加味桑白皮汤治疗重症肺系疾病(痰热壅肺型)疗效观察

目的　观察加味桑白皮汤在重症肺系疾病治疗中对临床症状及血气分析改善的作用。方法　对 36例重症肺系疾病患者除常规治疗外 ,加用加味桑白皮汤口服或鼻饲 ,浓煎 3汁 ,每日 3次 ,每次 15 0ml,2周为 1疗程。结果　 36例患者中医证候积分评定显效 11例 ,有效 18例 ,无效 7例 ,多证候积分比较气喘、发热、咳嗽、咯痰 (P <0 0 1) ,苔脉、神志、唇甲 (P <0 0 5 ) ,均有显著性差异 ,血气分析前后变化也有显著性差异。结论 :重症肺系疾病多症情危重 ,治疗棘手 ,中西医结合以加味桑白皮汤辅助治疗临床疗效令人满意。

Clinical Observation of Effect of Jiawei Sangbaipi Decoction in Treating Severe Pulmonary Disease

Objective:To observe Jiawei Sangbaipi decoction in treating severe pulmonary disease about the effect of clinical symptom and arterial blood analysis.Method:36 patients were treated with not only common treatment but also Jiawei Sangbaipi decoction taken orally or by nose,concentrated decocted three doses,three times a day,150ml every time and two weeks as a period of treatment.Results:In 36 patients about syndrome signs assessed,the markedly effective were 11 cases,effective 18 cases and ineffective 7 cases.In multi-syndrome signs,breathe hard,favor,cough and sputum showed significant difference( P <0.01),and tongue-pulse,senses,lip-nail also showed significant difference( P <0.05).Conclusion:Severe pulmonary disease is trickiness to treat,but assisted with Jiawei Sangbaipi decoction showed a approving clinical effect.