加味麻杏石甘汤治疗老年性肺炎45例临床观察  

Clinical observation of modified Maxing Shigan decoction in 45 cases with senile pneumonia

作　　者：唐辉[1] 陈娴[2] 

机构地区：[1]天津医科大学研究生院,天津300070 [2]天津市南开医院,天津300010

出　　处：《天津中医药》2013年第2期84-86,共3页Tianjin Journal of Traditional Chinese Medicine

基　　金：天津市中医药管理局中医中西医结合科研专项资金项目(2005025)

摘　　要：[目的]观察加味麻杏石甘汤辅助治疗老年性肺炎的临床疗效。[方法]将老年性肺炎患者随机分为对照组和治疗组,对照组采用抗炎、止咳、化痰等西医治疗,治疗组在对照组的基础上加用加味麻杏石甘汤,疗程10 d。于治疗前后观察其疗效,症状开始改善时间及炎性指标白细胞(WBC)、中性粒细胞比率(GR)、C-反应蛋白(CRP)的变化。[结果]治疗组总有效率为93.33%,对照组总有效率为75.56%,两组疗效比较差异有统计学意义(P<0.05)。治疗组炎性指标及症状开始改善时间均优于对照组(P<0.05)。[结论]加味麻杏石甘汤辅助治疗老年性肺炎临床疗效显著,能够缩短临床症状改善时间。[Objective] To observe the effect of modified Maxing Shigan decoction on senile pneumonia. [Methods] Elderly patients with pneumonia were randomly divided into control and treatment group, treating with Western medicine, having anti-inflammatory, relieving cough, eliminating phlegm effect and modified Maxing Shigan decoction respectively. The treatment course was 10 days. The curative effect, WBC, the GR%, CRP change and the time of symptoms beginning to improve before and after treatment were observed. [Results] The total effective rate in treatment was 93.33%, significantly higher than that in the control group （75.56%）. There was a significant dif-ference between these two groups （P〈0.05）. Inflammatory markers and the time of symptoms beginning to improve in the treatment group were better than that in the control group （P〈0.05）. [Conclusion] Modified Maxing Shigan decoction has significant clinical efficacy in adjuvant treatment of senile pneumonia. It can shorten the insistence time of clinical symptoms.

关 键 词：加味麻杏石甘汤 中西医结合疗法 抗生素 老年性肺炎 

分 类 号：R563.1[医药卫生—呼吸系统]