复方清金化痰汤治疗老年社区获得性肺炎痰热壅肺证疗效观察

摘要

目的：观察复方清金化痰汤治疗老年社区获得性肺炎痰热壅肺证的疗效。方法将60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30例。两组患者均给予抗感染、化痰等基础治疗，治疗组在此基础上加用复方清金化痰汤治疗。10 d为1个疗程，1个疗程后观察比较两组患者的治疗效果和退热时间，咳嗽、咳痰症状消失时间及肺部啰音消失时间。结果总有效率治疗组为93.4%，对照组为73.3%，其差异有统计学意义(χ2=4.32，P<0.05)。治疗组退热时间，咳嗽、咳痰症状消失时间，肺部啰音消失时间分别为(2.5±0.3) d、(3.9±0.4) d、(5.0±0.5) d，均快于对照组的(3.1±0.4) d、(4.6±0.5) d、(6.1±0.7) d，其差异均有统计学意义(t=2.8169、2.5663、3.5651，P<0.05)。结论复方清金化痰汤治疗老年社区获得性肺炎痰热壅肺证疗效确切，在退热、改善咳嗽咳痰症状方面有明显优势，能够加快患者恢复，值得临床推广应用。%Objective To observe the clinical effect of compound Qingjinhuatan Decoction in the treatment of senile community acquired pneumonia with syndrome of phlegm-heat obstructing lungs. Methods 60 patients with senile community acquired pneumonia with syndrome of phlegm-heat obstructing lungs were randomly divided into treatment group and control group, each group had 30 cases. Two groups of patients were treated with foundation treatmen including anti-infection, phlegm and other treatment.The treatment group was added with compound Qingjin-huatan Decoction in treatment of 10 days. 10 days for a course of treatment. To observe curative effect of comparing two groups of patients,after a course of treatment. Compare two groups of patients with antifebrile time, cough and sputum symptoms disappear time, lung dry and moist rales disappear time. Results 93.4%total effective rate in treat-ment group and control group 73.3%, the differences in two groups were significantly statistical differences (χ2=4.32, P<0.05). The time of fever, cough, sputum symptoms disappear time, lung rales disappear time in treatment group [(2.7±0.3) d, (4.1±0.4) d, (5.0±0.6) d] were faster than the control group [(3.0±0.5) d, (4.4±0.5) d, (5.6±0.7) d], the differ-ences in two groups were significantly statistical differences (t=2.8169, 2.5663, 3.5651, P<0.05). Conclusion Com-pound Qingjinhuatan Decoction in the treatment of senile community acquired pneumonia with syndrome of phlegm-heat obstructing lungs has curative effects. In the aspect of antifebrile, improve the symptoms of cough and ex-pectoration have obvious advantages. This is worthy of clinical application.