中西医结合治疗重症肺炎合并急性呼吸窘迫综合征32例  

Combination of Chinese and Western Medicine Therapy on 32 Cases of Severe Pneumonia and Acute Respiratory Distress Syndrome

作　　者：王秀娟[1] 封继宏[1] 廉富[1] 苏景深[1] WANG Xiujuan;FENG JLhong;LIAN Fu;SU Jingshen(Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China)

机构地区：[1]天津中医药大学第二附属医院,天津300150

出　　处：《福建中医药》2018年第4期1-3,共3页Fujian Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金青年基金项目(81303090)

摘　　要：目的观察中药调节胃肠功能对重症肺炎合并急性呼吸窘迫综合征的治疗作用。方法选取我院重症肺炎合并急性呼吸窘迫综合征(ARDS)患者64例,按随机数字表法分为对照组和观察组各32例。对照组给予西医治疗,观察组在西医治疗基础上加用调节胃肠功能中药。14 d后观察2组胃肠功能改善情况、血清白蛋白水平、血氧分压、白细胞计数、PCT变化情况以及病死率。结果观察组病死率为53.13%,低于对照组的68.75%(P<0.05);观察组在动脉血氧分压、白蛋白水平、胃肠功能障碍积分方面改善均优于对照组(P<0.05)。结论调节胃肠功能中药可降低重症肺炎合并ARDS患者的炎症反应,增强患者营养状态,降低病死率。Objective： To observe the therapeutic effect of gastrointestinal function regulating Chinese medicine on severe pneumonia combined with acute respiratory distress syndrome. Methods： 64 patients were divided into control group and observation group randomly. The control group was treated with western medicine, and the observation group was treated with gastrointestinal function regulating Chinese medicine on the basis of western medicine. After 14 days coures, the improvement of gastrointestinal function, serum albumin level, blood oxygen partial pressure, white blood cell count, PCT and mortality were evaluated in both groups.Results： The mortality rate of the observation group was 53.13%, lower than the control group＇s 68.75%（P〈0.05）. The observation group was superior to the control group in arterial blood oxygen partial pressure, albumin level and gastrointestinal dysfunction score（P 〈0.05）. Conclusion： Chinese medicine for gastrointestinal function regulating could reduce the inflammatory reaction of severe pneumonia with ARDS, enhance the nutritional status of patients and reduce mortality rate.

关 键 词：重症肺炎 急性呼吸窘迫综合征 胃肠功能 辨证论治 

分 类 号：R563.8[医药卫生—呼吸系统]