中西医结合治疗老年人下呼吸道感染疗效观察

目的　观察清热化痰汤结合头孢哌酮 舒巴坦抗感染治疗老年人下呼吸道感染的临床疗效。方法　所选病例随机分为两组 ,治疗组 35例 ,年龄 71～ 90岁 ,平均年龄 (81 3± 6 2 )岁。对照组 32例 ,年龄 70～ 92岁 ,平均年龄 (81 6± 8 0 )岁。治疗组与对照组均用头孢哌酮 舒巴坦 2 0 g ,每天 2次静脉滴注。治疗组另加中药汤剂清热化痰汤。疗程均为 7～ 14d。结果　治疗组和对照组有效率分别为 94 3%和 71 9% ,两组疗效比较差异有显著意义 (P <0 0 5 )。细菌清除率分别为 89 2 %和 70 0 % (P <0 0 5 )。结论　中西医结合治疗老年人下呼吸道感染可提高临床疗效及细菌清除率。

Clinical observation on the elderly with lower respiratory tract infection treated by traditional Chinese medicine and western medicine

Objective To observe the clinical efficacy on the elderly with lower respiratory tract infection treated with Qingrehuatan decoction and cefoperazone-sulbactam.Methods 67 cases were randomly divided into two groups.The treatment group had 35 cases,age 71～90 years old and the average age(81.3±6.2).The control group had 32 cases,age 70～92,the average age(81 6±8.0).Two groups were all treated with cefoperazone-sulbactam,2 times a day.The treatment group was added by Qingrehuatan decoction of TCM.The course was 7～14 days.Results The effective rates were respectively 94.3% in the treatment group and 71.9% in the control group.The therapeutic effects had marked difference between two groups(P<0.05).The removing rates of bacteria were respectively 89.2% and 70.0%(P<0.05) in treatment group and control group.Conclusion The treatment of TCM and western medicine combineton for the elderly with lower respiratory tract infection may improve clinical effects and removing rates of bacteria.