痰热清联合辨证分型治疗成人病毒性肺炎随机平行对照研究

目的]观察痰热清联合辨证分型治疗成人病毒性肺炎疗效。方法]使用随机平行对照方法,将67例住院患者按掷骰子法简单随机分为两组。对照组29例病毒唑,0.2g/次,3次/d。治疗组38例痰热清,20mL/次,1次/d;辨证分型:风热:银翘散,6g/次,3次/d;风寒化热:麻杏石甘汤(麻黄6g,杏仁9g,生石膏24g,甘草6g),1剂/d,水煎200mL,1次/d;痰热阻肺:杏苏散(苏叶、橘皮、苦桔梗各6g,杏仁、半夏、茯苓、前胡各9g,甘草3g,生姜3片,大枣3枚),1剂/d,水煎200mL,1次/d。连续治疗28d为1疗程。观测临床症状、咳嗽、不良反应。治疗1疗程,判定疗效。结果]治疗组显效28例,有效9例,无效1例,总有效率97.34%。对照组显效11例,有效12例,无效6例,总有效率79.31%。治疗组疗效优于对照组(P0.05)。结论]辨证分型联合痰热清治疗成人病毒性肺炎效果显著,值得推广。

Joint Phlegm Heat Syndrome Differentiation Type Random Parallel Control Study Treatment of Viral Pneumonia in Adults

Objective ] To observe the differentiation and joint＇phlegm heat treatment of adult viral pneumonia curative effect. Methods ] Using random parallel control method, 67 cases of hospitalized patients were randomly divided into two groups according to roll the dice method. The control group of 29 cases of ribavirin, 0.2 g/time, 3 times/d. Of the treatment group 38 examples ： hot wind, fructus forsythiae, 6 g/time, 3 times/d; Of heat cold： MaXingShi gan decoction（ Mahuang6g, Xingren 9 g, Shengshigao24 g, Gancao 6g ）, l/d, boiling water 200 ml, 1/d ; Scattered （ phlegm heat resistance lung ： Suye, Jupi, Kujiegeng each 6 g, Xingren, Banxia, Fuling, Qianhu each 9g, Gancao 3 g, 3 slices Shengjiang, Dazao 3 ）, l/d, boiling water 200 ml, 1/ d ; Phlegm hot clear, 20 ml/second, 1 / d. Continuous treatment of 28 d of 1 course of treatment. Observation of clinical symptoms and adverse reactions. As a course treatment, judge curative effect. Results ] the treatment group 28 cases, 9 cases effectively, 1 had no effect, the total effective rate was 97.34%. Control group 11 cases had marked effect, 12 cases effective, 6 no effect, the total effective rate was 79.31%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . Conclusion ] Joint phlegm heat treatment of viral pneumonia in adults effect is remarkable, is worth promoting.