标题：复方清金化痰汤治疗老年社区获得性肺炎痰热壅肺证疗效观察

      作者：王玉梅 1，刘 博 2，刘 亮 3，赵存杰 1
    （1.邯郸市第一医院东院中西医结合内科，河北 邯郸 056002；
2.邯郸市中心医院普外一科，河北 邯郸 056001；
3.邯郸市第一医院口腔科，河北 邯郸 056002)

      卷次： 2014年25卷9期

      【摘要】 目的 观察复方清金化痰汤治疗老年社区获得性肺炎痰热壅肺证的疗效。方法 将60例老年社
区获得性肺炎痰热壅肺证患者随机分为治疗组与对照组，每组各30例。两组患者均给予抗感染、化痰等基础治
疗，治疗组在此基础上加用复方清金化痰汤治疗。10 d为1个疗程，1个疗程后观察比较两组患者的治疗效果和
退热时间，咳嗽、咳痰症状消失时间及肺部啰音消失时间。结果 总有效率治疗组为 93.4%，对照组为 73.3%，
其差异有统计学意义(χ2=4.32，P<0.05)。治疗组退热时间，咳嗽、咳痰症状消失时间，肺部啰音消失时间分别为
(2.5±0.3) d、(3.9±0.4) d、(5.0±0.5) d，均快于对照组的(3.1±0.4) d、(4.6±0.5) d、(6.1±0.7) d，其差异均有统计学意义
(t=2.8169、2.5663、3.5651，P<0.05)。结论 复方清金化痰汤治疗老年社区获得性肺炎痰热壅肺证疗效确切，在退
热、改善咳嗽咳痰症状方面有明显优势，能够加快患者恢复，值得临床推广应用。

      【关键词】 清金化痰汤；社区获得性肺炎；痰热壅肺证

      【中图分类号】 R563.1 【文献标识码】 A 【文章编号】 1003—6350（2014）09—1268—03


Clinical effect observation of compound Qingjinhuatan Decoction in the treatment of senile community
acquired pneumonia with syndrome of phlegm-heat obstructing lungs.
WANG Yu-mei 1, LIU Bo 2, LIU Liang 3,
ZHAO Cun-jie 1. 1. The First Hospital of Handan，Department of Internal Medicine, Combining Chinese and Western
Medicine，Handan 056002, Hebei, CHINA; 2. The Central Hospital of Handan，Department of Common Surgery，Handan
056001, Hebei, CHINA; 3. The First Hospital of Handan，Department of Oral Medicine, Handan 056002, Hebei, CHINA

【Abstract】 Objective To observe the clinical effect of compound Qingjinhuatan Decoction in the treatment
of senile community acquired pneumonia with syndrome of phlegm-heat obstructing lungs. Methods 60 patients
with senile community acquired pneumonia with syndrome of phlegm-heat obstructing lungs were randomly divided
into treatment group and control group, each group had 30 cases. Two groups of patients were treated with foundation
treatmen including anti-infection, phlegm and other treatment.The treatment group was added with compound Qingjin-
huatan Decoction in treatment of 10 days. 10 days for a course of treatment. To observe curative effect of comparing
two groups of patients，after a course of treatment. Compare two groups of patients with antifebrile time, cough and
sputum symptoms disappear time, lung dry and moist rales disappear time. Results 93.4% total effective rate in treat-
ment group and control group 73.3%, the differences in two groups were significantly statistical differences (χ2=4.32,
P<0.05). The time of fever, cough, sputum symptoms disappear time, lung rales disappear time in treatment group
[(2.7±0.3) d, (4.1±0.4) d, (5.0±0.6) d] were faster than the control group [(3.0±0.5) d, (4.4±0.5) d, (5.6±0.7) d], the differ-
ences in two groups were significantly statistical differences (t=2.8169, 2.5663, 3.5651, P<0.05). Conclusion Com-
pound Qingjinhuatan Decoction in the treatment of senile community acquired pneumonia with syndrome of
phlegm-heat obstructing lungs has curative effects. In the aspect of antifebrile, improve the symptoms of cough and ex-
pectoration have obvious advantages. This is worthy of clinical application.

      【Key words】 Compound Qingjinhuatan Decoction; Community acquired pneumonia; Syndrome of
phlegm-heat obstructing lungs