中西医结合治疗肺性脑病临床研究

Clinical Research on Treatment of Pulmonary Encephalopathy with Integrated Traditional Chinese and Western Medicine

目的:研究中西医结合治疗肺性脑病的临床疗效。方法:随机将72例肺性脑病患者分为中西医结合治疗组(治疗组)与单纯西药治疗组(对照组)。治疗组除西药治疗同对照组外,加用中药清开灵、醒脑静、参附注射液。对照组给予持续低流量吸氧,必要时给予呼吸机辅助呼吸,并予平喘、祛痰药改善通气;抗生素以静脉给药为原则,利尿脱水。结果:治疗组总有效率达91.67%,与对照组(77.78%)比较,经统计学处理有显著性差异(P<0.05),且治疗组神志转清楚时间短于对照组(P<0.01)。结论:本观察为今后中西医结合治疗肺性脑病提供了方法和经验。

Objective： To observe the clinical effectiveness of integrated Traditional Chinese and Western Medicine （TC- WM） on pulmonary encephalopathy. Methods： Seventy- two patients of pulmonary encephalopathy were allocated randomly into the TCWM group and the control group. The therapeutic method for the control group including continuous low flow oxygen intake with mechanical ventilation available when necessary, with antiasthmatics and expectorants improve ventilation, sufficient and combined intravenous infusion of antibiotics, and prescription of diuretics for dehydration. For the TCWM group, besides above -mentioned Western medication, Chinese medicine injection of Qingkailing and Xingnaojing and Shenfu. Results： The total effective rate of the TCWM group reached 91.67% and was higher than that of the control group （77.78%） significantly （ P 〈 0.05）. Time for restoring consciousness in the former was also shorter than that of the latter significantly （P 〈 0. 01 ）. Conclusion ： This study provided both method and experience for the treatment of pulmonary encephalopathy with TCWM.