加味麻杏石甘汤治疗社区获得性肺炎(痰热壅肺)疗效观察

Observation of the Modified Maxingshigan Decoction on Phlegm-heat Obstruction Lungs Cases with Community Acquired Pneumonia

目的研究加味麻杏石甘汤治疗社区获得性肺炎(痰热壅肺)的疗效,并观察其炎性指标的变化。方法将社区获得性肺炎(CAP)患者40例随机分为两组,中药组服用加味麻杏石甘汤,西药组予以左氧氟沙星入液静滴;治疗前后分别检测WBC、GR%、CRP、NAP积分、TNF-α。结果中药组与西药组疗效相近;两组单项症状和各项炎性指标治疗均有显著,而改善程度相近。结论加味麻杏石甘汤治疗本病疗效确切,能降低炎性因子的水平。

Objective：To study the curative effect of modified Maxingshigan Decoction on phlegm-heat obstruction lungs cases with community acquired pneumonia and to investigate variations of inflammatory indicators in this disease.Methods：40 phlegm-heat obstruction lungs cases with community acquired pneumonia were divided randomly into the TCM group and the western medicine group.The TCM group were used the modified Maxinshigan Decoction and the western medicine group were given the levofloxacin injection.There were some indicators detected before and after treatment including WBC,GR%,CRP,NAP and TNF-α.Results：After the treatment,symptoms and inflammatory indices were ameliorated in two group.Improvement degrees of the TCM group were similar to those of the western group.Conclusion：Modified Maxingshigan Decoction dose not have obvious curative effect,but also decrease levels of inflammatory indicators.