麻杏石甘汤合千金苇茎汤治疗社区获得性肺炎的临床观察  

Clinical Observation of Maxingshigan Decoction and Qianjin Weijian Decoction in Treatment of Community-Acquired Pneumonia

作　　者：肖晓玲 XIAO Xiaoling(Department of Internal Medicine,Luoyuan County Traditional Chinese Medicine Hospital,Luoyuan,Fujian 350600,China)

机构地区：[1]罗源县中医院内科,福建罗源350600

出　　处：《中国医药指南》2025年第6期136-138,共3页Guide of China Medicine

摘　　要：目的探讨社区获得性肺炎(CAP)患者应用麻杏石甘汤合千金苇茎汤联合西医治疗的疗效。方法选取CAP(中医辨证为痰热壅肺型)患者102例随机分为对照组与观察组,各51例,两组分别予以单纯西医治疗和麻杏石甘汤合千金苇茎汤联合西医治疗,均治疗7 d。对比两组中医证候积分、病情评分,统计两组疗效和不良反应。结果较对照组(80.39%),总有效率上,观察组(80.39%)更高(P<0.05)。治疗后,与对照组比,观察组中医证候积分显著更低(P<0.05),且观察组病情评分更低(P<0.05)。不良反应统计得出,两组发生率无统计学意义(17.66%vs.11.76%),P>0.05。结论CAP(中医辨证为痰热壅肺型)患者应用麻杏石甘汤合千金苇茎汤联合西医治疗可获得更有效的症状缓解和炎症减轻,疗效显著。Objective To investigate the therapeutic effect of Maxingshigan Decoction and Qianjin Weijian Decoction combined with western medicine on patients with community-acquired pneumonia.Methods A total of 102 patients with community-acquired pneumonia(TCM syndrome differentiation was phlegm-heat yong lung type)were randomly divided into control group and observation group,with 51 cases in each group.The two groups were treated with western medicine alone and with Maxingshigan Decoction combined with Qianjin Weijian Decoction for 7 days,respectively.The TCM syndrome scores and disease scores of the two groups were compared,and the efficacy and adverse reactions of the two groups were analyzed.Results Compared with control group(80.39%),the total effective rate of observation group(80.39%)was higher(P<0.05).After treatment,the TCM syndrome score of the observation group was significantly lower than that of the control group(P<0.05),and the disease score of the observation group was lower(P<0.05).The incidence of adverse reactions was not statistically significant between the two groups(17.66%vs.11.76%),P>0.05.Conclusions The application of Maxingshigan Decoction and Qianjin Weijian Decoction combined with western medicine in the treatment of patients with community-acquired pneumonia(TCM syndrome differentiation is phlegm-heat yong lung type)can obtain more effective symptom relief and inflammation reduction,and the effect is significant.

关 键 词：社区获得性肺炎 麻杏石甘汤 千金苇茎汤 中西医结合 疗效 

分 类 号：R563.1[医药卫生—呼吸系统]