脑出血患者肺部感染清金化痰汤加减临床治疗评价  

Exploration on the clinical treatment of qingjin phlegm decoction for cerebral hemorrhage patients with pulmonary infections

作　　者：程率芳[1] 杨小红[2] 刘志华[1] 

机构地区：[1]河南中医学院第二附属医院脑病科,河南郑州450002 [2]河南中医学院,河南郑州450002

出　　处：《中华医院感染学杂志》2015年第16期3741-3742,3748,共3页Chinese Journal of Nosocomiology

基　　金：河南省科技攻关重点基金资助项目(142102310041)

摘　　要：目的对清金化痰汤治疗脑出血急性期(CH)患者发生肺部感染的临床疗效进行观察和探讨,为临床治疗提供参考依据。方法选择2010年4月-2013年8月收治的62例CH发生肺部感染患者,随机分为观察组和对照组,各31例;对照组使用常规的西医治疗方式,观察组使用西医常规治疗的基础上,对患者使用清金化痰汤加减治疗,并在治疗后统计两组患者CH肺部感染治疗成功率及对患者症状变化进行综合疗效的评价,采用SPSS17.0软件进行统计分析。结果治疗前两组患者NIHSS评分相比,差异无统计学意义;观察组患者治疗成功率为93.55%,对照组为74.19%;治疗结束后患者治疗总有效率观察组为90.32%,对照组为67.74%,两组结果对比,差异均有统计学意义(P<0.05)。结论采用清金化痰汤加减治疗CH发生肺部感染的效果更好,有利于缓解患者的症状,是临床治疗CH并发肺部感染的较佳选择。OBJECTIVE To observe and explore the clinical efficacy of qingjin phlegm decoction on cerebral hemor‐rhage （CH） in the acute stage complicated by pulmonary infection so as to provide reference for clinical treatment . METHODS Totally 62 patients with cerebral hemorrhage complicated by pulmonary infections in the hospital from Apr .2010 to Aug .2013 were selected .Patients were randomly divided into the observation group and the control group ,each group with 31 cases .The control group received treatment with conventional western medicine ,while patients in the observation group received treatment with qingjin phlegm decoction .The successful rate of treat‐ment for CH patients with pulmonary infections was statistically summarized and the comprehensive efficacy in the two groups was evaluated according to the changes of symptoms .The software SPSS17 .0 was used for statistical analysis .RESULTS There was no significant difference in the NIHSS score between the two groups before treat‐ment .The successful rate was 93 .55% in the observation group and 74 .19% in the control group ,the difference between the two groups was significant （P〈0 .05） .The total effective rate was 90 .32% （28/31） in the observa‐tion group and 67 .74% （21/31） in the control group ,the difference was significant （P〈0 .05） .CONCLUSION The qingjin phlegm decoction has a better effect for cerebral hemorrhage complicated by pulmonary infection and is beneficial for symptom alleviation ,which is a better choice for the clinical treatment of CH patients with pulmona‐ry infection .

关 键 词：清金化痰汤 脑出血急性期 肺部感染 

分 类 号：R563.1[医药卫生—呼吸系统]