發(fā)布時間：2018-04-14 11:21

  本文選題：黃龍湯 + 肺炎��； 參考：《河北中醫(yī)》2017年01期

【摘要】：目的觀察黃龍湯治療老年重癥肺炎并發(fā)中毒性腸麻痹的療效。方法將40例老年重癥肺炎并發(fā)中毒性腸麻痹患者隨機分為2組,治療組20例在常規(guī)治療基礎(chǔ)上加用黃龍湯,對照組20例予常規(guī)治療。觀察治療前及治療72 h后肺炎嚴(yán)重度指數(shù)(PSI)評分、急性生理與慢性健康評分(APACHEⅡ)、腸鳴音、白細(xì)胞計數(shù)(WBC)、超敏C反應(yīng)蛋白(hs-CRP)、紅細(xì)胞沉降率(ESR),并判定療效。結(jié)果治療組有效率90%,對照組70%,2組比較差異有統(tǒng)計學(xué)意義(P0.05)。2組治療后PSI、APACHEⅡ評分均明顯降低(P0.05);治療組治療后PSI、APACHEⅡ評分低于對照組,但二者比較差異無統(tǒng)計學(xué)意義(P0.05)。2組治療后hs-CRP及ESR較治療前均降低(P0.05);治療組治療后hs-CRP及ESR均低于對照組(P0.05)。治療組治療后WBC較治療前降低(P0.05),對照組治療前后WBC比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論黃龍湯是治療老年重癥肺炎并發(fā)中毒性腸麻痹的一種有效方法,可有效改善炎癥。
[Abstract]:Objective to observe the efficacy of Huanglong decoction in treating senile severe pneumonia complicated with toxic intestinal paralysis.Methods 40 elderly patients with severe pneumonia complicated with toxic intestinal paralysis were randomly divided into two groups: the treatment group (n = 20) was treated with Huanglong decoction on the basis of routine treatment, and the control group (n = 20) was treated with routine therapy.The severity index (PSI) score, acute physiological and chronic health score (APACHE 鈪，

本文編號：1749091