清热化痰法防治肺癌根治术后肺不张临床探究.doc

清热化痰法防治肺癌根治术后肺不张临床探究（温岭市中医院，浙江 温岭 317500） 摘 要：目的：观察中医清热化痰法防治肺癌根治术后肺不张的临床疗效。方法：选择本院住院患者80例，随机分为治疗组40例与对照组40例，两组均予常规治疗，治疗组用中药清热化痰汤剂口服；对照组用盐酸氨溴索口服。比较两组临床疗效（患者症状、体征）、血液检查及影像检查。结果：在降低肺不张发生率方面二者无明显差异；而在降低白细胞计数，减轻炎症方面，治疗组亦优于对照组；结论：中医清热化痰法防治肺叶切除术后肺不张有着较好疗效。 关键词：肺癌根治术；清热化痰；肺不张 中图分类号：R734.2文献标识码：B文章编号：1673-7717（2011）03-0597-03 Clinical study on the Eliminating Phlegm by Cooling of TCM to Pulmonary Atelectasis Caused by Lung Cancer Operation WU Bai-qiang，BAO Jun, PAN Qi,XUE Jie-hao,CHEN Fu-chun （Wenling Hospital of TCM,Wenling 317500,Zhejiang,China） Abstract:Objective: This research was designed to observe the clinical effects of pulmonary atelectasis caused by lung cancer operation by using the eliminating phlegm by cooling treatment of Traditional Chinese Medicine treatment（TCM）.Methods:80 patients were randomly divided into two group:the treatment group and the control group, the two groups were given same treatment，The experimental group were given traditional Chinese decoction and the control group were given ambroxol tablet 30mg bid po.we observed：Clinical symptom: cough, phlegm quantity, expectoration degree, phlegm nature change;②sign: body temperature, breathing rate, pulse, blood pressure, rales;③Laboratory inspection: white blood count;④Sternum:pulmonary atelectasis or not.Results: There were no significant differences between the two groups of the total effectiveness. however，there were significance difference between the the two groups in white blood cell counting of the 3th day、 5th day、7th day postop treatment（P （1）试验组和对照组治疗后疗效的比较，见表1。经统计学处理，两组总有效率无显著差异（P＞0.05）。 表1 两组治疗后疗效的比较 （2）试验组和对照组治疗后生命体征的比较，见表2。经统计学处理，两组术后第1、3、5、7天的体温、脉搏、呼吸次数、血压比较，无显著差异（P＞0.05）。 表2 实验组和对照组治疗后生命体征比较（±s） （3）试验组和对照组治疗后白细胞计数的比较，见表3。经统计学处理，两组术后第1、3天的白细胞计数比较，无显著差异（P＞0.05）。两组术后第5、7天的白细胞计数比较，有统计意义（P 1