痰热清联合头孢呋辛钠治疗老年肺气肿的疗效观察

摘要

Objective To discuss the clinical curative effects of adopting Tanreqing combined with cefuroxime sodium to treat senile emphysema. Methods Chose 35 cases of senile emphysema patients who have been admitted at our hospital from January 2010 to January 2011, t divided them into observation group and control group, Adopted Tanreqing combined with cefuroxime sodium, to these 20 cases of patients in observation group as treatment;While just adopted Tanreqing to these 15 cases of patients in control group as treatment. Cpmpared these two groups’ patients’ dyspneic respiration situations, symptom relief time,body temperature and chest X-ray radiography recovery time, and their happening situation of adverse reactions. Results With regard to the number of people who remained dyspnea within 3 h of using drug and the relevant ratio,there was no obvious difference between the two groups, P>0.05.But 3-6 h, and after 6 h of using drug,the number of people who remained dyspnea and the ratio in observation group were less than control group, the differences have statistics meaning, P<0.05. Meantime, observation group’s patients’symptom relief time,body temperature and chest X-ray radiography recovery time were shorter than control group’s (P<0.05), there were no adverse reactions occurred in these two groups. Conclusion Tanreqing combined with cefuroxime sodium can have positive effect on the treatment of senile emphysema.%　　目的探讨痰热清联合头孢呋辛钠治疗老年肺气肿的临床疗效.方法选取广东省东莞市石碣医院自2010年1月~2011年1月收治的35例老年肺气肿患者，将其分成观察组和对照组.观察组20例患者采用痰热清联合头孢呋辛钠治疗；对照组15例患者采用单独给予痰热清治疗.比较两组患者在用药后不同时间段内的呼吸困难状况，两组患者的症状缓解时间、体温及胸部X线摄片恢复正常时间，两组的不良反应状况.结果两组患者用药后3 h内发生呼吸困难的比例，差异无统计学意义(P>0.05).但在3~6 h、6 h后，观察组发生呼吸困难的比例较对照组患者少，差异有统计学意义(P<0.05)，同时观察组患者的临床症状缓解时间、体温及胸部X线摄片恢复正常时间都要显著短于对照组(P<0.05)，本次实验两组均未见明显不良反应.结论痰热清联合头孢呋辛钠治疗老年肺气肿效果较好.