重症肺部感染的中西医治疗

Traditional Chinese and western medicine treatment for severe pulmonary infection

重症肺炎发病主要由于病原体感染及免疫损害。中医认为,重症肺炎的病因病机为正虚邪盛痰结。治疗方面西医主要以抗感染、呼吸支持、纤支镜、营养支持、激素治疗为主,中医治疗主要以涤痰泄热、升清降浊、泄热通腑、扶正祛痰为主。近年来中西医结合治疗重症肺部感染多结合中医的增强患者正气以抗邪,西医抗生素、呼吸支持等优势方法共同治疗重症肺炎,有效降低了重症肺部感染患者的病死率及入住ICU时长。但中医针对重症肺炎的辨证思路仍众说纷纭,未来需要更多的高质量对照研究来指导临床。

The incidence of severe pneumonia is mainly due to two aspects： pathogen infection and immune damage.According to TCM,the etiology and pathogenesis of severe pneumonia is the deficient Qi and strong pathogenic factors.Treatment methods such as anti infection,respiratory support,bronchoscopy,nutritional support,hormone therapy should be adopted. TCM treatment methods such aspurging phlegm and heat,turbid,relievingheat and purgation,strengthening the body resistance and eliminating phlegm should be used. In recent years,there are more articles on traditional Chinese and Western medicine treatment of severe pulmonary infection.Most of them deal with the combination of TCM on strengthening the body resistance and western medicine of antibiotics and respiratory support. Such therapies can effectively reduce mortality and ICU admission of patients with severe pulmonary infection. However,syndrome differentiation of TCM for severe pneumonia is still controversial. We need more control studies of high quality to guide clinic in the future.