老年脑梗死患者肺部感染中西医联合用药疗效观察  

Clinical efficacy of traditional Chinese medicine combined with western medicine in treatment of pulmonary infections in elderly patients with cerebral infarction

作　　者：牟凤群[1] 陈通[2] 杨鹏[2] 

机构地区：[1]唐山市工人医院神经外科,河北唐山063000 [2]河北联合大学附属医院神经外科,河北唐山063000

出　　处：《中华医院感染学杂志》2013年第19期4640-4641,4644,共3页Chinese Journal of Nosocomiology

基　　金：国家青年自然科学基金项目(81000110)

摘　　要：目的分析不同治疗方法对老年脑梗死并发肺部感染患者的治疗效果,旨在探寻有效治疗老年脑梗死并发肺部感染的方法。方法将2007年6月-2012年6月住院的100例老年脑梗死并发肺部感染患者随机分为对照组与观察组,每组各为50例;对照组给予单纯的西医治疗,观察组给予中西医联合用药治疗,疗程为10d,用药3个疗程之后对两组治疗疗效及其生活质量进行比较。结果观察组治疗总有效率为96.0%,明显高于对照组80.0%,两者差异具有统计学意义(P<0.05);观察组患者发热、咳嗽、咳痰、湿啰音体征改善时间分别为(3.42±1.52)、(4.66±1.32)、(5.76±1.49)、(5.93±1.56)d,明显短于对照组(5.11±1.67)、(5.98±1.73)、(6.71±1.87)、(7.13±1.97)d,两组差异有统计学意义(P<0.05);根据生活质量SGQR评价标准,观察组治疗后St.George′s呼吸问卷(SGRQ)得分为(6.23±1.28)分,对照组为(10.34±1.96)分,两者差异有统计学意义(P<0.05)。结论联合用药治疗老年脑梗死并发肺部感染,其疗效显著、安全可靠,且能提高患者的生活质量,应在临床加以应用。OBJECTIVE To analyze the curative efficacy of different treatments on the elderly pulmonary infections in patients with cerebral infarction, so as to explore an effective method for these patients. METHODS Totally 100 cases of elderly patients with cerebral infarction complicated by pulmonary infections from June 2007 to June 2012 were randomly divided into the control group （50 cases） and the observation group（50 cases）. The control group was given a purely western medicine treatment, and the observation group was treated with a combination of Chinese and western medicine treatment. 10d was a therapy course. The curative efficacy in patients with signs of improvement time, FBG lipids as well as the patient＇s quality of life were compared after 3 therapy courses. RESULTS The total effective rate of the observation group was 96.0%, which was significantly higher than that in the control group （80. 0%） （Pm0. 05）. The improving time of fever, cough, sputum and moist rales in the observation group were respectively （3.42±1.52） h, （4.66±1.32） h, （5.76!1.49） h, and （5.93±1.56） h, which were significantly shorter than the control group[ （5.11±1.67） h （5.98±1.73） h, （6.71±1.87） h （7.13±1.97） hi （P〈0.05）. According to the life quality SGQR evaluation standard, the observation group＇s SGQR score was （6. 23 ± 1. 28）, higher than （10. 34 ± 1. 96） of the control group, after, treatment （P 〈 0. 05）. CONCLUSION The effect of the combination therapy on treatment of pulmonary infections in the elderly patient with cerebral infarction is reliable and safe, and it is worthy to be promoted in the hospital.

关 键 词：联合用药 老年脑梗死 肺部感染 疗效 生活质量 

分 类 号：R563.1[医药卫生—呼吸系统]