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清肺保元汤治疗革兰阴性杆菌肺炎
引用本文:亓晓,;刘良丽,;狐启贵.清肺保元汤治疗革兰阴性杆菌肺炎[J].中国中医急症,2014(7):1322-1324.
作者姓名:亓晓  ;刘良丽  ;狐启贵
作者单位:[1] 山东省烟台市中医院,山东烟台264000; [2] 贵阳中医学院第一附属医院,贵州贵阳550000
基金项目:贵阳中医研究生教育创新计划(ZYYCX12008)
摘    要:目的 观察清肺保元汤治疗肺部革兰阴性杆菌感染患者血清白介素(IL-6)、C反应蛋白(CRP)、降钙素原(PCT)水平的影响.方法 选择肺部革兰阴性杆菌感染的患者120例随机分为治疗组60例,对照组60例.所有病例均给予常规治疗,治疗组在常规治疗基础上加用清肺保元汤,疗程为14d,观察两组治疗前后血常规、血清IL-6、CRP、PCT水平变化情况.结果 治疗后两组白细胞计数、中性粒细胞百分比、IL-6、CRP、PCT水平明显下降,治疗组变化更明显.结论 清肺保元汤能显著减轻革兰阴性杆菌肺炎肺部炎症反应.

关 键 词:革兰阴性杆菌  清肺保元汤  白细胞计数  中性粒细胞百分比  白介素6  C反应蛋白  降钙素原

Clinical Effects of Qingfeibaoyuan Decoction on Patients with Gram-negative Bacillary Pneumonia
Institution:QI Xiao,LI Liangli,HU Qigui( 1 TCM Hospital of Yantai City,Shandong Province,Shandong, Yantai 264000, China;2 The First Affiliated Hospital of Guiyang College of Traditional Chinese Medicine ,Guizhou,Guiyang 550000, China)
Abstract:Objective: To observe the effects of Qingfeibaoyuan Decoction on the peripheral blood levels of IL- 6, CRP and PCT patients with Gram -negative bacillary pneumonia. Methods: 120 cases were randomly divided into the observation group and the control group with 60 cases in each group. Both groups were adopted the conventional drug therapy. The observation group was given Qingfeibaoyuan Decoction for 14 days. Some indices were observed and compared in two groups including the lung function, the peripheral blood levels of IL-6, CRP and PCT. Results: The observation group and the control group were remarkable declined after treatment in the following indices such as IL-6, CRP,PCT. However,PCT was declined more significantly in the control group who were added with Qingfeibaoyuan Decoction(P〈 0.01 ). Conclusion: The treatment of patients with gram -negative bacillary pneumonia has significant curative effect.
Keywords:Gram-negative bacillary  Qingfeibaoyuan Decoction  WBC  N  IL-6  CRP  PCT
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