中西医治疗老年性肺炎的临床疗效分析

Analysis on the clinical curative effect of Chinese and western medicine in the treatment of elderly pneumonia

目的探讨中西医治疗老年性肺炎的临床疗效。方法选取2015年3月~2017年3月间我院收治的老年性肺炎患者75例,按随机数字表法分为观察组(n=38)与对照组(n=37)。对照组给予左氧氟沙星注射液治疗,观察组在此基础上进行中医分型治疗。观察两组患者的临床疗效,两组患者临床各项指标恢复正常时间及住院时间,两组患者WBC、CRP、PCT下降时间及药物不良反应情况。结果观察组患者的临床有效率为92.11%,明显高于对照组的81.08%,两组比较差异有统计学意义(P<0.05)。观察组患者的发热持续时间、肺部啰音消失时间、白细胞恢复正常时间、平均止咳时间、肺部影像吸收改变情况、住院时间等均低于对照组,两组比较差异有统计学意义(P<0.05)。观察组患者WBC、CRP、PCT下降时间明显低于对照组,两组比较差异有统计学意义(P<0.05)。两组患者均未见明显不良反应发生。结论中西医治疗老年性肺炎的临床疗效显著,可明显减轻临床症状,值得临床推广应用。

Objective To investigate the clinical effect of Chinese and western medicine in the treatment of elderly pneumonia. Methods 75 patients with elderly pneumonia who were admitted to our hospital from March 2015 to March 2017 were selected. The patients were randomly assigned to observation group（n=38） and control group（n=37） according to random number table method. The control group was given levofloxacin infection for treatment, and the observation group was further given typing of Chinese medicine on this basis. The clinical efficacy, the duration of clinical indicators resuming to normal, length of stay, the declining time of WBC, CRP and PCT and adverse drug reactions were observed in both groups. Results The clinical effective rate in the observation group was 92.11%, which was significantly higher than that of 81.08% in the control group, the difference was statistically significant between the two groups（P〈 0.05）. The duration of fever, the disappearance time of pulmonary rales, the time of leukocyte resuming to normal, the average duration of cough relieving, the changes of lung image absorption and length of hospital stay in the observation group were significantly lower than those in the control group. The differences between the two groups were statistically significant（P〈0.05）. The declining time of WBC, CRP and PCT in the observation group was significantly lower than those in the control group, and the differences were statistically significant between the two groups（P〈0.05）. No obvious adverse reactions were seen in both groups. Conclusion Chinese and western medicine in the treatment of elderly pneumonia has a significant clinical efficacy, which can significantly reduce the clinical symptoms and is worthy of clinical promotion arid application.