中西医结合治疗老年重症肺炎疗效分析  

Clinical Analysis of Chinese Combined with Western Medicine Treatment for Patients with Senile Severe Pneumonia

作　　者：刘杰[1] 吴向玲[2] 王园园[2] 李炳华[1] LIU Jie;WU Xiangling;WANG Yuanyuan;LI Binghua(Department of Internal Medicine, Baoding First Central Hospital, Baoding 071000, Hebei, China;Ultrasonography Department, Baoding First Central Hospital, Baoding 071000, Hebei, China)

机构地区：[1]保定市第一中心医院综合内科,河北保定071000 [2]保定市第一中心医院超声科,河北保定071000

出　　处：《中华中医药学刊》2018年第6期1458-1461,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：河北省科技厅项目(20120876)

摘　　要：目的：探讨分析中西医结合治疗老年重症肺炎的临床疗效。方法：将2015年1月-2016年12月期间住院进行治疗的168例重症肺炎老年患者作为研究对象，应用随机数字表法将其分为对照组和观察组，80例对照组患者采用常规的抗感染、补液、吸痰、呼吸机通气、营养支持等治疗，88例观察组患者在常规西医治疗基础上，应用痰热清注射液和参附注射液，比较两组老年患者经不同治疗后的临床治疗效果，同时比较两组患者肺功能及血气指标的改善情况。结果：观察组患者临床总有效率（92．05％）明显高于对照组（72．50％），观察组病死率（9．09％）显著低于对照组（20．00％），差异具有统计学意义（P〈0．05）。观察组患者的高热、气促、咳嗽、心衰等临床症状改善时间及住院时间、血压恢复时间与对照组患者相比明显要短，差异具有统计学意义（P〈0．05）。两组患者肺功能及血气指标水平较治疗前均有明显好转（P〈0．05），观察组患者肺功能及血气指标水平改善情况优于对照组，差异具有统计学意义（P〈0．05）。结论：对于重症肺炎老年患者，治疗期间在抗感染、补液、吸痰、呼吸机通气、营养支持等常规西医治疗基础上，结合痰热清注射液和参附注射液的中医治疗方式，具有显著的临床治疗效果，有效缩短患者临床症状缓解时间、住院时间及血压恢复正常水平时间。Objective： To investigate and analyze the clinical efficacy of traditional Chinese combined with Western medicine in the treatment of the elderly patients with severe pneumonia. Methods： From January 2015 to December 2016 in our hospital, 168 cases of elderly patients with severe pneumonia patients as the research objects, were randomly divid- ed into the control group and the observation group. Eighty cases in the control group were treated with anti - infection, rehydration, suction, breathing machine ventilation, nutrition and treatment routine, and 88 cases in the observation group on the basis of conventional Western medicine treatment were given Tanreqing Injection and Shenfu Injection. We compared the clinical curative effect of two groups of elderly patients, the pulmonary function and blood gas indicators. Results： The total effective rate of the observation group （92.05 % ） was significantly higher than that of the control group （72.50%）, and the mortality rate of the observation group （9.09%） was significantly lower than that of the control group （20%）, and the difference was statistically significant （ P 〈 0.05 ）. The recovery time of high fever, cough, short- ness of breath, and heart failure, hospitalization time, and blood pressure recovery time of the observation group were significantly shorter than those of the control group, and the difference was statistically significant （ P 〈 0. 05 ）. Two groups＇ lung function and blood gas indexes were significantly improved （P 〈 0.05 ） and those of the observation group improved better than the control group＇ s, and the difference was statistically significant （ P 〈 0. 05 ）. Conclusion： For elderly pa- tients with severe pneumonia during treatment, anti -infection, rehydration, suction and mechanical ventilation and nu- tritional support on the basis of conventional modern medicine, Tanreqing Injection combined with Shenfu Injection treat- ment has significant therapeutic effect, and can shorten the clini

关 键 词：中西医结合 重症肺炎 老年 

分 类 号：R563.1[医药卫生—呼吸系统]