CAJ | 학술논문

目的：观察痰热清注射液联合注射用头孢呋辛钠治疗痰热壅肺型社区获得性肺炎的临床疗效。方法将60例痰热壅肺型社区获得性肺炎患者随机分为2组。治疗组30例予痰热清注射液联合注射用头孢呋辛钠治疗，对照组30例予注射用头孢呋辛钠治疗。2组疗程均为10 d。观察2组治疗前后中医症状、中医证候积分情况及临床疗效。结果2组治疗后咳嗽咳痰、气急、发热、恶心呕吐、口渴、乏力、食欲不振、全身不适、胸闷、小便短赤、便秘，舌苔黄腻及脉濡数或滑数等程度与本组治疗前比较差异均有统计学意义（P＜0．05）。治疗组在咳嗽咳痰、恶心呕吐、口渴、便秘、食欲不振、全身不适、舌苔、脉象改善方面均优于对照组（P＜0．05）。2组治疗后中医证候积分均较本组治疗前减少（P＜0．01），且治疗后治疗组证候积分明显低于对照组（P＜0．01）。治疗组总有效率93．33％，对照组总有效率83．33％，2组总有效率比较差异有统计学意义（P＜0．05），治疗组疗效优于对照组。结论痰热清注射液联合注射用头孢呋辛钠治疗痰热壅肺型社区获得性肺炎疗效确切。
목적：관찰담열청주사액연합주사용두포부신납치료담열옹폐형사구획득성폐염적림상료효。방법장60례담열옹폐형사구획득성폐염환자수궤분위2조。치료조30례여담열청주사액연합주사용두포부신납치료，대조조30례여주사용두포부신납치료。2조료정균위10 d。관찰2조치료전후중의증상、중의증후적분정황급림상료효。결과2조치료후해수해담、기급、발열、악심구토、구갈、핍력、식욕불진、전신불괄、흉민、소편단적、편비，설태황니급맥유수혹활수등정도여본조치료전비교차이균유통계학의의（P＜0．05）。치료조재해수해담、악심구토、구갈、편비、식욕불진、전신불괄、설태、맥상개선방면균우우대조조（P＜0．05）。2조치료후중의증후적분균교본조치료전감소（P＜0．01），차치료후치료조증후적분명현저우대조조（P＜0．01）。치료조총유효솔93．33％，대조조총유효솔83．33％，2조총유효솔비교차이유통계학의의（P＜0．05），치료조료효우우대조조。결론담열청주사액연합주사용두포부신납치료담열옹폐형사구획득성폐염료효학절。
Objective To observe effect of Tanreqing injection combined with cefuroxime sodium for injec-tion on the treatment of phlegm -heat obstructing lung syndrome in patient with community acquired pneumonia . Methods Sixty patients of phlegm -heat obstructing lung syndrome with community acquired pneumonia were ran-domly divided into two groups ,30 cases of each group .The treatment group was treated with Tanreqing injection com-bined with cefuroxime sodium for injection; the control group was treated with cefuroxime sodium for injection ,10 days for a course .The curative effect before and after treatment were evaluated by observing the main traditional Chi -nese medicine symptoms and signs in two groups .Results There were significant differences between before and af-ter treatment on clinical symptoms and signs including cough ,sputum,shortness of breath,fever,nausea,vomiting, thirst,fatigue,loss of appetite,malaise,chest tightness,scanty dark urine,constipation,greasy yellow tongue coating , pulse or slippery,etc.in two groups (P<0.05).The improvement of cough,expectoration,nausea,vomiting,thirst, constipation,loss of appetite,malaise,tongue and pulse in treatment group was superior to that in control group (P<0.05).The main TCM symptoms integral after treatment was decreased significantly as compared with that before treatment in two groups (P<0.01).There was significant differences between two groups on clinical symptoms after treatment (P<0.01).The total effective rate in treatment group ( 93 .33%) was higher than that in control group (83.33%,P <0.05).Conclusion Tanreqing injection combined with cefuroxime sodium for injection has exact effect on the treatment of phlegm -heat obstructing lung syn-drome in patient with community acquired pneumonia .