摘要
目的观察痰热清注射液对老年社区获得性肺炎患者的佐治效果。方法根据双盲随机原则,将2017年6月-2019年6月辽宁省锦州市义县人民医院收治的98例老年社区获得性肺炎患者分为观察组和对照组各49例。对照组给予头孢哌酮/舒巴坦联合阿奇霉素和溴己新治疗。观察组在对照组用药基础上加用痰热清注射液。观察并比较两组的治疗效果和临床症状消退时间,以及治疗前后相关辅助检查指标变化情况和治疗期间的不良反应发生情况。结果观察组的治疗效果优于对照组,发热、咳嗽缓解时间和肺部啰音消失时间,以及肺部影像学炎症吸收情况、白细胞计数改善情况均优于对照组,差异均有统计学意义(P<0.05);两组治疗期间总不良反应发生率差异无统计学意义(P>0.05)。结论老年社区获得性肺炎患者在常规治疗基础上加用痰热清注射液安全有效,且能够缩短患者临床症状缓解时间,值得临床推广。
Objective To observe the effect of tanreqing injection in the treatment of elderly community-acquired pneumonia(CAP).Methods According to the double-blind randomization principle,a total of 98 elderly patients with CAP admitted to Yixian People's Hospital of Jinzhou City from June 2017 to June 2019 were divided into observation group and control group with 49 cases in each group.The control group was treated with cefoperazone/sulbactam combined with azithromycin and hexyl bromide.The observation group was given tanreqing injection based on regimen of control group.The treatment effect and the time of clinical symptom resolution,the changes of related auxiliary examination indicators before and after treatment and the occurrence of adverse reactions during treatment between the two groups were observed and compared.Results The curative effect of observation group was significantly better than that of control group(P<0.05).In the observation group,the remission time of fever,cough,disappearance time of rhonchus in the lungs,as well as the absorption of inflammation in lung imaging and the improvement of white blood cell count were all significantly better than those in the control group(P<0.05).There was no significant difference in the incidence of total adverse reactions between the two groups during treatment(P>0.05).Conclusion The addition of tanreqing injection to elderly patients with community-acquired pneumonia is safe and effective on the basis of conventional treatment,and can shorten the time of clinical symptom relief in patients,and is worthy of clinical promotion.
作者
张影
ZHANG Ying(Department of Respiration,Yixian People's Hospital of Jinzhou City,Jinzhou 121100,Liaoning Province,China)
出处
《中国实用乡村医生杂志》
2021年第5期60-62,共3页
Chinese Practical Journal of Rural Doctor
