扶正清肺化痰法治疗老年肺部感染临床观察.docVIP

扶正清肺化痰法治疗老年肺部感染临床观察 　　[摘要] 目的 研究扶正清肺化痰法治疗老年肺部感染的临床疗效。 方法 选取我院2011年4月～2013年1月收治的80例肺部感染的老年患者为研究对象，随机分为两组，每组40例。对照组采取常规西医治疗，观察组在对照组的基础上加服扶正清肺化痰汤，比较两组临床疗效、治疗前后肺功能参数变化及治疗安全性。 结果 治疗后观察组的TLC、VC为（58.11±12.31）dL、（66.24±13.11）dL，高于对照组的（56.13±11.48）dL、（62.47±11.78）dL，但差异无统计学意义（P0.05）；观察组的DLCO为（65.17±10.41）mmHg，高于对照组的（55.87±12.16）mmHg，差异具有统计学意义（P0.05）。观察组治疗的总有效率为95.0%，高于对照组的80.0%，差异具有统计学意义（P0.05）。两组均未见明显不良反应，肝肾功能、血尿常规检查均无异常。 结论 扶正清肺化痰法治疗老年肺部感染效果显著，能够提高患者的治愈率，降低病死率，改善肺功能，提高患者生活质量。 　　[关键词] 扶正清肺化痰法；肺部感染；老年患者；DLCO 　　[中图分类号] R259 [文献标识码] B [文章编号] 1673-9701（2015）35-0124-03 　　[Abstract] Objective To study the clinical curative effect of Fuzheng Qingfei Huatan method in the treatment of elderly pulmonary infection. Methods A total of 80 elderly patients with pulmonary infection who were admitted into the hospital during April 2011 to January 2013 were selected as the research objects， and were randomly divided into two groups with 40 cases in each group. The control group was treated with conventional western medicine， while the observation group on the basis of the control group， was additionally treated with Fuzheng Qingfei Huatan Decoction. The clinical efficacy and changes of pulmonary function parameters before and after the treatment was compared between the two groups. Results After the treatment， TLC and VC in the observation group was（58.11±12.31）dL and（66.24±13.11）dL， which was significantly higher than （56.13±11.48）dL and （62.47±11.78）dL in the control group， but the difference was not statistically significant （P0.05）. DLCO（65.17±10.41）mmHg in the observation group， was higher than （55.87±12.16）mmHg in the control group， and the difference was statistically significant （P0.05）. The total effective rate of the observation group was 95.0% which was higher than 80.0% of the control group and the difference was statistically significant（P0.05） No obvious adverse reactions were found in two groups， the liver and kidney function， and the routine examination of blood and uri