清热宣肺化痰法治疗老年社区获得性肺炎痰热壅肺证的临床疗效

摘要

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.%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。