山西大同大学学报（自然科学版）
山西大同大學學報（自然科學版）
산서대동대학학보（자연과학판）
Journal of Shanxi Datong University (Natural Science Edition)
2015年
4期
47-48,54
,共3页
非特异性间质性肺炎(NSIP)%中西医结合%泼尼松%银杏叶%雷公藤%百合固金丸
非特異性間質性肺炎(NSIP)%中西醫結閤%潑尼鬆%銀杏葉%雷公籐%百閤固金汍
비특이성간질성폐염(NSIP)%중서의결합%발니송%은행협%뢰공등%백합고금환
nonspecific interstitial pneumonia%combined treatment of Chinese and Western medicine%prednison%ginkgo leaf%tripterygium wilfordii%lilium compound antiphlogistic pill
目的：观察泼尼松配伍银杏叶、雷公藤、百合固金丸、黄芪等中药对非特异性间质性肺炎（NSIP）的疗效。方法运用糖皮质激素（泼尼松起始剂量60 mg/日，逐渐减至10 mg/隔日）配伍中药（银杏叶胶囊0.6g/日、雷公藤多甙30 mg/日、百合固金丸2丸/日和黄芪20 g/日）联合治疗NSIP患者1例，连续应药8 W，分别于给药前后做动脉血气分析、血沉（ESR）、血液生化检测和肺部CT检查。结果给药后患者症状和体征积分比给药前有所降低，动脉血氧分压从67.5 mmHg升至78.6 mmHg，ESR从75 mm/h降至19 mm/h，肺CT检查见双肺中下野弥漫性浸润性阴影大部消失，仅余右下肺点状阴影1处。结论用泼尼松配伍银杏叶、雷公藤、百合固金丸、黄芪中西医结合的办法治疗NSIP，有较好疗效。
目的：觀察潑尼鬆配伍銀杏葉、雷公籐、百閤固金汍、黃芪等中藥對非特異性間質性肺炎（NSIP）的療效。方法運用糖皮質激素（潑尼鬆起始劑量60 mg/日，逐漸減至10 mg/隔日）配伍中藥（銀杏葉膠囊0.6g/日、雷公籐多甙30 mg/日、百閤固金汍2汍/日和黃芪20 g/日）聯閤治療NSIP患者1例，連續應藥8 W，分彆于給藥前後做動脈血氣分析、血沉（ESR）、血液生化檢測和肺部CT檢查。結果給藥後患者癥狀和體徵積分比給藥前有所降低，動脈血氧分壓從67.5 mmHg升至78.6 mmHg，ESR從75 mm/h降至19 mm/h，肺CT檢查見雙肺中下野瀰漫性浸潤性陰影大部消失，僅餘右下肺點狀陰影1處。結論用潑尼鬆配伍銀杏葉、雷公籐、百閤固金汍、黃芪中西醫結閤的辦法治療NSIP，有較好療效。
목적：관찰발니송배오은행협、뢰공등、백합고금환、황기등중약대비특이성간질성폐염（NSIP）적료효。방법운용당피질격소（발니송기시제량60 mg/일，축점감지10 mg/격일）배오중약（은행협효낭0.6g/일、뢰공등다대30 mg/일、백합고금환2환/일화황기20 g/일）연합치료NSIP환자1례，련속응약8 W，분별우급약전후주동맥혈기분석、혈침（ESR）、혈액생화검측화폐부CT검사。결과급약후환자증상화체정적분비급약전유소강저，동맥혈양분압종67.5 mmHg승지78.6 mmHg，ESR종75 mm/h강지19 mm/h，폐CT검사견쌍폐중하야미만성침윤성음영대부소실，부여우하폐점상음영1처。결론용발니송배오은행협、뢰공등、백합고금환、황기중서의결합적판법치료NSIP，유교호료효。
Objective To observe the effect of combination of predison, ginkgo leaf, tripterygium, wilfordii, lilium compound anti?phlogistic pill, and astragalus mongholicus on nonspecific interstitial pneumonia. Method To use glucocorticoid (initially prednison 60mg/d, gradually reduced to 10mg every other day) combined with traditional Chinese medicine (ginkgo leaf capsule 0.6g/d, tripterygi?um 30mg/d, lilium compound antiphlogistic pill 2/d, astragalus mongholicus 20g/d) to treat one case with NSIP, do analysis of arterial blood, ESR, thrombus biochemical detection and lung CT before and after taking the medicine. Result After taking the medicine, the smptoms of the patient got fewer. The arterial partial pressure of oxygen rose from 67.5mmHg to 78.6mmHg, ESR decreased from 75mm/h to 19mm/h, lung CT showed much of the diffuse infiltrative shadow disappeared, only the shadow on the bottom right still exist?ed. Conclusion The combination of predison, ginkgo leaf, tripterygium, wilfordii, lilium compound antiphlogistic pill, and astragalus mongholicus on nonspecific interstitial pneumonia has good effect.
