摘要
目的:观察清气化痰汤联合常规疗法治疗高血压脑出血(HICH)患者术后并发肺部感染(PI)的临床疗效及对预后的影响。方法:选取112例HICH术后并发PI患者,按随机数字表法分为对照组与观察组,每组56例。对照组患者使用常规方法治疗,观察组在对照组基础上加用清气化痰汤治疗。对比2组患者治疗2周后临床疗效及治疗前后中医证候积分,并记录咳嗽消失及发热缓解时间、出院时日常生活能力(ADL)分级情况。结果:治疗后,观察组总有效率为91.07%,高于对照组的76.79%(P<0.05)。治疗后,2组患者中医证候积分较治疗前下降(P<0.05),且观察组低于对照组(P<0.05)。治疗后,观察组患者咳嗽消失及发热缓解时间均短于对照组(P<0.05)。出院时,观察组患者ADL分级显著优于对照组(P<0.05)。结论:应用清气化痰汤治疗HICH患者术后并发PI,可显著改善患者症状,缩短咳嗽时间及发热缓解时间,预后效果较好。
Objective:To observe the clinical effect of Qingqi Huatan tang combined with routine therapy for postoperative pulmonary infection(PI)in patients with hypertensive intracerebral hemorrhage(HICH)and its effect on prognosis.Methods:A total of 112 cases of patients with PI after operation for HICH were selected and divided into the control group and the observation group according to the random number table method,56 cases in each group.The control group was treated with routine methods,and the observation group was additionally treated with Qingqi Huatan tang based on the treatment of the control group.The clinical effect after two weeks of treatment and the Chinese medicine syndrome scores before and after treatment in the two groups were compared;the disappearance time of cough,the remission duration of fever and the grading of activities of daily living(ADL)at discharge were recorded.Results:After treatment,the total effective rate was 91.07%in the observation group,higher than that of 76.79%in the control group(P<0.05).After treatment,the Chinese medicine syndrome score in the two groups were decreased when compared with that before treatment(P<0.05),and the score in the observation group was lower than that in the control group(P<0.05).After treatment,the disappearance time of cough and the remission duration of fever in the observation group were shorter than those in the control group(P<0.05).At discharge,ADL grading in the observation group was significantly better than that in the control group(P<0.05).Conclusion:For patients with PI after operation for HICH,the application of Qingqi Huatan tang can significantly improve the symptoms,shorten the time of cough and the remission duration of fever,with good prognosis.
作者
许建新
李耀泽
孙玉平
XU Jianxin;LI Yaoze;SUN Yuping
出处
《新中医》
CAS
2021年第10期16-19,共4页
New Chinese Medicine
关键词
高血压脑出血
术后并发肺部感染
清气化痰汤
预后
Hypertensive intracerebral hemorrhage
Postoperative pulmonary infection
Qingqi Huatan tang
Prognosis
