中西医结合治疗高血压脑出血并发肺部感染的效果

Effect of Combined Traditional Chinese and Western Medicine on Patients with Hypertensive Cerebral Hemorrhage Complicated with Pulmonary Infection

目的:观察高血压脑出血(hypertensive cerebral hemorrhage)并发肺部感染(pulmonary infection)患者采用西医疗法联合中药汤剂治疗的临床效果及对血清炎症因子水平的影响。方法:回顾性分析2019年4月-2020年4月本院92例高血压脑出血并发肺部感染患者的临床资料。根据治疗方法分为西医疗法组(46例)和西医疗法+中药汤剂组(46例)。西医疗法组接受常规西医疗法进行治疗,西医疗法+中药汤剂组接受西医疗法联合中药汤剂治疗。观察两组病情改善优良率、C反应蛋白、降钙素原水平。结果:西医疗法+中药汤剂组病情改善优良率为93.48%,高于西医疗法组(P<0.05);治疗14 d后,西医疗法+中药汤剂组C反应蛋白(6.18±0.06)mg/L、降钙素原(0.41±0.02)ng/ml,均低于西医疗法组(P<0.05)。结论:高血压脑出血并发肺部感染患者采用西医疗法联合中药汤剂治疗的临床疗效及对血清炎症因子水平的影响价值显著,值得在临床上推广应用。

Objective:To observe the clinical effect of western medicine combined with traditional Chinese medicine decoction in patients with hypertensive intracerebral hemorrhage complicated with pulmonary infection and its effect on serum inflammatory factor levels.Method:The clinical data of 92 patients with hypertensive cerebral hemorrhage complicated with pulmonary infection in our hospital from April 2019 to April 2020 were retrospectively analyzed.According to the treatment methods,they were divided into the western medicine treatment group (46 cases) and the western medicine treatment + Chinese medicine decoction group (46 cases).The western medical treatment group received conventional western medical treatment,and the western medicine treatment + Chinese medicine decoction group received western medical treatment combined with Chinese medicine decoction.Observed the excellent and good rate of condition improvement,levels of C-reactive protein and procalcitonin of the two groups.Result:The excellent and good rate of condition improvement in the western medical treatment + Chinese medicine decoction group was 93.48%,which was higher than that in the western medical treatment group (P<0.05).After 14 d of treatment,the levels of C reactive protein and procalcitonin in the western medical treatment + Chinese medicine decoction group were (6.18±0.06) mg/L,(0.41±0.02) ng/ml,which were lower than those in the western medical treatment group (P<0.05).Conclusion:The clinical efficacy of western medicine combined with Chinese medicine decoction in the treatment of patients with hypertensive cerebral hemorrhage complicated with pulmonary infection and its effect on serum inflammatory factor levels is significant,and it is worthy of clinical application.