加味麻杏石甘汤治疗社区获得性肺炎的疗效观察

Efficacy of the Maxing Shigan decoction on CAP

目的:观察加味麻杏石甘汤治疗痰热郁肺型社区获得性肺炎的临床疗效。方法:将60例社区获得性肺炎患者随机分为对照组和观察组各30例,对照组给予常规西药治疗,观察组在常规西药治疗的基础上加用加味麻杏石甘汤。比较两组的疗效、超敏C-反应蛋白(hs-CRP)、白细胞计数(WBC)、降钙素原(PCT)。结果:治疗后,观察组的疗效明显高于对照组,两组的hs-CRP、WBC、PCT水平明显低于治疗前,且观察组hs-CRP、WBC、PCT水平明显低于对照组,差异均具有统计学意义(P<0.05)。结论:常规治疗基础上联合加味麻杏石甘汤可以提高痰热郁肺型社区获得性肺炎的疗效,降低hs-CRP、WBC、PCT等炎症指标水平。

Objective： To observe the clinical effect of the Maxing Shigan decoction（ 麻杏石甘汤） on community-acquired pneumonia of the Tanre Yufei type（ 痰热郁肺型）. Methods： 60 patients were randomly divided into the control group and observation group, 30 cases in each group. The control group was given conventional western medicine. The observation group was given the Maxing Shigan decoction more. The efficacy, hs-CRP, WBC and PCT were compared between two groups. Results： After treatment, the curative effect in the observation group was significantly higher than the control group. The levels of hs-CRP, WBC and PCT in two groups were significantly lower than those before treatment, and those in the observation group were significantly lower than those in the control group（P〈0.05）. Conclusion： Routine treatment with the Maxingshigan decoction was effective on community-acquired pneumonia of the Tanre Yufei type, can reduce hs-CRP, WBC, PCT and other indicators of inflammation.