[1]徐北辰.中药联合推拿辅助治疗风热闭肺型重症病毒性肺炎４０例[J].现代中医药,2019,(04):033-36.[doi:10.13424/j.cnki.mtcm.2019.04.010]
　Xu Beichen.Treatment of 40 Cases of Severe Viral Pneumonia with Wind - heat and Closed Lung by Traditional Chinese Medicine and Massage[J].Modern Traditional Chinese Medicine,2019,(04):033-36.[doi:10.13424/j.cnki.mtcm.2019.04.010]
点击复制

中药联合推拿辅助治疗风热闭肺型重症病毒性肺炎４０例 ()
分享到：

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2019年04期
页码:
033-36
栏目:
针炙推拿
出版日期:
2019-07-15

文章信息/Info

Title:
Treatment of 40 Cases of Severe Viral Pneumonia with Wind - heat and Closed Lung by Traditional Chinese Medicine and Massage
文章编号:
1672 -0571( 2019) 04 -0033 -04
作者:
徐北辰
富锦市中医院，黑龙江富锦 １５６１００
Author(s):
Xu Beichen
TCM Hospital of Fujin, Fujin China, 156100
关键词:
重症病毒性肺炎; 风热闭肺型; 推拿; 中西医结合
Keywords:
severe viral pneumonia;  wind - heat and closed lung type;  massage;  TCM combined with Western medicine
分类号:
R563.1
DOI:
10.13424/j.cnki.mtcm.2019.04.010
文献标志码:
B
摘要:
目的探讨中药联合推拿辅助治疗风热闭肺型重症病毒性肺炎的临床疗效?方法选取80例重症病毒性肺炎(风热闭肺型)患者,按照随机数字表法分组,对照组和治疗组均40例患者,对照组给予常规西药治疗,治疗组在西药治疗基础上采用清热平喘汤口服联合推拿治疗,比较两组临床疗效,统计分析治疗前后两组中医证候积分及免疫功能变化情况?结果治疗前两组CD4+?CD8+指标及中医证候积分基本相仿(P>0.05);治疗后两组CD4+?CD8+显著升高,体征?症状?舌象及脉象各项积分明显下降,其中治疗组变化幅度大于对照组(P<0.05);对照组总有效率为70.00%,明显低于治疗组的90.00%(P<0.05)?结论常规西药基础上辅助中药口服联合推拿治疗风热闭肺型重症病毒性肺炎,可显著提高患者免疫功能?改善其临床症状,临床疗效显著,有较高的临床价值?
Abstract:
To explore the clinical efficacy of traditional Chinese medicine combined with massage in the treatment of severe viral pneumonia with wind - heat and closed lung. Methods: Eighty patients with severe viral pneumonia ( wind - heat closed lung type) were randomly divided into two groups. The control group and the treatment group had 40 patients. The control group was treated with conventional Western medicine. The treatment group was treated with Qingre Pingchuan Decoction combined with massage on the basis of Western medicine. The clinical efficacy of the two groups was compared. The scores of TCM syndromes and changes of immune function of the two groups before and after treatment were statistically analyzed. Results: Before treatment, the indexes of CD4 + , CD8 + and the scores of TCM syndromes in the two groups were basically similar ( P > 0. 05) ; after treatment, CD4 + , CD8 + in the two groups increased significantly, and the scores of signs, symptoms, tongue signs and pulse signs decreased significantly, among which the change range of the treatment group was greater than that of the control group ( P < 0. 05) ; the total effective rate of the control group was 70. 00%, which was significantly lower than that of the treatment group ( 90. 00%, P < 0. 05) . Conclusion: The treatment of severe viral pneumonia with wind heat and closed lung by oral Chinese medicine combined with massage on the basis of routine western medicine can significantly improve the immune function and clinical symptoms of the patients. The clinical effect is remarkable and has high clinical value.

参考文献/References:

[1]姜清华,李莉.清热平喘汤配合推拿治疗风热闭肺型小儿重症病毒性肺炎临床研究[J].国医论坛,2017,32(4):28-29,31.
[2]张莹翠,何欣怡.中西医结合治疗风热闭肺型肺炎喘嗽临床观察[J].光明中医,2015,30(9):1967-1968.
[3]陈灏珠,钟南山,陆再英.内科学[M].8版.北京:人民卫生出版社,2013:42-43.
[4]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:76-77.
[5]王寒松.解毒利肺汤对成人病毒性肺炎T淋巴细胞亚群和炎症因子的影响[J].海南医学院学报,2016,22(15):1637-1642.
[6]刘国华,文洁珍.自拟清热平喘汤对小儿重症病毒性肺炎(风热闭肺证)免疫功能?炎症因子和中医证候积分的影响[J].中国中医急症,2016,25(10):1952-1954.
[7] Ramsey CD, Kumar A. Influenza and endemic viral pneumonia[ J] . Critical Care Clinics, 2013, 29 ( 4 ) : 1069-1086.
[8]孙秀玲.黄芪药理作用机制的研究进展[J].中国处方药,2015,7(17):29-30.
[9]李琳琳,项保利.痰热清注射液对重症肺炎患者免疫功能影响分析[J].河北北方学院学报(自然科学版),2016,32(4):43-46.
[10]尹琴,张继先,余贻汉,等.利巴韦林注射液联合痰热清超声雾化治疗流感病毒感染致病毒性肺炎的临床疗效[J].临床合理用药杂志,2016,9(12):10-14.
[11]王寒松.解毒利肺汤对成人病毒性肺炎T淋巴细胞亚群和炎症因子的影响[J].海南医学院学报,2016,22(15):1637-1642.
[12]卢娜娜,刘琪,顾立刚,等.不同治法方药对流感病毒性肺炎小鼠MMPs和TIMPs表达影响的研究[J].中华中医药杂志,2014,29(2):411-414.
[13]郑蓓蓓.大剂量丙种球蛋白冲击疗法对成人急性重症病毒性肺炎的治疗效果[J].临床医学研究与实践,2016,1(6):29.
[14]王秋晨,石丽,史守梅.对术后的肺癌患者进行腹式深呼吸训练的效果探讨[J].当代医药论丛,2018,16(16):210-211.
[15]戈兆蕊.大剂量丙种球蛋白冲击疗法用于急性重症病毒性肺炎的疗效观察[J].临床医药文献杂志,2016,3(11):2150-2151.

备注/Memo

备注/Memo:
收稿日期：２０１８－１２－０９ 编辑：巩振东
更新日期/Last Update: 2019-07-15