自拟退热汤加减联合刺血疗法治疗社区获得性肺炎33例  

Treatment of 33 cases of community-acquired pneumonia with self-made Tuire decoction combined with pricking blood therapy

作　　者：赖志云 郑春婷 张劲松 许晓军 杜荣荣 LAI Zhi-yun;ZHENG Chun-ting;ZHANG Jin-song(Fujian University of Traditional Chinese Medicine Affiliated Jinjiang Traditional Chinese Medicine Hospital,Jinjiang 362200,China)

机构地区：[1]福建中医药大学附属晋江中医院,362200

出　　处：《中国实用医药》2024年第15期144-147,共4页China Practical Medicine

基　　金：福建中医药大学校管课题(项目编号:XB2020092)。

摘　　要：目的观察自拟退热汤加减联合刺血疗法治疗肺炎的疗效。方法64例社区获得性肺炎患者,随机分为治疗组(33例)和对照组(31例)。对照组按社区获得性肺炎治疗指南常规采用抗感染、祛痰等治疗方法进行治疗,治疗组在对照组综合治疗基础上加用自拟退热汤联合刺血疗法进行治疗。比较两组体温恢复正常时间,治疗前、治疗第3天、治疗第6天白细胞计数、C反应蛋白,疗效。结果治疗组体温恢复正常时间(46.56±16.51)h短于对照组的(58.84±18.14)h(P<0.05)。治疗第6天,两组白细胞计数、C反应蛋白水平均低于本组治疗前、治疗第3天,且治疗组白细胞计数(9.32±1.37)×10^(9)/L、C反应蛋白(15.23±9.20)mg/L低于对照组的(11.20±1.88)×10^(9)/L、(22.58±13.27)mg/L(P<0.05)。治疗组总显效率72.7%高于对照组的48.4%(P<0.05)。结论自拟退热汤加减联合刺血疗法能促进社区获得性肺炎患者体温、白细胞计数和C反应蛋白水平恢复,以及肺部炎症渗出吸收,提高临床疗效。Objective To observe the efficacy of modified Tuire decoction combined with pricking blood therapy in the treatment of community-acquired pneumonia.Methods 64 patients with community-acquired pneumonia were randomly divided into a treatment group(33 cases)and a control group(31 cases).The control group was routinely treated with anti-infective and expectorant treatments according to the guidelines for the treatment of community-acquired pneumonia,and the treatment group was treated with self-made Tuire decoction combined with pricking blood therapy on the basis of the comprehensive treatment of the control group.The body temperature recovery time,white blood cell count and C-reactive protein before treatment,on the 3rd day and on the 6th day of treatment,and efficacy were compared between the two groups.Results The body temperature recovery time in the treatment group was(46.56±16.51)h,which was shorter than(58.84±18.14)h in the control group(P<0.05).On the 6th day of treatment,the white blood cell count and C-reactive protein level in both groups were lower than those before treatment and on the 3rd day of treatment;the treatment group had white blood cell count of(9.32±1.37)×10^(9)/L and C-reactive protein of(15.23±9.20)mg/L,which were lower than(11.20±1.88)×10^(9)/L and(22.58±13.27)mg/L in the control group(P<0.05).The total effective rate of the treatment group was 72.7%,which was higher than 48.4%of the control group(P<0.05).Conclusion The combination of self-made Tuire decoction and pricking blood therapy can promote the recovery of body temperature,white blood cell count and C-reactive protein level in patients with community-acquired pneumonia,promote the exudation and absorption of lung inflammation,and improve clinical efficacy.

关 键 词：退热汤 刺血疗法 社区获得性肺炎 中医 

分 类 号：R259[医药卫生—中西医结合]