摘要
目的观察生脉合抗炎Ⅰ号注射液治疗老年人医院获得性支气管-肺感染的临床疗效。方法将42例老年人医院获得性支气管-肺感染患者随机分为治疗组22例与对照组20例,均予常规治疗,治疗组加用生脉注射液和抗炎Ⅰ号注射液,疗程均10d;比较两组治疗前后症状、体征、痰细菌培养、T淋巴细胞亚群分布的变化。结果治疗组愈显率高于对照组;治疗组气阴两虚证的愈显率、总有效率均高于对照组;治疗组内气阴两虚证的愈显率高于痰热壅肺证,对照组内气阴两虚证的愈显率低于痰热壅肺证;治疗组的痰细菌培养株转阴率高于对照组;治疗组治疗后CD3、CD4较治疗前升高,治疗后两组间CD4、CD4/CD8比较治疗组均高于对照组。结论老年人医院获得性支气管-肺感染中医辨证属气阴两虚证者于西医常规治疗基础上加用生脉与抗炎Ⅰ号注射液可提高临床疗效,其作用可能与增强抗病原菌作用和改善细胞免疫功能有关。
Objective： To observe the clinical effect of Shengmai Injection（生脉注射液） and No. 1 Anti Inflammation Injection （抗炎Ⅰ号注射液）in the treatment of hospital acquired bronchial - pulmonary infection of the aged. Methods：42 patients were randomized into two groups. Patients in the control group（n = 20） were treated with therapy of WM routinely, those in the treatment group（n = 22） were treated with therapy of TCM additionly. Patients in both groups were treated for 10 days. The clinical symptoms, sputum germicuhure, T - lymphocyte subsets, were compared before and after the treatment. Results： As the effective rate, patients with the Syndrome of Deficiency of Both Qi and Yin in the treatment had a marked improvement compared with in the control group. After the treatment, the levels of CD3, CD4 of the treatment group were higher than those of before. The levels of CD4, CD4/CD8 of the treatment group were higher compared with of the control group. Conclusion： Shengmai Injection and No. 1 Anti - Inflammation Injection have certain therapeutic effect in treating the aged hospital acquired bronchial -pulmonary, the Syndrome of Deficiency of Both Qi and Yin. The effect maybe caused by regulating the sufferers＇ cellular immunologic function and antibacterium function.
出处
《中国中医急症》
2007年第1期49-51,共3页
Journal of Emergency in Traditional Chinese Medicine
关键词
老年人医院获得性支气管-肺感染
生脉注射液
抗炎Ⅰ号注射液
Hospital acquired bronchial -pulmonary infection of the aged
Shengmai lnjection（生脉注射液）
No. 1 Anti - Inflammation Injection （ 抗炎Ⅰ号注射液 ）
