摘要
目的 分析ICU老年耐药菌肺炎患者采取中医桑杏苈黄汤对症状积分与炎症指标的影响。方法 随机选择2017年1月—2021年12月南京中医药大学附属徐州市中医院的60例耐药菌肺炎患者为研究对象,随机将其分为常规组与观察组,每组30例。常规组患者接受西医常规治疗,观察组患者采取中医桑杏苈黄汤治疗,比较两组患者治疗效果、炎症指标、免疫指标、肺功能指标水平与临床症状积分。结果 观察组患者治疗效果(100.00%)高于常规组(76.67%),差异有统计学意义(χ^(2)=5.822,P<0.05);治疗后,观察组患者C反应蛋白为(23.41±9.13)mg/L、临床症状积分为(2.55±1.49)分均低于常规组,差异有统计学意义(P<0.05);治疗后,观察组免疫指标、肺功能指标水平高于常规组,差异有统计学意义(P<0.05)。结论 中医桑杏苈黄汤有着显著治疗效果,是能够有效调节患者炎症指标与症状积分,可以考虑积极推广。
Objective To analyze the effect of taking Chinese medicine Sangxinglihuang Decoction on symptom scores and inflammatory indexes in elderly patients with drug-resistant bacteria pneumonia in ICU.Methods From January 2017 to December 2021, 60 patients with drug-resistant bacterial pneumonia in Xuzhou Hospital of Traditional Chinese Medicine affiliated to Nanjing University of Traditional Chinese Medicine were randomly selected as study subjects and randomly divided into routine group and observation group, with 30 cases in each group. Patients in the routine group were treated with routine western medicine, while patients in the observation group were treated with Sangxinglihuang decoction. The therapeutic effect, inflammatory index, immune index, lung function index and clinical symptom score were compared between the two groups.Results The therapeutic effect of the observation group(100.00%) was higher than that of the conventional group(76.67%), and the difference was statistically significant(χ^(2)=5.822, P<0.05). After treatment, the C-reactive protein of the observation group was(23.41±9.13) mg/L, and the clinical symptom score was(2.55±1.49) points, which were lower than those of the routine group, and the differences were statistically significant(P<0.05). After treatment the levels of immune indexes and lung function indexes in the observation group were higher than those in the routine group, and the differences were statistically significant(P<0.05).Conclusion Traditional Chinese medicine Sangxinglihuang Decoction has significant therapeutic effect and is able to effectively regulate the inflammatory index and symptom score of patients. It can be considered for active promotion.
作者
姜莹
张芳芹
JIANG Ying;ZHANG Fangqin(ICU,Xuzhou Hospital of Traditional Chinese Medicine,Nanjing University of Traditional Chinese Medicine,Nanjing,Jiangsu Province,221000 China)
出处
《中外医疗》
2022年第30期178-181,190,共5页
China & Foreign Medical Treatment
关键词
中医治疗
桑杏苈黄汤
ICU
老年耐药菌肺炎
痰热蕴肺证
症状积分
炎症指标
Chinese medicine treatment
Sangxinglihuang Decoction
ICU
Drug-resistant bacterial pneumonia in the elderly
Phlegm-heat-containing lung evidence
Symptom score
Inflammation index
