中西医结合治疗手术后肺部感染探讨.docVIP

中西医结合治疗手术后肺部感染的探讨 　　[摘要] 目的：探讨中西药结合治疗术后肺部感染的效果，减轻术后肺部感染病人的痛苦和经济负担。方法：将67例肺部感染病人随机分成两组，对照组35人，单纯应用西药治疗；治疗组32人，在西医治疗的基础上加用中医辨证施治。结果：治疗组病人平均住院日较对照组缩短（P0.05）；住院费用明显低于对照组（P0.05）。结论：中西药结合治疗疗效显著，能快速发挥祛痰、镇咳、抗菌消炎作用，且安全可靠。 　　[关键词] 心胸外科疾病；手术治疗；获得性肺炎；中西医结合治疗 　　[中图分类号]R563 [文献标识码]C [文章编号]1673-7210（2007）08（c）-147-03 　　 　　Discussion of cases post-operative pulmonary infection with combination 　　of Chinese traditional and western medicine 　　FENG Li-hua1，TENG Huai-hua2 　　(1.Wulian Peoples Hospital of Shandong, Wulian 262305,China;2. The Affiliated Rizhao Hospital of Shandong Medical College, Rizhao 276826,China) 　　[Abstract] Objective： To observe the clinical efficacy of integrated traditional Chinese and western medicine therapy on post-operative pulmonary infection and to reduce the economic costs and the suffering of patients. Methods： 67 subjects with post-operative pulmonary infection after cadiothoracic operations were randomly divided into two groups: 35 patients in the control group treated only with western medicine; 32 patients in the treatment group treated with Chinese traditionaltherapy based on the western medicine.Results： The average hospital stay in treatment group is shortened (P0.05), hospitalization chargefor patients in the treatment group is significantly lower than that of the control group(P0.05). Conclusion： Integrated traditional Chinese and western medicine therapy is a better and reliable methods for treatment of post-operative pulmonary infection,especially in expectorant, antitussive and anti-inflammatory. 　　[Key words] Cardiothoracic Surgery disease; Operation; Acquired pneumonia; Integrated traditional Chinese and western medicine therapy 　　 　　手术后肺部感染是常见的医院感染，已日益受到重视。尤其是心胸外科手术患者，术后发生肺部感染的机会较其他手术为多[1]，有资料报道约占3.5%[2]，常规治疗方法不外乎是应用抗生素，虽然抗生素对感染性疾病的治疗效果显著，但滥用抗生素所引起的后果医界尽知，且病原菌对抗生素耐药趋势日益严重，将会面临无药可用的问题。 　　我院自2000~2006年以来对32例心胸外科术后肺部感染的病人，在西医治疗的基础上加用中药辨证施治，取得较为理想的效果，现报道如下: 　　 　　1 资料与方法 　　 　　1.1 一般资料 　　2000～2006年心胸外科共实施手术1 598例，发生术后获得性肺部感染者67