摘要
[目的]观察白虎汤联合西药治疗肺炎高热不退疗效。[方法]使用随机平行对照方法,将60例住院患者按随机数字表方法简单随机分为两组,营养补液、保持呼吸顺畅、纠正酸碱平衡与水电解质紊乱,禁饮食辛辣、寒凉等刺激性食物。对照组30例头孢哌酮钠,50mg/kg,静注,2次/d;体温>38.5℃乙酰氨基酚,静注。治疗组30例白虎汤,粳米30g,甘草15g,石膏60g,知母20g,黄芩10g,高热合并便秘加胖大海10g;气津热伤加西洋参15g;痰多咳嗽加贝母5g,桑叶10g;舌苔厚腻加白术、苍术、茯苓各15g;身热关节疼痛加白芍、桂枝各15g,加水浸泡30min,石膏先煎,煮沸后小火30min,加其他药物再煮30min,水煎500m L,早晚分服,1剂/d;西药治疗同对照组。连续治疗10d为1疗程。观测临床症状、体温、不良反应。连续治疗3疗程(30d),[结果]治疗组痊愈14例,显效8例,有效6例,无效2例,总有效率93.33%;对照组痊愈7例,显效11例,有效6例,无效6例,总有效率80.00%;两组无显著差异(P>0.05)。不良反应发生率对照组13.33%显著高于治疗组3.33%(P<0.05)。[结论]白虎汤联合西药治疗肺炎高热不退与西药治疗具有等效性,不良反应发生率显著低于西药治疗。
[Objective] To observe the curative effect of Baihu Decoction combined with western medicine on pneumonia with high fever. [Methods] 60 cases of hospitalized patients were randomly divided into two groupsaccording to the method of random number table. The patients were divided into two groups at random. They were fed with fluid, kept breathing smoothly, corrected acid-base balance and water and electrolyte disturbance, forbidden to eat spicy, Food. The control group 30 cases of cefoperazone sodium, 50 mg/kg, intravenous, 2 times/d; body temperature38.5℃ acetaminophen, intravenous injection. Treatment group 30 cases of white tiger soup, japonica rice 30 g, licorice 15 g, gypsum 60 g, Anemarrhena 20 g, scutellaria 10 g, high fever with constipation plus fat sea 10g; gas Tianjin injury ginseng Canadian ginseng 15g; sputum cough plus Fritillaria 5g, mulberry 10g; 15g; body heat joint pain plus white peony root, cassia twig every 15 g, water soak for 30 min, gypsum Xian Jian, small fire after boiling 30 min, add other drugs to cook 30 min, decoction 500 m L, Sooner or later sub-service, 1/d; western medicine treatment with the control group. Continuous treatment for 10 d for a course of treatment. Observed clinical symptoms, body temperature, adverse reactions. The treatment group was cured in 14 cases, markedly effective in 8 cases, effective in 6 cases, ineffective in 2 cases, the total effective rate was 93.33%; the control group cured 7 cases, effective in 11 cases, effective in 6 cases, ineffective（30d）. [Result] 6 cases, the total effective rate 80.00%; no significant difference between the two groups（P〉0.05）. The incidence of adverse reactions was 13.33% in the control group and 3.33% in the treatment group（P〈0.05）. [Conclusion] White tiger decoction combined with western medicine treatment of pneumonia high fever and western medicine treatment is equivalent, the incidence of adverse reactions was significantly lower than western medicine.
出处
《实用中医内科杂志》
2017年第3期60-62,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
肺炎高热不退
白虎汤
头孢哌酮钠
不良反应
中西医结合治疗
等效性随机平行对照研究
pneumonia high fever reclaim
Baihu decoction（白虎汤）
cefoperazone sodium
adverse reaction
integrated traditional Chinese and western medicine treatment
equivalent randomized parallel control study
