摘要
目的:观察痰热清注射液治疗高血压脑出血术后肺部感染的临床疗效。方法:将100例高血压脑出血术后出现肺部感染的患者随机分为观察组和对照组,每组各50例。两组均给予常规临床护理措施。对照组给予头胞哌酮舒巴坦,每次2 g,静脉滴注,每8 h 1次;注射用盐酸氨溴索,每次30 mg,静脉滴注,每天1次。观察组在对照组的基础上加用痰热清注射液,每次30 m L,静脉滴注,每天1次。观察两组患者咳痰、发热、啰音消失时间、胸片好转时间和住院时间,比较两组患者治疗前后咳嗽、咳痰、发热、啰音、胸片症状评分情况。结果:观察组退热、咳痰、啰音消失时间、胸片好转时间和住院时间均短于对照组,差异有统计学意义(P<0.05);治疗后两组患者咳嗽、咳痰、发热、啰音、胸片等症状、体征评分均较治疗前显著下降,差异具有统计学意义(P<0.01);治疗后观察咳嗽、咳痰、啰音、胸片评分低于对照组,差异具有统计学意义(P<0.01)。对照组有效率为96.0%,观察组有效率为100.0%,两组患者临床疗效比较,差异有统计学意义(P<0.05)。结论:痰热清注射液治疗高血压脑出血术后肺部感染能缩短病程,提高疗效。
Objective ：To observe the clinical effects of Phlegm-Heat Clearing Injection on puhnonary infarction of postoperative hypertensive cerebral hemorrhage. Methods： Totally 100 patients with pulmonary infarction of postoperative hypertensive cerebral hemorrhage were randomly divided into observation group and control group,with 50 cases in each grnup, Both groups were given conventional clinical nursing therapy. Control group were administered with Cefperazone-Sulbactam,with intravenous dripping of 2 g each time,once every. 8 hours;with intravenous dripping of Ambroxol Hydrochloride of 30 mg each time,onee every, day. Observation group were added with Phlegm-Heat Clearing Injection,with intravenous dripping of 30 mL each time,once every day. The disappearance time of expectoration,fever and rale,improvement of result of the chest radiograph and the hospital stays in both groups were observed, and the scores of cough,expectoration, fever and rale, symptoms of the chest radiograph in the two groups were observed. Results：The disappearance time of fever abatement,expectoration and rale,improvement of the result of the chest radiograph and the hospital stays in observation group was shorter than that in contrnl group;the difference had statistical significance （P 〈 0.05 ）. After the treatment, the scores of the symptoms of cough, expectoration, fever, rale and the resuh of the chest radingraph in both groups got remarkable decline（ P 〈 0.01 ）. The effective rate was 96.0% in control group and 100,0% in observation group,with statistical significance （P 〈 0.01 ）. Conclusion： In treating pulmonary, infarction of postoperative hypertensive cerebral hemorrhage, Phlegm-Heat Clearing Injection can shorten the course of disease with satisfactory efficacy.
出处
《河南中医》
2016年第9期1550-1552,共3页
Henan Traditional Chinese Medicine
基金
国家自然科学基金项目(编号:1400170273)
关键词
肺部感染
高血压脑出血
痰热清注射液
pulmonary infarction
hypertensive cerebral hemorrhage
Phlegm-Heat Clearing Injection
