三拗汤对病毒性肺炎的辅助治疗疗效分析

Efficacy of San-ao decoction in adjuvant treatment of viral pneumonia

目的探讨三拗汤对病毒性肺炎的辅助治疗效果,以降低不良反应发生率。方法选取2010年3月-2013年3月收治的病毒性肺炎患者168例,按照患者就诊时间顺序均分为对照组及观察组,各84例,对照组患者在使用止咳药物、化痰药物情况下给予利巴韦林静脉滴注,观察组在对照组基础上服用三拗汤,对比两组患者的各项指标。结果对照组患者发热、咳嗽时间显著长于观察组,差异有统计学意义(P<0.05),肺部啰音消失时间、肺部影像恢复时间对照组高于观察组,但差异无统计学意义;观察组治疗总有效率为88.10%,不良反应发生率为1.19%,对照组分别为73.81%、8.33%,两组比较差异有统计学意义(P<0.05)。结论三拗汤辅助治疗病毒性肺炎患者,能够缩短患者临床症状恢复时间、降低患者不良反应发生率、提高患者临床治疗效果,值得临床推广使用。

OBJECTIVE To explore the effect of San-ao decoction on adj uvant treatment of viral pneumonia so as to reduce the incidence of adverse reactions.METHODS A total of 168 patients with viral pneumonia who were treated from Mar 2010 to Mar 2013 were enrolled in the study and divided into the control group and the observation group according to the order of treatment,with 84 cases in each;the control group was treated with intravenous dip of ribavirin on the basis of use of cough and phlegm drugs,while the observation group was given San-ao de-coction on the basis of the control group;the indicators were observed and compared between the two groups. RESULTS The time of fever and cough of the control group was significantly longer than that of the observation group（P〈0.05）.The time of disappearance of pulmonary rales and the time of recovery of pulmonary imaging of the control group were longer than those of the observation group,there was no significant difference.The total ef-fective rate of treatment was 88.10% in the observation group,73.81% in the control group;the incidence of ad-verse reactions was 1.19% in the observation group,8.33% in the control group,there was significant difference between the two groups （P〈0.05）.CONCLUSION The use of San-ao decoction for adjuvant treatment of the pa-tients with viral pneumonia can shorten the time of recovery of clinical symptoms,reduce the incidence of adverse reactions,and improve the clinical therapeutic effect,and it is worthy to be promoted in the hospital.