首页|痰热清注射液联合头孢哌酮/舒巴坦钠治疗支气管扩张伴肺部感染临床观察

痰热清注射液联合头孢哌酮/舒巴坦钠治疗支气管扩张伴肺部感染临床观察

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目的 观察痰热清注射液联合头孢哌酮/舒巴坦钠治疗支气管扩张伴肺部感染(BCPI)的临床疗效.方法 将我院89例BCPI患者随机分为对照组45例与治疗组44例.对照组用头孢哌酮/舒巴坦钠治疗,治疗组在对照组的治疗基础上用痰热清注射液治疗.比较两组临床疗效,观察白细胞计数(WBC)、降钙素原(PCT)、C反应蛋白(CRP)、中性粒细胞百分比(NEU%)水平,评价中医症状评分,测量第1秒用力呼气容积(FEV1)、用力肺活量(FVC),比较圣乔治呼吸问卷(SGRQ)评分.结果 治疗后,治疗组总有效率高于对照组(P<0.05);两组WBC、PCT、CRP、NEU%水平低于治疗前,治疗组WBC、PCT、CRP、NEU%水平均低于对照组(P<0.05);两组中医症状评分低于治疗前,治疗组中医症状评分低于对照组(P<0.05);两组FEV1、FVC高于治疗前,治疗组FEV1、FVC均高于对照组(P<0.05);两组SGRQ评分低于治疗前,治疗组SGRQ评分低于对照组(P<0.05).结论 采用痰热清注射液联合头孢哌酮/舒巴坦钠治疗BCPI患者,可降低感染,改善症状,提高肺功能,提高临床疗效.
Clinical observation on Tanreqing Injection combined with cefoperazone/sulbactam sodium in treatment of bronchiectasis with pulmonary infection
Objective To observe the clinical efficacy of cefoperazone/sulbactam sodium combined with Tanreqing Injection in treatment of bronchiectasis with pulmonary infection(BCPI).Methods 89 patients with BCPI were randomly divided into control group(45 cases)and treatment group(44 cases).Control group was treated with cefoperazone/sulbactam sodium,and treatment group was treated with Tanreqing Injection on the basis of control group.The clinical efficacy of the two groups was compared;the levels of white blood cell count(WBC),procalcitonin(PCT),C-reactive protein(CRP)and neutrophil percentage(NEU%)were observed,the TCM symptom score was evaluated,the forced expiratory volume in one second(FEV1)and forced vital capacity(FVC)were measured,and the St.George's Respiratory Questionnaire(SGRQ)scores of the were compared.Results After treatment,the total effective rate of treatment group was higher than that of control group(P<0.05);WBC,PCT,CRP,NEU%levels in both groups were lower than those before treatment,and were lower in treatment group than control group(P<0.05);the TCM symptom scores of both groups were lower than those before treatment,and were lower in treatment group than control group(P<0.05);FEV1 and FVC in both groups were higher than those before treatment,and were higher in treatment group than control group(P<0.05);the SGRQ scores of both groups were lower than those before treatment,and were lower in treatment group than the control group(P<0.05).Conclusion Cefoperazone/sulbactam sodium combined with Tanreqing Injection can reduce infection,improve symptoms,improve lung function and improve clinical efficacy in treatment of BCP1.

BronchiectasisLung infectionsTanreqing InjectionCefoperazone/sulbactam sodium

贺思维、李军、金磊、杨莲

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湖北省监利市人民医院,湖北监利 433300

支气管扩张 肺部感染 痰热清注射液 头孢哌酮/舒巴坦钠

湖北省科技计划项目

2021FFB6411

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(3)
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