中西医结合治疗小儿重症肺炎62例

Effect of TCM WM therapy on 62 cases with infantile severe pneumonia

目的：观察中西医结合治疗小儿重症肺炎的疗效。方法：将１３１例小儿重症肺炎分为治疗组６２例，对照组６９例。对照组按西医重症肺炎常规治疗，予抗感染、吸氧、扩血管、强心、利尿及呼吸兴奋剂等处理。治疗组在西医常规治疗的基础上加用中药宣肺泄热、活血化痰、益气养阴方剂。结果：治疗组治愈率９０．３％，总有效率９６．８％，均明显高于对照组（分别为６９．６％和８５．５％），Ｐ＜０．０１和Ｐ＜０．０５。心力衰竭、呼吸衰竭、脑功能衰竭和多器官衰竭平均纠正时间治疗组亦明显快于对照组，Ｐ均＜０．０１。临床喘憋平均缓解时间、紫绀消失平均时间、湿口罗音消失平均时间治疗组均快于对照组（Ｐ均＜０．０１）。

Objective:To observe the therapeutic efficacy of TCM WM on infantile severe pneumonia.Methods:One hundred and thirtyone cases of infantile severe pneumonia were divided into treatment group (62 cases) and control group (69 cases).The control group was treated with rontine therapy of western medicine,it consist of antiinfection,oxygen inhalation,vasodilator,cardiotonic,diuretic and respiratory stimulator;while the treatment group was treated with Xuanfei Xiere (宣肺泄热),Huoxue Huatan(活血化痰),Yiqi Yangyin (益气养阴) recipes on the basis of routine therapy.Results:In treatment group,cured rate and total effective rate were 90 3% and 96 8% respectively,they were higher obviously than those in control group (69 6% and 85 5% respectively), P <0 01 and P <0 05.In addition,the mean corrective time of heart failure,respiratory failure,cerebral failure and multiple organs failure in treatment group were faster than those in control group (all P <0 01);the remissive time of gasp,cyanosis and wet rale lose were shorter than those in control group also (all P <0 01).Conclusions:TCM WM therapy can enhance the efficacy in treatment of infantile severe pneumonia.