小陷胸汤加味联合针刺辅治重症肺炎临床观察  

作　　者：祁鹏 吴限 孙隆江 黄唤芝 赵凯 马伟 龚致平 李勤 

机构地区：[1]重庆市长寿区中医院重症医学科,重庆401220

出　　处：《实用中医药杂志》2023年第4期693-696,共4页Journal of Practical Traditional Chinese Medicine

基　　金：重庆市长寿区科技计划项目—社会事业与民生保障科技创新专项(cskj2022035)。

摘　　要：目的:观察小陷胸汤加味联合针刺辅治重症肺炎的疗效。方法:80例按照随机数字表法分为治疗组和对照组各40例,两组均予以亚胺培南西司他丁钠治疗,观察组加用小陷胸汤加味联合针刺治疗。结果:治疗第3天、第6天后观察组总有效率高于对照组(P<0.05)。急性生理与慢性健康评分观察组较对照组下降更明显,氧合指数观察组较对照组高,炎症因子降钙素原(PCT)、C反应蛋白(CRP)、白细胞水平观察组较对照组低,差异具有统计学意义(P<0.05)。结论:小陷胸汤加味联合针刺辅治重症肺炎疗效较好。Objective:To observe the curative effect of Xiaoxianxiong Decoction combined with acupuncture in adjuvant treatment of severe pneumonia.Methods:Eighty cases were divided into the treatment group and the control group according to the random number table method,40 cases in each group.Both groups were treated with imipenem and cilastatin sodium,and the observation group were treated with modified Xiaoxianxiong Decoction combined with acupuncture.Results:On the 3 rd and 6 th day of treatment,the total effective rate of the observation group was higher than that of the control group(P<0.05).The acute physiology and chronic health score of the observation group decreased more significantly than that of the control group.The oxygenation index of the observation group was higher than that of the control group.The levels of inflammatory factors procalcitonin(PCT),C-reactive protein(CRP)and white blood cells in the observation group were lower than those in the control group.The difference was statistically significant(P<0.05).Conclusion:Modified Xiaoxianxiong Decoction combined with acupuncture is effective in the treatment of severe pneumonia.

关 键 词：重症肺炎 小陷胸汤加味 针刺 对照治疗观察 

分 类 号：R563.19[医药卫生—呼吸系统]