清肺排毒汤对痰热壅肺型新冠肺炎患者临床疗效的影响  

Effect of Qingfei Paidu decoction on clinical efficacy of COVID-19 pneumonia with Phlegm heat blocking lung

作　　者：曾宪红[1] 马文辉[1] 王洁 ZENG Xianhong;MA Wenhui;WANG Jie(Department of Respiratory Medicine,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院呼吸内科,北京100730

出　　处：《西部医学》2020年第12期1799-1801,1806,共4页Medical Journal of West China

摘　　要：目的探讨清肺排毒汤治疗痰热壅肺型新冠肺炎患者的临床效果。方法选取本院2019年12月~2020年3月收治的229例新冠肺炎患者进行研究,根据中医临床辨证及干预策略不同进行分组。采用常规干预的125例患者设为对照组,采用清肺排毒汤干预的104例痰热壅肺型患者设为观察组。分析两组患者临床疗效及负性心理改善情况。结果观察组胸部影像改善率明显高于对照组,核酸转阴时间、出院时间明显短于对照组,差异均有统计学意义(均P<0.05)。干预后,观察组SAS评分、SDS评分显著优于对照组,并发症总发生率低于对照组(均P<0.05)。结论清肺排毒汤干预可有效改善痰热壅肺型新冠肺炎患者的临床疗效,改善患者负性心理,减少并发症的发生,可供临床借鉴与推广应用。Objective To analyze the clinical effect of Qingfei Paidu Decoction in treating COVID-19 pneumonia with Phlegm-heat obstructing lung.Methods 229 patients with COVID-19 pneumonia admitted to our hospital from December 2019 to March 2020 were analyzed.125 patients with routine intervention were set as control group,and 104 patients with phlegm-heat obstructing lung based on rehabilitation intervention strategy of Qingfei Paidu Decoction were set as observation group.The influence of two intervention methods on the clinical efficacy of patients were analyzed.Results The improvement rate of chest imaging in the observation group was significantly higher than that in the control group,while the negative time of nucleic acid and discharge time were significantly lower than those in the control group(P<0.05).After intervention,SAS score and SDS score in observation group were significantly better than those in control group(P<0.05).The total incidence of complications in the observation group was 50.96%(53 cases),which was significantly lower than that in the control group(70.40%,88 cases),and the difference was significant(P<0.05).Conclusion The rehabilitation intervention strategy based on Qingfei Paidu Decoction can effectively improve the clinical efficacy and negative psychology of patients with phlegm-heat obstructing lung type COVID-19 pneumonia,which deserves clinical attention.

关 键 词：新冠肺炎 清肺排毒汤 焦虑 负性心理 并发症 

分 类 号：R563.1[医药卫生—呼吸系统]