fever,cough,and the lung rale in the observation group was earlier than that in the control group, differences being significant(P<0.05). Before treatment, when compared white blood cell count, neutrophil count,and CPIS between the two groups,there was no significance being found in differences(P>0.05). After treatment, white blood cell count, neutrophil count, and CPIS in the two groups were decreased when compared with those before treatment(P<0.05),and the three indexes above in the observation group were lower than those in the control group(P<0.05). The total effective rate was 95.35% in the observation group, higher than that of 76.74% in the control group, the difference being significant(P<0.05). Conclusion: In the treatment of community- acquired pneumonia, the therapy of modified Banxia Houpu tang and Sanzi Yangqin tang combined with western medicine has significant curative effect,which can shorten recovery time of clinical symptoms,and reduce inflammatory response.

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蔡金忠,杨健君.半夏厚朴汤合三子养亲汤加减联合西药治疗社区获得性肺炎临床研究[J].新中医,2021,53(4):47-49

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  • 在线发布日期: 2021-02-27
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