中西医结合治疗重症肺炎

目的：观察中西医结合方法治疗重症肺炎的临床疗效。方法：将重症监护病房符合纳入标准的41例重症肺炎患者随机分为中西医结合治疗组（22例）与单纯西药对照组（19例）,两组均给予常规西医治疗,对照组在此基础上加予自拟中药汤剂＂升降白虎汤＂鼻饲,分别于治疗前和治疗第2天、第4天、第6天观察患者的症状、肺部体征、白细胞计数等积分,测定动脉血气,计算氧合指数,进行APACHEⅢ评分并予记录。结果：两组治疗方法在治疗的第4天、第6天体温、肺部体征及白细胞计数积分较前明显降低（P〈0.05）;治疗组在治疗第6天体温积分优于对照组,治疗第4天、第6天咳痰、白细胞计数积分下降优于对照组;治疗组患者APACHEⅢ评分和氧合指数与对照组比较,均具有显著差异（P〈0.05）,治疗组APACHEⅢ评分随住院日延长而降低,氧合指数随着住院日延长而增高,对照组与之相反。结论：中西医结合治疗较单纯西药治疗更有助于重症肺炎患者症状、体征及临床指标的恢复,并能够在一定程度上缩短住院日及改善预后。

Combined Therapy of TCM and WM in Treatment of Severe Pneumonia

Objective ：To observe the clinical effect of combined therapy of TCM and WM on severe pneumonia （SP）. Methods ：41 patients were randomly divided into the treatment group （22 patients） and the control group （ 19 patients） ,in which patients received the usual treatment of WM, and combined therapy of TCM and WM individually. Symptom scores of SP were measured before treatment and the 2nd,4th and 6th day after treatments. The impact of APACHE III score and the oxygenation index on the clinical prognosis were compared. Results：The curative effect was significantly better in the treatment group than that in the control group. In the two groups,the symptom scores of fever, signs of lung and WBC on the 4th and 6th day after treatment were lower than those before treatment. In the treatment group, scores of fever on the 6th day after treatment was significantly lower than that in the control group （ P 〈 0.05 ）. Scores of sputum and WBC on the 4th and 6th day after treatment was lower significantly than that in the control group （P 〈 0.05 ） . APACHE III score in the treatment group decreased together with the duration of hospitalization, while the oxygenation index scores increased. Conclusion ： Combined therapy of TCM and WM for SP is more preferable and may shorten hospitalization day to some degree.