首页|清金化痰益肺汤联合西药治疗支气管肺炎患者的效果

清金化痰益肺汤联合西药治疗支气管肺炎患者的效果

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目的:探究清金化痰益肺汤联合西药治疗支气管肺炎患者的效果。方法:选取武威市中医医院 2021 年 7 月—2023 年 7 月收治的 96 例支气管肺炎患者作为研究对象,根据随机数表法分为对照组与研究组,各 48 例。对照组给予常规西药治疗,研究组在对照组基础上联用清金化痰益肺汤治疗。比较两组临床疗效、中医症候积分、肺通气功能[第 1 秒用力呼气容积占预计值的百分比(FEV1%pred)、用力肺活量(FVC)、第 1 秒用力呼气容积/用力肺活量(FEV1/FVC%)]、炎症指标[白细胞介素-10(IL-10)、白细胞介素-4(IL-4)、白细胞介素-8(IL-8)]及血清肌酸激酶同工酶(CK-MB)、免疫球蛋白E(IgE)水平。结果:研究组治疗总有效率为 95。83%,高于对照组的 81。25%,差异有统计学意义(P<0。05)。治疗后,两组中医症候积分、IL-10、IL-4、IL-8 低于治疗前,FEV1%pred、FVC、FEV1/FVC%高于治疗前,且研究组中医症候积分、IL-10、IL-4、IL-8 低于对照组,FEV1%pred、FVC、FEV1/FVC%高于对照组,差异有统计学意义(P<0。05)。治疗后,两组血清CK-MB、IgE水平低于治疗前,且研究组低于对照组,差异有统计学意义(P<0。05)。结论:清金化痰益肺汤联合西药治疗支气管肺炎效果较好,可明显改善患者中医症候、肺通气功能,抑制炎症,降低血清CK-MB、IgE水平。
Effect of Qingjin Huatan Yifei Decoction Combined with Western Medicine on Patients with Bronchopneumonia
Objective:To explore the effect of Qingjin Huatan Yifei Decoction combined with western medicine on patients with bronchopneumonia.Method:A total of 96 patients with bronchopneumonia admitted to Wuwei Traditional Chinese Medicine Hospital from July 2021 to July 2023 were selected as the study objects,and they were divided into control group and study group according to random number table method,with 48 cases in each group.The control group was treated with conventional western medicine,and the study group was treated with Qingjin Huatan Yifei Decoction on the basis of control group.The clinical treatment,traditional Chinese medicine symptom score,pulmonary ventilation function[the percentage of forced expiratory volume in one second to expected value(FEV1%pred),forced vital capacity(FVC),forced expiratory volume in one second/forced lung capacity(FEV1/FVC%)],inflammation index[interleukin-10(IL-10),interleukin-4(IL-4),interleukin-8(IL-8)]and serum creatine kinase isoenzyme(CK-MB)and immunoglobulin E(IgE)levels between the two groups were compared.Result:The total effective rate of the study group was 95.83%,which was higher than 81.25%of the control group,the difference was statistically significant(P<0.05).After treatment,the traditional Chinese medicine syndrome scores,IL-10,IL-4,and IL-8 of the two groups were lower than those before treatment,and FEV1%pred,FVC,and FEV1/FVC%of the two groups were higher than those before treatment,and the traditional Chinese medicine syndrome scores,IL-10,IL-4,and IL-8 of the study group were lower than those of the control group,and FEV1%pred,FVC,and FEV1/FVC%of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).After treatment,the serum levels of CK-MB and IgE in the two groups were lower than those before treatment,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Qingjin Huatan Yifei Decoction combined with western medicine has a good effect in the treatment of bronchial pneumonia,which can obviously improve the symptoms of traditional Chinese medicine,lung ventilation function,inhibit inflammation,and reduce serum CK-MB and IgE levels.

BronchopneumoniaQingjin Huatan Yifei DecoctionCreatine kinase isoenzymeImmunoglobulin E

邵志林

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武威市中医医院 甘肃 武威 733000

支气管肺炎 清金化痰益肺汤 肌酸激酶同工酶 免疫球蛋白E

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(16)