止嗽散合三子养亲汤加减辅助治疗老年肺炎的疗效分析(1)
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【摘要】 目的 观察止嗽散合三子养亲汤加减辅助治疗老年肺炎的疗效。方法 选择2007年1月至2009年1月住院的老年肺炎患者116例,随机分为治疗组56例,对照组60例。对照组采用西医常规治疗,包括抗菌药、止咳化痰、平喘、氧疗等,治疗组在对照组的基础上辅以内服止嗽散合三子养亲汤加减汤剂,比较两组患者在咳嗽咳痰好转时间,肺部罗音减少时间和X线胸片炎症吸收程度的差异。结果 治疗组咳嗽咳痰好转时间、肺部罗音减少时间和X线胸片炎症吸收程度均优于对照组,差异有显著性,P<0.05。结论 在西医抗菌药等常规治疗的基础上辅以内服止嗽散合三子汤养亲汤加减治疗老年肺炎,疗效较好,能缩短病程,对减少抗菌药使用,从而减少耐药菌生成,改善预后,有重要的临床意义。
【关键词】止嗽散;三子养亲汤;老年肺炎
Zhisou Powder and three children to support pro Decoction efficacy of adjuvant treatment of elderly pneumonia Analysis
DAI Zhao yan,HUANG Yin ping,LI Wei Jie,et al.Zhanjiang central people’s Hospital,Zhanjiang 524037,China
【Abstract】 Objective To Observe Zhisou Powder and three sub biological parent Decoction efficacy of adjuvant therapy for pneumonia in the elderly.Methods Choose from January 2007 to January 2009 hospitalized patients with pneumonia,116 cases of elderly,56 cases were randomly divided into treatment group and control group 60 cases.The control group were treated with conventional Western medicine treatment,including anti bacterial drugs,cough phlegm,asthma,oxygen,etc.,the treatment group in the control group supplemented with oral administration on the basis of the third son of Yang Zhisou Powder and pro decoction decoction were compared cough,sputum improves the time patients,pulmonary rales reduce the time and the X ray absorption degree of difference in inflammation.Results The treatment group improved time to cough sputum,pulmonary rales reduce the time and the X ray absorption level of inflammation were better than that in the control group,the difference was significant,P<0.05.Conclusion And other antibacterial drugs in Western medicine on the basis of conventional therapy supplemented by oral administration Zhisou Powder and three sons to support the pro Tang Decoction senile pneumonia,efficacy is better and be able to short the course,reduce the use of antimicrobial drugs,thereby reduce the drug resistant generation and improve the prognosis has important clinical significance.
【Key words】Zhisou Powder; Three sons,the pro Tang Yang; Senile Pneumonia
肺炎为老年人常见疾病之一,其严重程度随着年龄增长而加重,病死率高;老年人肺炎的病原体中,细菌仍占主要地位。[1]西医治疗给予积极抗感染、止咳化痰、平喘、氧疗及营养支持治疗为主。老年人发生肺炎时极易出现序贯性多脏器功能衰竭,故对其治疗在兼顾整体观念及个体化原则的同时,及时采取以抗感染为核心的综合治疗就成为改善预后的关键问题。[2]而细菌与抗菌药物多次接触后,细菌对药物的敏感性下降甚至消失,使用抗菌药是形成获得耐药性的重要原因之一,也是抗菌药物临床应用中的一个严重问题 ......
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