摘要
目的对徐志瑛国医名师工作室的社区获得性肺炎(CAP)诊疗方案进行应用推广,并观察该方案的诊疗效果.方法收集2021年6月-2022年6月期间到永康市中医院呼吸科的101例社区获得性肺炎的住院患者,根据患者意愿随机分为两组,研究组为中药治疗,共51例,对照组为非中药治疗,共50例.两组均采用常规治疗方案,此外,研究组在常规治疗方案上加辨证的口服中药方剂,中药方剂以徐志瑛国医名师的CAP诊疗方案为指导,同时参考徐志瑛病案数据库实际病例确定具体的中药治疗方案.观察两组患者的症状好转时间、治疗效果、中医证候积分、炎症指标、安全性等指标的变化情况.结果研究组好转时间明显短于对照组(P<0.05);研究组治疗总有效率为100.00%,对照组为92.00%,对照组较低(P<0.05).治疗前组间中医证候积分无明显差异(P>0.05),治疗后研究组优于对照组.治疗前两组白细胞计数差异不突出(P>0.05),治疗后对照组高于研究组(P<0.05);组间治疗前嗜中性粒细胞百分比对比,差异不显著(P>0.05),治疗后对比,研究组较低(P<0.05);治疗前组间CRP差异不明显(P>0.05),治疗后,研究组CRP低于对照组(P<0.05).全部患者治疗后中医证候积分、白细胞计数、中性粒细胞百分比、CRP均低于治疗前(P<0.05).结论通过对徐志瑛国医名师治疗CAP的经验方案的整理、归纳、学习及使用,在临床上可以取得良好效果.
Objective To apply and popularize the diagnosis and treatment scheme of community-acquired pneumonia(CAP)in Xu Zhiying's studio,and observe the diagnosis and treatment effect of this scheme.Methods 101 inpatients with community-acquired pneumonia who came to the respiratory department of our hospital from June 2021 to June 2022 were randomly divided into two groups according to their wishes.The study group was treated with Traditional Chinese Medicine,with 51 cases,and the control group was treated with non-Traditional Chinese Medicine,with 50 cases.Both groups were treated with routine treatment.In addition,the study group added dialectical oral Chinese medicine prescription to the routine treatment plan.The Chinese medicine prescription was guided by the CAP diagnosis and treatment plan of Xu Zhiying,and the specific Chinese medicine treatment plan was determined by referring to the actual cases in Xu Zhiying's medical record database.Observe the changes of symptoms improvement time,treatment effect,TCM symptom score,inflammation index,safety and other indicators in the two groups.Results The improvement time of the study group was significantly shorter than that of the control group(P<0.05).The effective rate was 100.00%in the study group and 92.00%in the control group,which was lower(P<0.05).There was no significant difference in TCM syndrome scores between the two groups before treatment(P>0.05),and the study group was better than the control group after treatment.There was no significant difference in the white blood cell count before treatment(P>0.05),but the control group was higher than the study group after treatment(P<0.05).There was no significant difference in the percentage of neutrophils between the two groups before treatment(P>0.05),but it was lower in the study group after treatment(P<0.05).There was no significant difference in CRP between the two groups before treatment(P>0.05),but after treatment,the CRP in the study group was lower than that in the control group(P<0.05).The TCM syndrome score,white blood cell count,neutrophil percentage and CRP of all patients after treatment were lower than those before treatment(P<0.05).Conclusion By sorting out,summarizing,studying and using the experience plan of Xu Zhiying's famous Chinese medicine doctor in treating CAP,good results can be achieved in clinic.
作者
陈莹莹
陈应旭
贾冰亚
朱杭溢
Chen Yingying;Chen Yingxu;Jia Bingya;Zhu Hangyi(Yongkang Traditional Chinese Medicine Hospital,Jinhua,Zhejiang 321300,China)
出处
《首都食品与医药》
2024年第16期154-156,共3页
Capital Food Medicine
基金
金华市科技计划项目目(项目编号:2021-4-330)。
关键词
徐志瑛
社区获得性肺炎
中药方剂
Xu Zhiying
Community-acquired pneumonia
Chinese medicine prescription
