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参苓白术散合二陈汤加味治疗老年肺炎疗效及对降钙素原的影响
引用本文:韩广明,李正光,张唤华,胡晓飞.参苓白术散合二陈汤加味治疗老年肺炎疗效及对降钙素原的影响[J].中国中医药信息杂志,2013(12):5-6,23.
作者姓名:韩广明  李正光  张唤华  胡晓飞
作者单位:[1]青岛市海慈医疗集团,山东青岛266033 [2]山东省荣军总医院,山东济南250013 [3]青岛大学医学院附属医院,山东青岛266003
摘    要:目的观察参芩白术散合二陈汤加味联合西药治疗老年肺炎临床疗效,并观察其对血清降钙素原的影响。方法采用随机对照方法,将100例住院患者随机分为2组。对照组(49例)采用西药常规治疗,治疗组(51例)予参苓白术散合二陈汤口服,西药治疗同对照组。1周为1个疗程,连续治疗2个疗程后判定疗效,并观察临床症状、体征改善时间及血清降钙素原变化。结果临床疗效2组差异无统计学意义(P〉0.05)。治疗组症状、体征改善时间优于对照组(P〈0.05),血清降钙素原改善情况优于对照组(P〈0.05)。结论参苓白术散合二陈汤加味抗感染作用显著,并可迅速改善老年肺炎患者的症状和体征。

关 键 词:老年肺炎  血清降钙素原  参苓白术散  二陈汤  临床疗效  中西医结合疗法  随机对照研究

Therapeutic Effect of ShenUng Baizhu Powder Combined with Erchentang in Treatment of Senile Pneumonia and Influence on Procalcitonin
HAN Guang-ming,LI Zheng-guang,ZHANG Huan-hua,HU Xiao-fei.Therapeutic Effect of ShenUng Baizhu Powder Combined with Erchentang in Treatment of Senile Pneumonia and Influence on Procalcitonin[J].Chinese Journal of Information on Traditional Chinese Medicine,2013(12):5-6,23.
Authors:HAN Guang-ming  LI Zheng-guang  ZHANG Huan-hua  HU Xiao-fei
Institution:1.Qingdao Hiser Medical Center, Qingdao 266033, China; 2.Disabled Soldier General Hospital in Shandong Province, Jinan 250013, China ; 3. The Affiliated Hospital of Medicine College Qingdao University, Qingdao 266003, China)
Abstract:Objective To observe the efficacy of Shenling Baizhu powder combined with Erchentang in treatment of senile pneumonia, and its influence on serum procalcitonin. Methods With randomized controlled trial, 100 patients were randomly divided into two groups. The control group (49 cases) was treated by routine western medicine, and the treatment group (51 cases) was treated by Shenling Baizhu powder combined with Erchentang additionally. The treatment course was 1 week, and the therapeutic effect was observed after two courses. The improvement time of clinical symptoms and signs, and the change of serum procalcitonin were detected. Results Clinical efficacy of the two groups had no significant difference (P〉0.05). The improvement time of signs and symptoms in treatment group was better than that in control group (P〈0.05). The serum procalcitonin improved in treatment group was better than that in control group (P〈0.05). Conclusion Shenling Baizhu powder combined with Erchentang has obvious anti-infection effect, and can improve symptoms and signs of senile pneumonia rapidly.
Keywords:senile pneumonia  serum procalcitonin: Shenling Baizhu powder  Erchentang  clinical efficacy: integrated traditional Chinese and western medicine therapy: randomizedcontrolled trial
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