[1]王国琛,刘江彦.广济柴胡方治疗成人社区获得性肺炎的疗效[J].医学信息,2020,33(04):168-170.[doi:10.3969/j.issn.1006-1959.2020.04.056]
 WANG Guo-chen,LIU Jiang-yan.Effect of GuangJi ChaiHu Fang in the Treatment of Adult Community Acquired Pneumonia[J].Medical Information,2020,33(04):168-170.[doi:10.3969/j.issn.1006-1959.2020.04.056]
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广济柴胡方治疗成人社区获得性肺炎的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年04期
页码:
168-170
栏目:
中医中药
出版日期:
2020-02-15

文章信息/Info

Title:
Effect of GuangJi ChaiHu Fang in the Treatment of Adult Community Acquired Pneumonia
文章编号:
1006-1959(2020)04-0168-03
作者:
王国琛刘江彦
(天津市东丽区中医医院内一科,天津 300300)
Author(s):
WANG Guo-chenLIU Jiang-yan
(Department of Internal Medicine,Subject One,Dongli District Traditional Chinese Medicine Hospital,Tianjin 300300,China)
关键词:
社区获得性肺炎广济柴胡方中医症状
Keywords:
Community-acquired pneumoniaGuangji Chaihu FangSymptoms of traditional Chinese medicine
分类号:
R563.1
DOI:
10.3969/j.issn.1006-1959.2020.04.056
文献标志码:
A
摘要:
目的 探讨广济柴胡方治疗成人社区获得性肺炎(CAP)的疗效。方法 收集2016年5月~2017年4月我科收治的CAP患者112例,按照随机数字表法分为治疗组(55例)和对照组(57例)。对照组给予常规西医治疗,治疗组在对照组基础上给予广济柴胡方治疗,比较两组临床疗效、治疗前后中医证候积分、实验室指标及不良反应发生情况。结果 治疗组总有效率为92.27%,高于对照组的84.21%,差异有统计学意义(P<0.05)。治疗后,治疗组咳嗽咯痰、舌象、脉象、总分均低于对照组,差异有统计学意义(P<0.05);治疗组白细胞计数(WBC)、中性粒细胞百分比(NE%)、C反应蛋白(CRP)低于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论 广济柴胡方治疗CAP疗效确切,可改善肺炎患者临床症状,降低白细胞、CRP等炎性因子水平,安全有效。
Abstract:
Objective To explore the efficacy of Guangji Chaihu Fang in the treatment of adult community acquired pneumonia (CAP).Methods A total of 112 patients with CAP treated in our department from May 2016 to April 2017 were collected and according to the random number table method, they were divided into treatment group (55 cases) and control group (57 cases). The control group was given conventional western medicine treatment, and the treatment group was given Guangji Chaihu Fang on the basis of the control group. Comparing the clinical efficacy, TCM syndrome scores, laboratory indicators [leukocyte count (WBC), neutrophil percentage (NE%), C-reactive protein (CRP)], and adverse reactions of the two groups.Results The total effective rate in the treatment group was 92.27%, which was higher than 84.21% in the control group,the difference was statistically significant(P<0.05). After treatment, the cough, expectoration, tongue, pulse and total scores in the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05); WBC, NE%, and CRP were lower in the treatment group than in the control group,the differences were statistically significant(P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion Guangji Chaihu Fang is effective in treating CAP. It can improve the clinical symptoms of patients with pneumonia and reduce inflammatory factors such as white blood cells and CRP. It is safe and effective.

参考文献/References:

[1]中华医学会,中华医学会杂志社,中华医学会全科医学分会,等.成人社区获得性肺炎基层诊疗指南(实践版2018)[J].中华全科医师杂志,2016,18(2):127-133. [2]中华中医药学会内科分会,中华中医药学会肺系病分会,中国民族医药学会肺病分会.社区获得性肺炎中医诊疗指南(2018修订版)[J].中医杂志,2019,60(4):350-360 [3]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:356-361. [4]李建生.基于疗效优势的中医治疗社区获得性肺炎切入点的思考[J].中医学报,2017,32(3):345-347. [5]尹鑫,邙光伟,项福星,等.柴胡皂苷及黄酮类化合物药理作用研究[J].园艺与种苗,2018(7):29-31. [6]雷载权.中药学[M].上海:上海科技出版社,2002 [7]代晓光,宋琳.五味子现代药理作用及临床应用研究进展[J].中医药信息,2017,34(5):121-123. [8]李庆耀,梁生林.陈皮的药用研究进展[J].中成药,2008,30(2):247. [9]时登龙,刘代缓,曹喆,等.苦杏仁药理作用及炮制工艺研究进展[J].亚太传统医药,2018,14(12):106-107. [10]王茅,徐祉君,郑文博.甘草的临床运用浅析[J].光明中医,2017,32(11):1669-1671. [11]李明珠.中西医结合治疗社区获得性肺炎54例临床观察[J].中国民族民间医药,2016,25(10):59-60.

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更新日期/Last Update: 2020-02-15