痰热清注射液联合抗生素治疗肺切除术后肺部感染疗效观察  

The Effect of Treating Post Pneumonectomy Pulmonary Infection Using Tanreqing Injection Combined with Antibiotic and the Sensitivity of Serum Procalcitonin(PCT) in Evaluating Pulmonary Infection

作　　者：凌东进[1] 施天生[1] 陈中书[1] 肖绍武[1] 张学钰[1] 万金华[1] LING Dongjin SHl Tiansheng CHEN Zhongshu et al(Jiangxi Provincial Chest Hospital,Jiangxi,Nanchang 360100, China.)

机构地区：[1]江西省胸科医院,江西南昌360100

出　　处：《中国中医急症》2016年第10期1976-1978,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：江西省卫生厅中医药科研基金课题(2010A084)

摘　　要：目的观察痰热清注射液联合抗生素治疗肺切除术后并发肺部感染的疗效及血清前降钙素在评价肺部感染中的敏感性。方法将肺切除术后并发肺部感染患者40例按随机数字表法分为对照组与治疗组,各20例。对照组单纯使用抗生素治疗,治疗组加用痰热清注射液。结果治疗组术后肺部感染治疗周期较对照组明显缩短(P<0.05),前钙素原检测较血常规在术后肺感染治愈标准中更加敏感。结论痰热清注射液联合抗生素治疗肺切除术后肺部感染,能减少抗生素使用的时间和总剂量。检测血中前降钙素,能更精确地判断疗效,及时停药。Objective： To investigate the effect of treating post pneumonectomy pulmonary infection using Tan- reqing injection combined with antibiotic and the sensitivity of serum procalcitonin（PCT） in evaluating pulmonary infection. Methods： 40 patients with puhnonary infection after pneumonectomy were randomly divided into the control group and the treatment group. The control group was treated with antibiotic only and the treatment group received Tanreqing injection together with antibiotic. PCT,the blood routine,the lung signs,the clinical symptoms, the amount of time using antibiotic, the depth of relief to symptoms and the change of PCT were observed in the two groups. Results： The treatment group spent less time in treating pulmonary infection than the control group. PCT was more sensitive than the blood routine test. Conclusion： 1 ）Using Tanreqing injection combined with antibiotic to treat the pulmonary infection after pneumonectomy can reduce antibiotic＇s using time and total dose. 2）By detecting PCT,we can judge the curative effect more accurately.

关 键 词：肺部感染 痰热清 血清前降钙素 肺切除术 

分 类 号：R655.3[医药卫生—外科学]