麻杏石甘汤联合西医常规治疗老年肺部感染临床研究
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R563.1

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Clinical Study on Maxing Shigan Tang Combined with Routine Western Medicine for Senile Pulmonary Infection
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    摘要:

    目的:观察麻杏石甘汤联合西医常规治疗老年肺部感染的临床疗效。方法:选取80 例老年肺部感染患者作回顾性研究,根据不同治疗药物分成观察组和对照组各40 例。对照组采取化痰、平喘、抗菌等西医常规治疗,观察组在对照组的基础上服用麻杏石甘汤治疗。结果:观察组总有效率为95.0%,高于对照组的77.5%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组血清肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)、降钙素原(PCT) 水平比较,差异无统计学意义(P>0.05);治疗后,2 组上述指标均较治疗前降低(P<0.05),且观察组各项指标均低于对照组(P<0.05)。治疗前,2 组血氧分压(PaO2)、第1 秒用力呼气量(FEV1)、肺活量(FVC) 占预计值比较,差异无统计学意义(P>0.05);治疗后,2 组上述各项肺功能指标均较治疗前有不同程度升高(P<0.05),且观察组各指标均高于对照组(P<0.05)。结论:在西医常规治疗的基础上加用麻杏石甘汤治疗老年肺部感染,能够明显改善机体的炎症反应,提高患者肺功能,临床疗效满意。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Maxing Shigan tang combined with routine western medicine for senile pulmonary infection. Methods: A total of 80 cases of senile patients with pulmonary infection were selected for retrospective study, and were divided into the observation group and the control group according to different treatment medications,with 40 cases in each group. The control group was treated with routine western medicine treatment including dissolve phlegm,relieve panting and anti bacterial,and the observation group was additionally treated with Maxing Shigan tang based on the treatment of the control group. Results: The total effective rate was 95.0% in the observation group, higher than that of 77.5% in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of the levels of tumor necrosis factor- α (TNF- α), C- reactive protein (CRP) and procalcitonin(PCT) in serum between the two groups(P>0.05). After treatment, the above indexes in the two groups were decreased when compared with those before treatment(P<0.05),and all the indexes in the observation group were lower than those in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of the proportions of partial pressure of blood oxygen(PaO2),forced expiratory volume in the first second(FEV1) and vital capacity(FVC) in the predicted value between the two groups (P>0.05). After treatment,the above indexes of lung function in the two groups were increased at different degrees when compared with those before treatment (P<0.05),and all the indexes in the observation group were higher than those in the control group(P<0.05). Conclusion:Based on routine western medicine treatment,the additional application of Maxing Shigan tang for senile pulmonary infection can significantly improve the inflammatory responses of the body and the lung function of patients,with a satisfactory clinical effect.

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殷国敏,周剑,袁长广.麻杏石甘汤联合西医常规治疗老年肺部感染临床研究[J].新中医,2022,54(6):19-22

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  • 在线发布日期: 2022-03-25
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