中西医结合治疗呼吸机相关肺炎(痰热壅肺型)疗效分析  

The Clinical Observation on Combined Therapy of TCM and WM for Ventilator-Associated Pneumonia,Phlegm-Heat Obstructing in the Lung of TCM

作　　者：李淑芳[1] 熊旭东[1] 施荣[1] 谢芳[1] 

机构地区：[1]上海中医药大学附属曙光医院,上海200021

出　　处：《中国中医急症》2007年第5期509-510,共2页Journal of Emergency in Traditional Chinese Medicine

基　　金：上海市教育委员会科研项目(No.040020)

摘　　要：目的观察中西医结合综合治疗呼吸机相关肺炎(VAP,痰热壅肺型)的临床疗效。方法将51例VAP患者随机分为单纯西药对照组(25例)与中西医结合治疗组(26例),分别于治疗前和治疗第3、7、14日观察症状积分并记录。结果治疗组疗效明显优于对照组;两组治疗第7、14日主要症状发热、痰量、气喘积分较前明显降低;治疗组治疗第14日痰量积分下降程度优于对照组。结论中西医结合治疗VAP疗效较好。Objective： To object the clinical effect of Combined Therapy of TCM and WM on ventilator - associated pneumonia（VAP）, Phlegm - Heat Obstructing in the Lung of TCM. Methods： 51 patients were randomly divided into the controlled group（25 patients） and the treatment group（26 patients）, in which patients received the usual treatment of WM, and Combined Therapy of TCMand WM individually. Symptom scores of VAP were measured before treatment and the 3th, 7th and 14th day after treatment. Results： The curative effect was significantly better in the treatment group than in the control group. In the two groups, the symptom scores of fever, sputum and dyspnea on the 7th, 14th day after treatment were lower than befor treatment. In the treatment group, scores of sputum on the 14th day after treatment was lower significantly than in the control group. Conclusion： Combined Therapy of TCM and WM for VAP is more preferable.

关 键 词：呼吸机相关肺炎 中西医结合 

分 类 号：R563.19[医药卫生—呼吸系统]