CAJ | 학술논문

目的：观察清热宣肺化痰法治疗老年社区获得性肺炎(中医辩证为痰热壅肺证证候)的临床疗效。方法将100例老年社区获得性肺炎痰热壅肺证患者,随机分为治疗组与对照组,每组各50例。两组患者均给予使用抗感染、止咳、祛痰等基础治疗,治疗组在此基础上采取清热宣肺化痰法,运用复方清金化痰汤治疗,10d为1个疗程。治疗后观察比较两组患者治疗效果、中医症状改善情况,以及两组患者第3 d、第5 d、第9 d血白细胞总数正常率。结果治疗组患者疗效明显优于对照组( P<0．05)、中医症状改善程度优于对照组(P<0．05)。治疗组血白细胞恢复正常时间快于对照组,经统计学分析有差异(P<0．05)。结论采取清热宣肺化痰法运用复方清金化痰汤治疗老年社区获得性肺炎疗效确切,在中医症状改善方面有明显优势,能够加快患者恢复,值得临床推广应用。
목적：관찰청열선폐화담법치료노년사구획득성폐염(중의변증위담열옹폐증증후)적림상료효。방법장100례노년사구획득성폐염담열옹폐증환자,수궤분위치료조여대조조,매조각50례。량조환자균급여사용항감염、지해、거담등기출치료,치료조재차기출상채취청열선폐화담법,운용복방청금화담탕치료,10d위1개료정。치료후관찰비교량조환자치료효과、중의증상개선정황,이급량조환자제3 d、제5 d、제9 d혈백세포총수정상솔。결과치료조환자료효명현우우대조조( P<0．05)、중의증상개선정도우우대조조(P<0．05)。치료조혈백세포회복정상시간쾌우대조조,경통계학분석유차이(P<0．05)。결론채취청열선폐화담법운용복방청금화담탕치료노년사구획득성폐염료효학절,재중의증상개선방면유명현우세,능구가쾌환자회복,치득림상추엄응용。
Objective To observe the clinical efficacy of heat-phlegm removing and lung ventilating in the treatment of senile patients with community-acquired pneumonia. Methods 100 senile patients with community-ac-quired pneumonia ( syndrome of phlegm-heat obstructing lung in TCM ) were randomly divided into the treatment group and the control group, each including 50 cases. All patients received anti-infection, antitussive and expectorant managements, and the treatment group was additionally given Qingjin Huatan decoction compound for 10 days. The clinical efficacy and improvement of TCM symptoms were observed, and the normal rate of total leukocyte count were determined at the 3rd, 5th and 9th days after the treatment. Results The clinical efficacy and improvement of TCM symptoms in the treatment group were superior to those in the control group respectively (P<0. 05). The recovery of leukocyte count to the normal level in the treatment group was quicker than that in the control group ( P<0. 05 ) . Conclusion The clinical efficacy of adopting methods of heat-phlegm removing and lung ventilating with Qingjin Huatan decoction compound is satisfactory in the treatment of senile patients with community-acquired pneumonia.