CAJ | 학술논문

目的：观察参苓白术散合二陈汤加味联合西药治疗老年肺炎临床疗效，并观察其对血清降钙素原的影响。方法采用随机对照方法，将100例住院患者随机分为2组。对照组(49例)采用西药常规治疗，治疗组(51例)予参苓白术散合二陈汤口服，西药治疗同对照组。1周为1个疗程，连续治疗2个疗程后判定疗效，并观察临床症状、体征改善时间及血清降钙素原变化。结果临床疗效2组差异无统计学意义(P＞0.05)。治疗组症状、体征改善时间优于对照组(P＜0.05)，血清降钙素原改善情况优于对照组(P＜0.05)。结论参苓白术散合二陈汤加味抗感染作用显著，并可迅速改善老年肺炎患者的症状和体征。
목적：관찰삼령백술산합이진탕가미연합서약치료노년폐염림상료효，병관찰기대혈청강개소원적영향。방법채용수궤대조방법，장100례주원환자수궤분위2조。대조조(49례)채용서약상규치료，치료조(51례)여삼령백술산합이진탕구복，서약치료동대조조。1주위1개료정，련속치료2개료정후판정료효，병관찰림상증상、체정개선시간급혈청강개소원변화。결과림상료효2조차이무통계학의의(P＞0.05)。치료조증상、체정개선시간우우대조조(P＜0.05)，혈청강개소원개선정황우우대조조(P＜0.05)。결론삼령백술산합이진탕가미항감염작용현저，병가신속개선노년폐염환자적증상화체정。
Objective To observe the efficacy of Shenling Baizhu powder combined with Erchentang in treatment of senile pneumonia, and its influence on serum procalcitonin. Methods With randomized controlled trial, 100 patients were randomly divided into two groups. The control group (49 cases) was treated by routine western medicine, and the treatment group (51 cases) was treated by Shenling Baizhu powder combined with Erchentang additionally. The treatment course was 1 week, and the therapeutic effect was observed after two courses. The improvement time of clinical symptoms and signs, and the change of serum procalcitonin were detected. Results Clinical efficacy of the two groups had no significant difference (P>0.05). The improvement time of signs and symptoms in treatment group was better than that in control group (P<0.05). The serum procalcitonin improved in treatment group was better than that in control group (P<0.05). Conclusion Shenling Baizhu powder combined with Erchentang has obvious anti-infection effect, and can improve symptoms and signs of senile pneumonia rapidly.