蔡鸿彦教授治疗社区获得性肺炎临床经验的研究

A Study on Clinical Experience of Professor Cai Hongyan in the Treatment of Community-acquired Pneumonia

目的探究蔡鸿彦教授治疗社区获得性肺炎临床效果,积累社区获得性肺炎的经验。方法选取我院2017年3月至2018年12月收治的72例社区获得性肺炎患者作为研究对象,分为对照组和观察组,每组各36例。对照组采用盐酸左氧氟沙星治疗,观察组采用盐酸左氧氟沙星+麻柴苇茎汤治疗,比较两组临床疗效和治疗前后各项诊疗性指标。结果对照组临床治疗总有效率为77.78%(28/36),观察组临床治疗总有效率为94.44%(34/36),两组差异有统计学意义(P<0.05)。治疗前,对照组和观察组WBC、CRP、PCT水平差异无统计学意义(P>0.05);治疗后,观察组WBC、CRP、PCT水平均明显低于对照组,差异有统计学意义(P<0.05)。结论蔡鸿彦教授采用的麻柴苇茎汤治疗社区获得性肺炎疗效显著,可以改善患者的免疫功能,促进患者的健康恢复,值得临床广泛推广应用。

Objective To explore the clinical effects achieved by Professor Cai Hongyan in the treatment of community-acquired pneumonia and accordingly to accumulate the experience in community-acquired pneumonia treatment.Methods 72 patients suffering from community acquired pneumonia and admitted to Jilin Academy of Traditional Chinese Medicine from March 2017 to December 2018 were selected in the study.They were divided into a control group(n=36)and an observation group(n=36)evenly.Levofloxacin hydrochloride was applied to the control group while levofloxacin hydrochloride combined with decoction of Machai and Weijing,a treatment method adopted by Professor Cai Hongyan,was applied to the observation group.The clinical efficacy and the diagnostic indicators before and after the treatment were compared respectively.Results The overall response rate of clinical treatment in the control group was 77.78%(28/36)while it was 94.44%(34/36)in the observation group.The difference was statistically significant(P<0.05).Before treatment,the difference in WBC,CRP and PCT between the control group and the observation group was not statistically significant(P>0.05).After treatment,the WBC,CRP and PCT in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment method adopted by Professor Cai Hongyan is significantly effective in the treatment of community-acquired pneumonia since it can improve patients’immunity and help them recover.Therefore,it is worthy of widespread application in clinical practice.