中西医结合治疗痰湿蕴肺型社区获得性肺炎的效果分析

Effect analysis of combined traditional Chinese and western medicine in treatment of phlegm-damp accumulation in the lung syndrome of community-acquired pneumonia

目的探讨中西医结合治疗痰湿蕴肺型社区获得性肺炎(CPA)的效果。方法选取宜春市中医院2018年11月~2019年12月收治的60例痰湿蕴肺型CPA患者作为研究对象,采用随机数字表法分为两组,各30例。对照组给予常规西药治疗;治疗组在对照组基础上采用二陈汤加减联合穴位贴敷治疗,两组均连续治疗10 d。比较两组临床疗效、中医证候主症与次症积分、C-反应蛋白(CRP)水平。结果治疗组临床总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,两组中医证候主症与次症积分均低于治疗前,且治疗组低于对照组,差异均有统计学意义(P<0.05);治疗后,两组CRP水平均低于治疗前,且治疗组低于对照组,差异均有统计学意义(P<0.05)。结论中西医结合治疗CAP效果优于常规西医治疗,改善临床症状与肺部的炎症反应,利于患者康复,值得临床推广应用。

Objective To explore the effect of combined traditional Chinese and western medicine in treatment of phlegm-damp accumulation in the lung syndrome of community-acquired pneumonia(CAP).Methods A total of 60 patients with phlegm-damp accumulation in the lung syndrome of CAP who were admitted to Yichun Traditional Chinese Medicine Hospital from November 2018 to December 2019 were divided into two groups according to random number table method,with 30 cases in each group.Control group was given routine western medicine,and treatment group was treated with modified Erchen Decoction and point application based on control group,both groups were treated continuously for 10 days.The clinical efficacy,scores of major and secondary syndromes of TCM syndromes,and C-reactive protein(CRP)levels between the two groups were compared.Results The total clinical effective rate of treatment group was higher than that of control group,the difference was statistically significant(P<0.05);after treatment,the scores of main symptoms and secondary symptoms of TCM syndromes in both groups were lower than those before treatment,and the treatment group was lower than the control group,the differences were statistically significant(P<0.05);the levels of CRP in two groups after treatment were lower than those before treatment,and treatment group was lower than control group,the differences were statistically significant(P<0.05).Conclusion The combined treatment of CAP with traditional Chinese and western medicine is better than conventional western medicine,improves clinical symptoms and pulmonary inflammation,and is conducive to patient recovery.It is worthy of clinical application.