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Clinical effect of Qingfei Yishen decoction on senile pneumonia and its effect on serum CD4+ and CD8+ levels
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DOI   10.11656/j.issn.1672-1519.2018.05.05
Key Words   Qingfei Yishen decoction;senile pneumonia;immunization
Author NameAffiliationE-mail
MENG Yong Henan Traditional Chinese Medicine Hospital, Zhengzhou 450002, China  
LU Xiaofan Henan Traditional Chinese Medicine Hospital, Zhengzhou 450002, China  
WANG Yanmei Henan Traditional Chinese Medicine Hospital, Zhengzhou 450002, China mywd1966@sina.com 
LI Bin Henan Traditional Chinese Medicine Hospital, Zhengzhou 450002, China  
GAN Dekun Henan Traditional Chinese Medicine Hospital, Zhengzhou 450002, China  
Abstract
    [Objective] To explore the curative effect of Qingfei Yishen decoction on the senile pneumonia (heat obstruct pulmonary syndrome) and the impact on serum CD4+ and CD8+ levels.[Methods] Senile pneumonia patients were randomly divided into control group and treatment group, control group given anti-inflammatory, eliminating phlegm treatment to smooth wheezing, antifebrile; on the basis of the control treatment, the treatment group was given Qingfei Yishen decoction. Clinical curative effect was compared between the two groups before and after treatment, and follow-up 1 month, like routine blood, c-reactive protein, symptom scores, imaging, the change of serum level of CD4+, CD8+.[Results] The total effective rate was 80.00% in the control group, and the treatment group was significantly higher than the control group (96.67%, P<0.05). The scores of cough, yellow phlegm and thirst symptoms in the treatment group were significantly lower than those in the control group (P<0.05). After treatment, the leukocyte count, neutrophil ratio, c-reactive protein, and chest CT scores were significantly lower than those in the control group (P<0.05). CD4+ in the treatment group was increased in the treatment group (P<0.05, P<0.01), CD8+ in the treatment group showed a significant decrease than those in the control group (P<0.05).[Conclusion] The curative effect of Qingfei Yishen decoction of senile pneumonia (heat obstruct pulmonary syndrome) is significant, and its mechanism may be related to reducing inflammatory response and regulating immunity.

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