加味麻杏石甘汤治疗老年性肺炎45例临床观察

Clinical observation of modified Maxing Shigan decoction in 45 cases with senile pneumonia

关键词:  加味麻杏石甘汤  中西医结合疗法  抗生素  老年性肺炎

Key words:  modified Maxing Shigan decoction  integrated traditional Chinese and Western medicine  antibiotic  senile pneumonia

摘要:

[目的] 观察加味麻杏石甘汤辅助治疗老年性肺炎的临床疗效。[方法] 将老年性肺炎患者随机分为对照组和治疗组, 对照组采用抗炎、止咳、化痰等西医治疗, 治疗组在对照组的基础上加用加味麻杏石甘汤, 疗程10 d.于治疗前后观察其疗效, 症状开始改善时间及炎性指标白细胞(WBC)、中性粒细胞比率(GR)、C-反应蛋白(CRP)的变化。[结果] 治疗组总有效率为93.33%,对照组总有效率为75.56%,两组疗效比较差异有统计学意义(P<0.05).治疗组炎性指标及症状开始改善时间均优于对照组(P<0.05).[结论] 加味麻杏石甘汤辅助治疗老年性肺炎临床疗效显着, 能够缩短临床症状改善时间。

Abstract:

[Objective] To observe the effect of modified Maxing Shigan decoction on senile pneumonia. [Methods] Elderly patients with pneumonia were randomly divided into control and treatment group, treating with Western medicine, having anti-inflammatory, relieving cough, eliminating phlegm effect and modified Maxing Shigan decoction respectively. The treatment course was 10 days. The curative effect, WBC, the GR%, CRP change and the time of symptoms beginning to improve before and after treatment were observed. [Results] The total effective rate in treatment was 93.33%, significantly higher than that in the control group(75.56%). There was a significant difference between these two groups (P<0.05). Inflammatory markers and the time of symptoms beginning to improve in the treatment group were better than that in the control group (P<0.05). [Conclusion] Modified Maxing Shigan decoction has significant clinical efficacy in adjuvant treatment of senile pneumonia. It can shorten the insistence time of clinical symptoms.