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The influence of early application of Shenfu injection on procalcitionin and brain natriuretic peptide in elderly patients with severe pneumonia
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DOI   10.11656/j.issn.1673-9043.2015.02.05
Key Words   Shenfu injection;severe pneumonia;procalcitionin;brain natriuretic peptide
Author NameAffiliationE-mail
LI Jia-ning Respiratory Department, The People's Hospital of Tangshan, Tangshan 063000, China  
LI Xiu-zhi Respiratory Department, Affiliated Hospital of Hebei United University, Tangshan 063000, China  
GUO Xia Respiratory Department, Affiliated Hospital of Hebei United University, Tangshan 063000, China  
WANG Hong-yang Respiratory Department, Affiliated Hospital of Hebei United University, Tangshan 063000, China zyning789@126.com 
HAO Sheng-wang Respiratory Department, The People's Hospital of Tangshan, Tangshan 063000, China  
Abstract
    [Objective] To investigate the influence of early application of Shenfu injection on procalcitionin(PCT)and brain natriuretic peptide (BNP) in elderly patients with severe pneumonia. [Methods] Eghtity-four elderly patients with severe pneumonia were divided into Shenfu injection group (42 cases) and control group (42 cases).The control group received basic treatment (anti-inflammatory and nutritional support etc). While the Shenfu injection group received early application of Shenfu injection therapy besides basic treatment. PCT and BNP level were measured before and after 1 d, 3 d, 5 d;and the effects of early application of Shenfu injection on PCT and BNP in elderly patients with severe pneumonia were analyzed combining the patients condition within 7 d. [Results] Compared with the control group, there were no significant difference in the PCT and BNP level after 1 d in Shenfu injection group (P>0.05). The PCT and BNP level were lower in Shenfu injection group than those in control group after 3d and 5d (P<0.05). The score of APACHE II was better than those in control group after 3 d and 5 d (P<0.05).Ten cases were improved, 17cases progressed and 15 cases died in the control group, while 19 cases were improved, 14 cases progressed and 9 cases died in Shenfu injection group after 7 d. Compare with the traditional Chinese medicine syndromes between the two groups, the total effective rate (90.5%) in Shenfu injection group was higher than in control group. [Conclusion] Early application of Shenfu injection can inhibit the PCT and BNP level in elderly patients with severe pneumonia and improve the prognosis.

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