中西医结合治疗社区获得性肺炎39例疗效观察

Observation on the Effect of Integrated TCM and WM in Treating Community Acquired Pneumonia

目的:观察中西医结合治疗社区获得性肺炎的临床疗效。方法:选符合诊断标准的社区获得性肺炎患者79例,采用抽签法随机分为2组。两组均给予抗生素(3天内用广谱抗生素,3天后予针对性抗生素)治疗10～14天,治疗组加服中药煎剂。结果:治疗组治愈31例,有效6例,无效2例,总有效率为94.87%(95%CI=82.42%～99.34%);对照组治愈13例,有效16例,无效11例,总有效率为72.50%(95%CI=58.66%～86.34%)。两组综合疗效比较,有显著性差异(u=3.7853,P=0.0003)。结论:中西医结合治疗社区获得性肺炎优于单纯抗生素治疗,其收益为OR=0.14(95%CI=0.03～0.69),NNT=4(95%CI=2.58～16.61);且能缩短发热、肺部罗音、咳嗽的持续时间(P<0.05)。

Objective：To observe the effect of integrated TCM and WM in treating community acquired pneumonia. Method： 79 patients with community acquired pneumonia were randomly divided into 2 groups. Patients in the treatment group were treated with antibiotic and Chinese medicine ,and patients in the control group were treated with antibiotic alone. Both the two groups were treated for 10 to 14 days. Result ：In the treatment group, 31 cases caured, 6 cases effective, 2 cases ineffective ,the total effective rate was 94.87%（95%CI = 82. 42%- 99.34%）. In the control group, 13 cases cured, 16 cases effective, 11 cases ineffective,the total effective rate was 72.50%（95%CI=58. 66%-86. 34%）. The difference between the two groups was notable （u = 3. 7853,P = 0. 0003） . Conclusion ：The effect of integrated TCM and WM was superior to that of antibiotic in treating community acquired pneumonia. OR=0.14（95%CI = 0. 03-0. 69）,NNT=4（95%CI=2. 58-16.61）. And the duration time of fever,tales and cough was shortened （P〈0.05）.