中西医结合救治婴幼儿肺炎合并急性心力衰竭的疗效观察

Clinical observation on treating pneumonia complicated by acute heart failure in infants in the integrative medicine

目的:通过对比中西医结合救治婴儿肺炎合并心力衰竭的不同临床疗效。方法:随机将符合肺炎合并心力衰竭(心衰)的病例分为中西医结合治疗组和西医治疗对照组各40例,两组患儿均常规应用抗生素、强心、利尿、吸氧等治疗。治疗组在此基础上加用参附注射液1ml/kg静滴,2次/d,直到心衰纠正[3];并口服加味葶苈大枣泻肺汤,组方:葶苈子、大枣、车前子、炙麻黄、杏仁、地龙、丹参、红花、蚤休、鱼腥草。伴精神萎靡加朝鲜参;高热不退加蝉衣、生石膏;烦躁不安加龙骨、牡蛎;惊厥抽搐加羚羊角、钩藤;喉间痰鸣加僵蚕、仙鹤草;粪便干结加大黄。每日1剂,水煎2次,混合后分3～8次口服,连续服药3日。结果:治疗组在缓解呼吸困难、促进肺内微循环、消除肺水肿方面均较对照有显著性差异,并能加速心衰的纠正,缩短心衰时间,快速消除咳、痰、喘等临床症状。采用中西医结合治疗方法,在改善患儿缺氧状况、纠正心衰、消除肺部啰音等方面取得了较好的疗效,值得临床推广。

Objective： To contrast different clinical efficacy of the integrative medicine in treating pneumonia complicated by acute heart failure in infants. Methods： Patients were divided into the treated group and the control group, 40 cases for each, two groups of children with conventional antibiotics, cardiac, diuretic, oxygen and other treatment. Both group the routine use of antibiotics, cardiac, diuretic, oxygen treatment. On this basis, the treatment group plus Shenfu Injection 1ml/kg intravenous, 2 times a day, until the heart correction [3] ; And oral the Tingli Dazao Xiefei decoction, one dose a day, cook 2 times, 3 to 8 times a day orally after mixing, on the 3rd of continuous medication. Results： Compared with the control group, there are significant differences in relieving dyspnea, promoting lung microcirculation, elimination of pulmonary edema. The integrative medicine was effective in treating pneumonia complicated by acute heart failure in infants, worthy of application.