金苇茎汤合大承气汤加减治疗胸腔镜术后肺部感染患者的临床分析  

Clinical analysis of jinweijing decoction combined with modified dachengqi decoction in treatment of patients with postoperative pulmonary infection after thoracoscopic surgery

作　　者：唐叶 沙春霞 钱中佳[1] 池浩[1] TANG Ye;SHA Chunxia;QIAN Zhongjia;CHI Hao(Cardiothoracic Intensive Care Unit,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,201203)

机构地区：[1]上海中医药大学附属曙光医院心胸外科监护室,上海201203

出　　处：《实用临床医药杂志》2018年第11期30-32,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨胸腔镜术后肺部感染患者金苇茎汤合大承气汤加减治疗的临床效果。方法选择胸腔镜手术后发生肺部感染的患者160例,随机分为对照组及观察组。对照组采用常规的治疗手段,观察组在常规治疗的基础之上运用金苇茎汤合大承气汤加减治疗。对2组患者治疗效果、血清中降钙素原(PCT)、白介素-6(IL-6)、肿瘤坏死因子(TNF-α)及超敏C蛋白反应(hs-CRP)进行对比分析。对2组患者发热、咳嗽等消失及住院时间和治疗满意度进行对比分析。结果观察组治疗有效率显著高于对照组(P<0.05)。治疗后,2组患者PCT、IL-6、TNF-α及hs-CRP水平均有所下降,且观察组4种指标水平显著低于对照组(P<0.05)。观察组发热、咳嗽等消失及住院时间显著低于对照组(P<0.05)。观察组患者治疗满意度显著高于对照组(P<0.05)。结论运用金苇茎汤合大承气汤加减治疗手段治疗胸腔镜术后肺部感染患者具有显著的临床效果。Objective To investigate the clinical effect of jinweijing decoction combined with dachengqi decoction on treatment of patients with pulmonary infection after thoracoscopic surgery.Methods Totally 160 patients with pulmonary infection after thoracoscopic surgery were randomly divided into control group and observation group.The control group was treated with conventional treatment,while the observation group was treated with the combination of jinweijing decoction and dachengqi decoction on the basis of routine treatment.The therapeutic effect,serum PCT,IL-6,TNF-α and hs-CRP were compared.At the same time,the disappearance time of fever,cough and hospitalization as well as satisfaction degree were compared.Results The observation group was significantly higher in efficiency than the control group （P ＜ 0.05）.After treatment,the levels of PCT,IL-6,TNF-α and hs-CRP decreased significantly,and the four indicators of the observation group were significantly lower than the control group （P ＜ 0.05）.The observation group had shorter disappearance time of fever,cough and hospitalization than the control group （P ＜ 0.05）.The satisfaction degree of the observation group was significantly higher than that of the control group （P ＜ 0.05）.Conclusion Jinweijing decoction combined with dachengqi decoction is effective in treatment of patients with pulmonary infection after thoracoscopic surgery.

关 键 词：肺部感染 胸腔镜 金苇茎汤 大承气汤 疗效 

分 类 号：R619[医药卫生—外科学]