首页|健脾养肺汤治疗重症肺炎的疗效及对患者血气指标、炎症因子的影响

健脾养肺汤治疗重症肺炎的疗效及对患者血气指标、炎症因子的影响

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目的 探究重症肺炎患者应用健脾养肺汤治疗的作用.方法 选取2022年1月—2023年12月临沂市中医医院收治的78例重症肺炎患者为研究对象.采用盲摸双色球法分为研究组、参照组,各39例.参照组行常规西医治疗,研究组给予健脾养肺汤治疗.比较两组的治疗效果、临床症状改善情况、血气指标及炎性因子水平.结果 研究组治疗总有效率为 94.87%,高于参照组的 76.92%,差异有统计学意义(χ2=5.186,P<0.05).研究组临床症状(发热、咳嗽、胸闷痛及肺部湿啰音)改善时间均少于参照组,差异有统计学意义(P均<0.05).干预前,两组血气指标比较,差异无统计学意义(P均>0.05);干预后,研究组血氧饱和度、动脉氧分压水平均高于参照组,动脉二氧化碳分压水平低于参照组,差异有统计学意义(P均<0.05).干预前,两组炎性因子水平比较,差异无统计学意义(P均>0.05);干预后,研究组中白细胞介素-6、肿瘤坏死因子-α及白细胞计数水平均低于参照组,差异有统计学意义(P均<0.05).结论 健脾养肺汤能够提高重症肺炎患者的治疗效果,缩短症状改善时间,改善血气指标,降低炎性因子水平.
Efficacy of Jianpi Yangfei Decoction in the Treatment of Severe Pneumo-nia and Its Effect on Patients'Blood Gas Indexes and Inflammatory Fac-tors
Objective To investigate the role of application of Jianpi Yangfei decoction in the treatment of patients with severe pneumonia.Methods A total of 78 patients with severe pneumonia admitted to Linyi Hospital of Tradi-tional Chinese Medicine from January 2022 to December 2023 were selected for the study.They were divided into study group and reference group,each with 39 cases by blind touch bicolor method.The reference group was treated with conventional western medicine,while the study group was treated with Jianpi Yangfei decoction.The treatment ef-fect,clinical symptom improvement,blood gas index and inflammatory factor level of the two groups were compared.Results The total effective rate of treatment in the study group was 94.87%,higher than that of 76.92%in the refer-ence group,and the difference was statistically significant(χ2=5.186,P<0.05).The time for improvement of clinical symptoms(fever,cough,chest pain and lung wet rales)in the study group were less than that in the reference group,and the differences were statistically significant(all P<0.05).Before intervention,there was no statistically significant difference in blood gas indexes between the two groups(all P>0.05).After intervention,blood oxygen saturation and ar-terial oxygen partial pressure levels in the study group were higher than those in the reference group,and arterial car-bon dioxide partial pressure levels were lower than those in the reference group,and the differences were statistically significant(all P<0.05).Before intervention,there was no statistically significant difference in the levels of inflamma-tory factors between the two groups(all P>0.05).After the intervention,the levels of interleukin-6,tumor necrosis fac-tor-α and white blood cell count in the study group were lower than those in the reference group,and the differences were statistically significant(all P<0.05).Conclusion Jianpi Yangfei decoction can improve the therapeutic effect of patients with severe pneumonia,shorten the time of symptom improvement,improve the blood gas index,and reduce the level of inflammatory factors.

Jianpi Yangfei decoctionSevere pneumoniaTherapeutic effectBlood gas indexesInflammatory factor

薛彦霞、刘雨情、续自凤

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临沂市中医医院重症医学科,山东临沂 276000

健脾养肺汤 重症肺炎 治疗效果 血气指标 炎性因子

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(11)