中西医结合治疗老年获得性肺炎的临床效果

Clinical Effects of Combined Chinese and Western Medicine in the Treatment of Acquired Pneumonia in the Elderly

目的:探讨应用中西医结合治疗老年获得性肺炎患者的临床效果。方法:选取2016年2月-2018年12月北京中医药大学房山医院重症医学科收治的老年获得性肺炎患者80例为观察对象,采用随机数字表法分为观察组和对照组,各40例。观察组给予中西医治疗,对照组给予西医治疗,比较两组患者血常规指标、治疗效果和症状消退时间、不良反应情况。结果:治疗后,两组患者血清降钙素原、白细胞计数、中性粒细胞比例均降低,观察组低于对照组,差异有统计学意义(P<0.05);观察组总有效率高于对照组,差异有统计学意义(P<0.05);观察组发热、咳嗽咳痰、肺部啰音、肺部阴影吸收消失时间短于对照组,差异有统计学意义(P<0.05)。结论:老年获得性肺炎患者给予麻杏石甘汤加味联合抗生素治疗,未出现不良反应,可明显缩短患者各项临床症状消退时间,改善血常规指标,提高治疗效果。

Objective:To explore the clinical effect of applying the combined Chinese and Western medicine in the treatment of elderly patients with acquired pneumonia.Methods:Eighty cases of elderly patients with acquired pneumonia admitted to the Department of Critical Care Medicine,Fangshan Hospital of Beijing University of Traditional Chinese Medicine,from February 2016 to December 2018 were selected as observation subjects,and were divided into observation group and control group using random number table method,40 cases each.The observation group was given Chinese and Western medicine treatment,and the control group was given Western medicine treatment,and the two groups were compared in terms of blood routine indexes,treatment effect and symptom regression time,and adverse reactions.Results:After treatment,serum calcitoninogen,white blood cell count and neutrophil ratio were reduced in both groups,and the difference was statistically significant(P<0.05)in the observation group,which was lower than that in the control group.The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The fever,cough and sputum,lung rales and lung shadow absorption disappearance time were shorter in the observation group than in the control group,and the difference was statistically significant(P<0.05).Conclusion:Geriatric patients with acquired pneumonia were treated with maxingshigang decoction plus flavor combined with antibiotics without adverse effects,which could significantly shorten the time of regression of various clinical symptoms,improve the blood routine indexes and enhance the therapeutic effect.